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HomeMy WebLinkAbout008-2009-04-000 (2) WisFonsin partmentofCommerce SOIL EVALUATION REPORT Page/ of 3 Division of Safety and Buildings in accordanck wlth?pttnr>~rB@; Wis.:Rdm. Code County Attach complete site plan on paper s than 8 1/2x 11 inches in size. Plan must include, but not limited to: vertical a z I re r point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arr. , a I /and distance to nearest road. l/(j v ~u i CJ Please print all inforrrtafran. views y /Date / Personal information you provide may be used for secondary PurposesfiRrivdFy La1M. s, 16.04 (7) (m)). /t/w ` 2rr (h Property Owner I Property Location 2 ~_S Govt. Lot 1/4A) 1 /4 S l T N R E( W pac - 1 Property Owner's Mailing Addres Lot # Block # Subd. Name or CSM# ')6 6 eel sVL L( P,",,_e Mea-(J0 City State Zip Code Phone Number ❑ City ❑ Village E -Town Nearest Road W CIA U, ti-e (l) (7/s) S/~/3 I'= c,- ~~II d fib. e- New Construction Use: IT Residential / Number of bedrooms Code derived design flow rate ~'D ❑ Replacement ❑ Public or commercia-ll-- Describe: Parent material O t-~s D UCH y Flood Plain elevation if applicable A14 ft. General comments n e >r-A C) p V and recommendations: a S . f~ l ' ~l c ©n f«~.-~- 9g. a /~10 0~ Flev _ 7~3y } Boring # E] Boring l G~ p t Ground surface elev. ! ~t l~ ft. Depth to limiting factor Q in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 p -I I M _ o iC) y - Sd g YK _7 F3,~- 7, sy2 V a s s 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/f F in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#/1 'Ef#2 k ~I- Q i I' , to 3 lc~~r - Sic 3M6s k ,S - V /o `I - f3P 7 syi'L yy b s u~v . ' Effluent #1 = BOD > 30 a 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS 30 mg/L CST Name (Please P i t signatuEp/ CST Number Address Date Evaluation Conducted Telephone Number UJ 770A 4-Ql-. s rl11 Male 77.) -)7~ 76 Property Owner P,3,- ( JV C ~S ©U~ Parcel ID # Page -c-) of 3 Boring # ❑ Boring 3 Ej-p-it Ground surface elev. ft. 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 3 -1 c, 5L vc sb - , 7 i Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 i Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil A ication 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 i ` Effluent #1 = BODS > 30 < 220 mg/L and TSS >30:5 150 mg/L " Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L "rile 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. Sill)-8330 (R.07/00) P(b+ Pl~~ ~~5~ 3 3 a 0 ts~ L ~ ~int of y 1-~~he oCo 10 ~ ~ 90 Sldwe \ 93 'Y \ 0 C 9o C3,~ . I ©c. cc) ToP of pL~ P~o2 ~C \ I