HomeMy WebLinkAbout016-1026-30-050
RECEIVED
WisomminDepartment ofComme NOV 13 2MIL VALUATION REPORT Pap of3
Division of Safety and Buildings
in accordance with Comm 5, Wis. Adm. Code
ST. CROIX COUNTY County
Attach complete site plan on pa r not lr C4 inches size. Plan must
include, but not limited to: verb direction and Parcel I.D. f
percent slope, scale of dimensions, north arrow, and location and distance to nearest road.
Please print all information. Re' ad b Date
Personal information you provide may be used for secondary purposes (Privacy Low. s.15.04 (1) (m)).
Property Owner Property Location
Govt. Lot 544 1/454M/4 S/ T f2o N R/~' SMW
Property Owner'a Wiling Address Lot # Block # Subd. Name or CSM#
Co aQV4,-
State Zip Code Phone Number ❑ City ❑ Village I$Town Nearest Road
ived design flow rate GPD
-1- Code der
New Coon Use: ❑ Residential / Number of =cribe:
❑ Replacement ❑ Public or commercial -
Parent material Flood Plain eleva ' if applicable N 14 ft.
General comments
and recommendations:
/~lo titid e F/-1 Boring # Boring
Pit Ground surface elev. /J, ft. Depth to limiting factor in.
Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/iP
in. Munsed Qu. Sz. Cont. Color Gr. Sz- Sh. •Etf#1 •Eff#2
,2MS6 S
;2- l- o 5-el-d S v . 6
Boring # Boring qr~q
® Pit Ground surface elev. it. Depth to limiting factor in. Sofl Application Rate
Horizon Depth Dominant Col Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
0-13 /,OR a- SIJ- k PS S 2MJ .S
z /a C46K CS V -
- l o se a6 DS s
• Effluent #1 - BOD > 30 < 220 mg& and TSS >30 < 150 mg& • Effluent #2 = BOD < 30 mg& and TSS < 30 mg/L
CST Name (Please Punt) , nature CST Number
-.2- 2~L
Address Date Evaluation Conducted Telephone Number
3,;L a
09
Property Owner Parcel ID # 19 46 Page a2 of
M Boring # ❑ Boring
Pit Ground surface elev. ft. Depth to limiting factor - in.
Sol Application Rate
Ho on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/fF
in. Munsel Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2
o- g o S S S-2 ~ ,57
Yx -6-11" D /7 A
C lv'
a 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. Munse l Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
❑ Boring
E Boring # Ground surface elev. ft.
❑ Pit Depth to lirrriting factor in.
Sod Application Rate
Hortmn Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDNf°
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
Effluent #1 = SOD, > 30 < 220 mg1L and TSS >30 < 150 mglL • Effluent #2 = SOD6 < 30 mglL and TSS < 30 arglL
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.
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Wisconsin Department of Comme NOV ALUATION REPORT pow of Division of Sa
REje
fety and Buildings
$~aWis. Adm. Code
county
Attach complete site plan on pa ze. Plan must
include, but not limited to: vertical and horizonta direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q 6 Ao - O. SO
. Please print all information. Re ' wed Date
Personal irrbrrnetion you provide may be used for secondary purposes (Privacy Low. s. 15.04 (1) (m))• - 6 G
Property Owner Property Location 011 Govt. Lot ,S,~k) 1/4 S 1/4 S c2 T 3 0 N R MW) W
_
.142 Property Owner's Mailifig Address Lot # Block # SuW. Name or PrpkW
6 - - 406~5 Orn 6D
City State Zip Code Phone Number ❑ City ❑ Village OTown Nearest Road
Gee cuco c ~i~ - 338 G~ r° o d 07` S
New Coristrtxtion Use: 01 Residential / Number of bedrooms - Code derived design flow rate O 0 GPD
❑ Replacement ❑ Public or commercial - Describe: _
Parent material Flood Plain elevation if applicable 11A tt.
General comments
and recommendations:
Ma l Ala S s/11 t°
F/I Boring # C] Boring
in.
Ground surface elev. / b 7.ft to factor YJ2
Pit l tip Soil Appl1cadon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fta
In. Munsell O.u. Sz. Cont. Color Gr. Sz. Sh. VIM 'Eff#2
a- D S S OS AS 361 ,8
;Z- - LOYRA/w aMAdfc S 8
g # ❑ Boring
a Pit Ground surface elev. ft. Depth to limiting factor in. SoN Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'Ef1#1 'Eff#2
;Z Af ,-,6 S 8
e 31-2166 MvF
e
Eftkient #1 = BOD > 30 <220 mg& and TSS >30:5 150 mg& ' Effluent #2 = BOD 130 mglL and TSS 130 mg&
CST t~Y Warne i[Please Print) ~ _ - nature CST Number
;2
Address Date Evaluation Conducted T Number
S":~Y0/3
Property Owner Ni s,4 e /Y LC/j O Panel ID It page pC of _
Boring # ❑ Boring
FYI /7
Lf1 Pit Ground surface elev. %11L ft. Depth to limiting factor in. Sol ketion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRf
in. Munsel Ou. Sz. Cont Color Gr. Sz. Sh. •Eff#1 'Eff#2
a ~ L a ~i A6 S S a m , 8'
3 - , 6 S~- AA- 19 5- c S /v ,S 19,
.04 17
t e
a Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
a Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Desaiption. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsel Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 '01#2
• Effluent #1 = BOD` > 30 1220 mglL and TSS >30 < 150 mg& • Effluent #2 = BODE < 30 mg& and TSS 130 mglL
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.
SMM3OOtAM)
Maiden Rock. WI 1-800-325-8456
Portage, WI 1-800-362-7220
Fond du lac, WI 1-800-641-5937
MIEIERRIBIRETE
Website. www.inneserconcrete.com
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Vol. 14 Page 4022