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HomeMy WebLinkAbout184-1001-80-000 (2)f� Wisconsin Departrrieni of Commit" SOIL EVALUATION REPORT DMslon of Safety and Buridings In n000rdarioe with Comm 85, WI& Adm. Code County Sf 0 Attach Complete arts plan on paper not lees than 8 1/2 x 1 t Inches in size. Plan must Include, but riot limhod to vertical and horizontal reference point (BM), dlredkon, end Parcel I.D.1po percent slope, scare or dEmenCons, north arrow, and tocatlon and distance to nearest road.�- Please print all information. Reviewed by Personal lntormarion you press may be used for secondary pwposes fPrwdey Law, a. 15.04 15} (m)). Property Owner Property location J IETEK MOOC Kfl REA FLOE Etz NE 114 M W va S g t T Z$ Property CMmera Melling Address Lola 1 Block a Subd. Name or CSMit 12 City State Zip Code phone Number q� © City Ills Ta""j N�e�e, BP`i Pbr� 1�.55pa3 (651 �i30-0 io3 Il`r� New Constn ctlon Use:)-5 se: Residential 1 Number of bedrooms Code denved dosign Row rate 3 OD ❑ Replacement C] PublM or mrmardat - Detcrtbe Parent material 0>� _. KioodPlaireleratlo�fieppticeota `r Ge,*ml comments andrecammerdnWns: 2 sf\K.ID 1L1- f D C .t7r'1�IN6 R,p,% 002 f�... S`1yi nn e1r-Vfsrlonl 7) -EE DUNU<MWED Ht B°"r'g # El Wag _. 5T CfOx — - Pit Ground surface elan. 2n. Depth to limiting factor Igo --1....- of 1Kb k.-et a`te, R rS W I Road )N o� — GPD 5oll Anolication Rate Horizon Depth In Dominant Color Munseli Redox Deavtption Ctu. Sz, Cont. Color Texture Structure Gr. Sz Sh. Consistence Boundary Rtwld GPDfff 'Eff4' 'Efla2 d-s 10 —� sr1 d s 6,5 av -rn 0.5 04 z S- o k ZAP, s" l - - z t _' M .S 0. Am 1 s 5 v 8,Z 03 I2--16 C-S iv 0,2- t0 3 7. Y l� Z bK d c� lv�- S 0.8 to 7-0. io yj&3j .s st i lmsb -�M Z- Bonng# Boring Horizon Depth in. Dominant Color Munsell Roder Description Clu. Sz. Cont. Color Tenure Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIff 'Eff4l �0.5 'EM 0 40 ti R --� S,I 2� ds 3 _ C) b a -3 LJ v�3i�f to �• g t sbK gh 2�{ S O. • FM iAnt if c gnn > M < 220 moll- and TSS >30 < 15G mall- ' Effluent #2 - BQD. < 30 mcl/L and 155 1 3U mgfL CST Name (Please Print) signature / CST 0 HO�Q sT�- �L G 1 � g Address Date Eveluallon Conducled Tole Number W9175 �4pthAWE, F,IUE FAuLs WT 5402z 11--OI-01 it y26-1'17,S Property Ownar m Parcel ID 0 11'4 - 1 MO ``tS 0 Bonnq 0 ❑ Baring I a W1 o„ Ground aurfeoe elev. _1091 9�p tt Depth to limiting factor — - - Page Honzun y Depth ' Dominant Color rf I Munsell _Q p Redox DescripCion IOU, Sz, Cont. Color y Texture l Structure Gr. Sz- Sh. Z Consistence Boundary Roots - GPD/T 'Ef[#1 Elfit2 1'S -2D spa 1 3 �{ is a i� 1-t Co+'RS .3 t 1 d S h i 4 v V z D 7Bodng tr BOr1np — rj clr Ground surface elev. _M. Depth to lirnittng factorIn. gcia Aooiication Rats Horizon ° Deptr Dominant Color Ic Munsao Redox Description Qu. Sz, Cont. Color Texture Structure Gr. Sz. S.) Consistence Boundary Roots GPDlt4 'Eftirl EfP#2 i Bodrig Boring a Ground surface elev ft. Depth to limiting factor n. u © Pit Sol Applicaftin Rate Ft#oriztsn Depm �Domlna,,.t,�C6ol Redox Desur4pticn Texture Structure Consistence Boundary Boats I GPDltf in. Qu. Sz. Cont. Color S Sz. Sh. 