HomeMy WebLinkAbout008-2009-01-000 (5)
wscbnsin'bepartmentofCommerce SOIL EVALUATION REPORT Page / of .3
Division of Safety and Buildings
in accordance #W-Comm 85, WIS. Adm. Code
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County :5 7
Attach complete site plan on paper not less than 8 1/2 z 11 ink(kC VI4n'rriust
ew& point (BM), directPOh°and Parcel I.D. n~ J✓ ) wG~~ jr~w
include, but not limited to: vertical a ory~@I rer
and distance to nearest road. c~C
percent slope, scale or dimensions,r
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Please print viewed Date
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(Privacy Law, s. 15.04 (1) (m)). 2 ~ aS
Personal Information you provide may be used for seconda e
Property Owner )?roperty Location
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Property Owner's Mailing Address Lot # Block # ubd. Na CSM# /
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City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road
WocAJ Ut ,~yc> (`715-)b' 8-~ 3 E"61, 6~ulle Go Ft. A~e.
New Construction Use: Residential / Number of bedrooms Code derived design flow rate bd GPD
❑ Replacement / ❑ Public or commercial - Describe:
Parent material S ~~~~(t ( Flood Plain elevation if applicable ft
General comments [ ~QG p
and recommendations:
®it Co~.~Fou~ 9~, $
/ E] Boring
❑ Boring #
LJ Pit Ground surface elev. ~ ft. Depth to limiting factor -Q (c,- in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
YP' ;2 r 5> I 1~ 1 K 4 C lJJ l
- /o - :517 r)1 :51k a t (,J 1 v
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v G
D Boring # a ring
Ht' pit Ground surface elev. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
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* Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CS Name (Please Pri t) Signature CST Number
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Address Date Evaluation Conducted Telephone Number
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Property Owner Fa w I k) e- 16o Parcel ID # Page of
[3-1 Boring # ❑ Boring
2-pit Ground surface elev. 98 ft. Depth to limiting fa6t6r off. ~ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
10'Y
~ 0 ~1 {2 L c c b IC r . 3
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
❑ Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
F-1 ❑ pit
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2
IEffluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
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S13D-8330 (R.07/00)
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