Loading...
HomeMy WebLinkAbout026-1097-80-100 (76)op- t Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Bttlldingsi,, in accordance with Comm 85, Wis., 4rm ,Cade County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. , P Please print all information. R Personal information you provide lnay be used for secondary purpo�m (Privacy Law, s. 15.04 (1). fm)). mpe'rt7cfv nar� _ .. __ - - - 1 Propeity Lbtatluty - D , e , L1 �'T t. Page r of Date Govt. Lot N (IJ 1l4 W 114 S �� T 30 N R E (o W Property Owner's Mailing Address Lot # Biock # Subd. N or CSM# u city State Zip Code Phone Number ❑ C; g city ❑ Village Town Nearest Road ►�hw,o� i3�*" k�e New Construction Use: Residential ! Number of bedrooms_ Code derived design flow rate Y 5 GPD ❑ Replacement ❑ Public or commercial - Describe: �- Parent material ! i I I / / i.1 J tit 1--1 IM i f Flood Plain elevation if applicable R_ General mments S la q Q C-S-} C., 75 i �S �t 1/0 cti 3' 1f C? {n �� 5t-+ a,+ a/nd recomcomendations: �JJ p �/ Baring # Boring Zo` rn e ��%,{/ 1�" FIT] Q Q / r� ® pit Ground surface elev. r r tt. Depth to limiting factor _ f d in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM 'Eff#i I 'Eff#2 �d �.S 7�Lt��) 4a /(D��-�QQ�h. 'v'J� ppc� 7� 5`f i_TIl/ F I F 7, 5 `{ rz V .S r L r 5 b i wz Vf=r- ,',. , r ,.. a 3�11 LAB Bonn # Boring 9 t' rr c' a✓ Ground surface elev. + r 7 Q Pit ft. Depth to limiting factor in. Horizon Depth in. Dominant Color Munsell Redox Description Qu, Sz. Cont. Color Texture Structure Gr. Sz, Sh, Consistence Boundary Roots GPDtfF 'Eff#1 'Eff#2 ID~ I D'1 19- a$ Y'/-O S`tr `. �( `7,5 L - tmuenr a:i = aUu > su < Z2u nxyL anq l Z:� >JU < I W n-VL ' Effluent #2 = 800< 30 rng/L and T53 < 30 mgfl- Name (Please Print) r Signature CST Number Ad�ess Date Evaluation ed Telephone Number Property Owner�3-wk CS t1A. Q t1 Parcel ID # F51Boring ❑ Boring I # 6C Pit Ground surface elev.1 DO + bO ft. Depth to limiting factor 5 in. Page ;� of Y Sal Aoniration Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Stnuture Gr. Sz. Sh. ConsistenceEBourn4dary Roots GPDItf 'Eff#1 'Eft#2 4 1010/0. `�.�. L aft 2 rn A�d F5 bPL m r� F 7.S7Q s-7.5 5-19--sh► FIF 3-:51 ;FSb Fr ©Boring # ❑ Boring E�. Pit Ground surface elev. 9 9 ,s y tt. Depth to limiting factor 3 in. Sol Appkabon Rafe Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDI(f 'Eff#1 'Ef1#2 d- D OYR3/-I- I— alb f2 w ps . % �3 l&-1 7.51p Wq— --�--- d+'fSytG D 17- P-q q "Fs� IwlsbW 0� la t°IA C r, 3 " -- S 1:1❑Boring Boring # Ground surface elev. fL Depth to limiting factor in. pit Q J1 Orr� Rats, - Effluent #1 = SODS > 30 5 220 mg1L and TSS >30 5 150 mg1L ' Effluent #2 = BOD, < 30 rng1L and TSS 130 mg1L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777, SBD8330 OL07M) 1 S. 3 y, T 3aN), %.71 GcrG L S 't" p rt 1"7 "1 �J 1�nL, b t 0% J br�� �� S � 1 f1 �- 1 w • 334, 544e- I p; pe-) 0 tm a Q r.�j� y p . PIP- b k- U G p; 4 S rr G o F � va.i