HomeMy WebLinkAbout026-1097-80-100 (80)N
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page o �
Division of Safety and Buildings
in accordance with Comm 85, Wls;. AdiiL Code
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 E.D.
percent slope, scale or dimensions, north arrow, and location and distance to neerestroad_ l f e1 ! ; !t C
Please print all information. Review Date
Personal information you provide may be used for secondary purpos (Privacy Law, s. 15.04 (1) (m)).
Property Owner Y 6 l�� ✓"�
6-tNlLS(,. Z�10[ 4 GoLot ,I u 114 r", '1l4 S T �'� N R �� E(or
Property Owner's Ma' ing Address Lot # Block # Subd. Nf or 9SW
,Cat c", +� , - • 9r��� `Y
City f State-' Zip Code Phone Number [] StyrY� ❑ Village CS Town Nearest Road
(�r5) a`15�- 3 5 h�� h,4, r, l��0 "tn St
V1 New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate _ y t� GPD
D Replacement Public or commercial - Describe:
Parent material �� �° t yE Flood Plain elevation if applicable
General comments .rj v� ¢ Q {o i� 7 S r fS�^ I D• r t rn p u r r G� S f eL ~�-
and recommendations:
8.97
R.
Boring # ❑ Boring Q
EZ Pit Ground surface elev. 9? ft. Depth to limiting factor in. Soil Analicativn Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDlffz
'Eff#1
'Eff#2
f
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rbiP,3}a.
_
L
f
$
q
I a F
1f
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k
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® Boring
Pit Ground surface elev. g�• 4 5 ft. ipth to limiting factor ` ti in.
Boring # e
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDlffz
'Eff#1
I 'Eff#2
vevve, its le,
fA
Bmuent 91 = BUD, > 30 < 220 mg1L and TSS >30 c 150 mg/L -` -_—Ffn, aaM = g�� 'fSS ` 30 mg/L
CST Name (Please Print) - Signature CST Number
`4 -y
k ���
a b -r t , 64 Date Evaluation Conducted Telephone Number
7
4
1/
-74 ,� CS
t
Property Owner _L , t -% Cw Parcel ID #
Boring # Boring
F3� Pit Ground surface elev. q -!a
" a a ft. Depth to limiting factor 30 in.
Page of
c'-il A—Ii—fi— a.fo
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu Sz, Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDIfF
'Eff#1
I 'Eff#2
If
o-)
oyRal
- --
L
�s��
ash
aS
c� :w
- !�
. S
13-�a
�aii2y
G!_
;;L ft,s
cis
9.3d7,S�ky(a
nL
Irn5 V
1A
cw
I
y
.7
r
f Boring # ❑ Boring " "
® Pit Ground surface elev. ft. Depth to limiting factor in.
Coil Annliratinn Rnta
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Cu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDtft`
'Eff#1
'Eff#2
o`Ak'al
- ---- ----
f-2
EG,
J S k
- 5
�q
ElBering
Boring # Ground surface elev. ft. to limiting factor
❑ Pit Dep in.
Soil Aooliration Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Cu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ff
'Eff#1
'Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
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.
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