'E"1 'EM Effluent 91 = BOO, > 30 c 220 m9k and TSS >30 c 150 mgA- Efftuerx #2 = BODE c 30 mVL and TSSI< 30 nxyL The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to 4ccess services or need material in an aitematc format, plcase contact the department at 608-266-3151 or 17Y 608-264J8777. San-030t><.61a ) 14-10-1� �vra z� Rhzz t �rel LA tv CIO gvgw2w *9 99 Z V,W,U) ON S R r. T �CTxldd 1S) ASS row 9 -zq ISc'� z r z. � kJ 3� z ' ra a mc;� Ql rQf3 x4;1Jr)V IVV Id lU Id --1)'\ ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 Page 1 of 3 COUNTY ON -SITE VERIFICATION FORM Inspector: J E I#j Date: Parcel ID Numberao 1, o - oa-o . 4 " %oa 1-60- Otry {. r3 Property O•nner Property L ocation Guol Lot 1A V4 5 31 T �g N R PropertyO-nners Mailing Address Lot 0 Block A S+bd. Name or CS hV C ity State Zp Code Phone Number ❑ c ity w1lage ❑ T n Nearest Road MAJ i She c(pYJ)431- 6983 APJAJ4 11 0,-LL& r s-mo RP, NewConstructon Use' Residential! Number of bedrooms Code derived design fbrrrate _ _.e._.._..-....-......_.---...__GPC M Raplaoement ❑ Public or commercial - descnba: Parent malarial __. ..- _r _ _ _ Hood Plain r valion if applicable - - ft. General comments and recommendations: Bcnng a Bonne -}{ p i� r r 1 pi; round surface ebv. ft. Clrpth to limitirra factor j_ _ in. crir nnnii"tim Rnro MMEMITI� . k w RWA =�" WAIFO .! M lIM9NJM Conditions: Q'• 3 vv 4 i as Soil Survey description: Notes: rr I -T-L t S &'A - S , -- � 't VIA , ,�., � 3 C� � Asa• lS FEE: IJ n ST. CROIX COUNTY ON -SITE VERIFICATION FORM Property Owner _ ..--_---. __-_ _.___ Pare ID ----_..._ _ _ _ ---- Page of _ Borirtg n ) t F 2 Boring x �[ 5, Pit round u�elev. �1 It Depth to limiting facDor I in. Sri] Annlientinn Para Qu+ Sz. Cont. Color Notes: ' ` Q; ,,ax 4�> 4ea �Av�-< i • 1�—'�'�° Boring A ❑ Boring ❑ Pit Ground surface elev. __ fi Depth to Limiting factorin. Sul ADDIiCatbn Fhoa Horizon Deptlt in. Dominant Color WnseW Radox Description W. Sz. Curt. Color Texture Structure Gr. Sz. Sh. Corsidencs Boundary Rods GPD,.ff 'Efui 'Eff 2 Notes: ❑ Boring x ❑ Boring Pit Ground surface elev. __ _. _ ft. Depth io liriting factor _—___.__ in �,rri Anniirn i n Pat —a Horizon Depth in Dominant Color fvlunsell Faadox Dascrption Cu. Sz. Corn Color Texture I Structure Gr. Sz Sh. Consistence Boundary Rods GPDPff TEffrttI 'Et#K2 Notes: ST. CROIX COUNTY ON -SITE PLOT PLAN Owner Name:` Parcel ID Num er: Inspector: K. G e 0% +4- Lc �43 ` �� �� Page of 3