HomeMy WebLinkAbout008-2009-10-000
vvistonsTl Oepartment of Commerce SOIL EVALUATION REPORT Page of 3
Division of Safety and Buildings
in accordance with Cat M 08, Wis. Adm. Code n
County 7- C'/~ O /
0 ~7
Attach complete site plan o pap r ifo~ _ sll th 2 x 11 inches in size. Plan must
include, but not limited to: vertical and_hofizo repce point (BM), direction and Parcel I.D. V •6v 9 16 -loco
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. t Please print all inforniation. Rev' Date
Personal information you provide may be used for secondary Ayf[posea(PiXvRpp i~~w. S; 15.04 (1) (m)). r Z
Property Owner Property Location
Ta
Govt. Lot A) /4 N F-1/4 S ~ TD a N R E (or W
Property Owner's Mailing Ad press Lot # Block # Subd. Name or CSM#
vt i c .rim M e,-Jo
city State Zip Code Phone Number ❑ City ❑ Village Blown Nearest Road
~:~o~ Ct?~ 5yb~~ (7150 643 ~Q~ l I~ 70 +G, S~-~~
L7 Kesidential / Number of bedrooms Code derived design flow rate GPD
E5-'New Construction Use:
❑ Replacement ❑ Public or commercial - Describe:
Parent material o CSS OU e-V Flood Plain elevation if applicable ft.
General comments / r C p~
and recommendations: (ks' _ 1!o Jas'' at1C)e~~ of J
~ C6(/C/OUP 96-, y
Boring Boring
#
l M<lt Ground surface elev. 9 y. 3 ft. Depth to limiting factor 7 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
101_1K - 5' r m s w f
to YK L _3 Lo
a Boring # El Boring G~
Ground surface elev. Depth to limiting factor 7 in.
9"Plt 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
a0 `o , 9
ID Lo
np 10,1A n a 7s g C s 1 i , a
L
•
-
' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 _ BOD< _ 30 mg/L and TSS < 30 mg/L
CST N (Please Print) 1,5 Signature CST Number
Fly
et: 1, q / e-
Address Efate Evaluation Conducted Telephone Number
li?la ~ 7-X~ 4ve- 77~-~a781
1\nn A I\TIAMI\\
S`~i 76
Property Owner Paces I f V e ` l Parcel ID # Page C~ of 3
Boring # ❑ Boring
9--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
0-,7 oY s d s bk m--P- (2- w It o4-
D 103 w. 1( c cJ J t- Y e
b-~3 0 aD `7 S' k C v r' `
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/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.
__JJ ❑ Pit Soil A lication 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
Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30:S 150 mg/L ` Effluent #2 = BODE < 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.
SI U-8330(R.07/00)
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