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HomeMy WebLinkAbout008-2009-11-000 SOIL EVALUATION REPORT Page ( of 3 Wisconsin d%partment of Commerce Division of Safety and Buildings in accordapecwlttiiermB W>$. Adm. Code 7- Coun County inches in size. Plan must Attach complete site plan on pale I~ha8 11, F include, but not limited to: vertic4l.tand ho r e point (BM), direction and Parcel I.D. M ~aQ Q 11 -&D percent slope, scale or dimensions, northarrow , _ lion and distance to nearest road. I Please print all inforriMation. R iew Date Personal information you provide may be used for secondary ~urposes-{P±dgpcylaw, s. 15.04 (1) (m)). Property Owner. Property Location a- Qf S Govt. Lot E- 1/4 IF 1/4 S / T N R E (or W Property 02wners Mallin ddre s L/ # Block # Subd. Name or CSWV ~Q ~eCl G~ CQ . I PI n le /n' ea-,^©c~s City State Zip Code Phone Number ❑ City ❑ Village own Nearest Road ~U~~I2 (fJ v~y02 (?►S)~y8-~~fY ~a~,~• 27 4-k rc-e ®lew Construction Use: residential / Number of bedrooms- Code derived design flow rate 00 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material f(~ (2c) 1 i l 1 Flood Plain elevation if applicable R General comments `C ~1 n e~ ~~q G m~ ~X and recommendations: l c ° O l" C-IAJ eV p(,` Coln~6u~ Boring # ❑ Boring r, I ( I R/pit Ground surface elev. 7 % ft. Depth to limiting factor in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 10 1 k >:-2 C) -1 e~liL f S~loy t'75 CL c I, s c/ Boring # g~ OP ng Ground surface elev. ,ft. Depth to limiting factor c~ 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 '042 I J b FAD fe C L 1, ' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg& and TSS 30 mg/L CST ime (Plea e Print' Sigvn CST Number Address I/ Date Evaluation Conducted Telephone Number 1A TMMA\ Property Owner PQLlx-1 Parcel ID # Page of Boring # Boring a L~J Pit Ground surface elev. ? 7 S ft. Depth to limiting factor c;l, C[ 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 quo loyk- 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 GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 I 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i 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 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. S Il D-8330 (R.07/00) f 1 I yl C; M 0. C7~ 0 u j s, Re, ci e--fc t, Iv Top b f ra Quc P,P a70~ k, Bf I ~o P ~ ~ ~ Slop-e- ~ f 1 631 shp~ ~ \ rob.7 B-M no - 6c)