HomeMy WebLinkAbout018-1096-19-000 (2)
w's&sin'beparitnent of Commerce SOIL EVALUATION REPORT Page of 3
Divi,tbn of Safety and Buildings
t in accordance with Comm 85, Wis. Adm. Code
County
Cr d! K
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all . Re ' Date
Personal Wa4ation you provide may be used for aw, s. 5.04 (1) (m)). Zl,~ivtiy- 3/~Olo 3
Property Owner Location
JUN l o 20p vt.Lot 1\)Uj 1/4Nb,_I/4 S T Z N R E(oQ
-
Property Owner's Mailing Address t Block # bd. Name or CSM#
SZ0 ROIX COUNTY
T L
City State Zip Code Phone ❑ City ❑ Village F41owp
Nearest R d _
New Construction Use: E!j- Residential / Number of bedrooms Code derived design flow rate "Y 1a) e. o'O GPD
❑ Replacement ❑ Public or commercial - Describe:
ft.
Parent material [ Flood Plain elevati on if a plicable AJ 44
General comments S~/S evyl J y / 402- \
and commendations: r
AarA4~)
F/ 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/ft2
in. Munseli Qu. Sz. Cont. Color Gr. Sz. SFi. 'Eff#1 "Eff#2
1 -(2 I6 lz S-/ 2t k r ~ 5 . 5 8
2 12- ( SL'/ k -~'t- ~S
-LO 16W-3/4, F z 7 2 L
Boring # ❑ Boring
[2-1 pit Ground surface elev. . /o ft. Depth to limiting factor 3_ in.
Soil Application Rate
zon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
FH
in. Munsell Qu. Sz. Cont.'. Color Gr. Sz. Sh. 'Etf#1 'Eff#/2
1 1. 2 5d Z r c , S
. Cn
Sct Z i,i- c 5 - 1-4
-3lv
Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signa CST Number
335 l
Address Date Evaluation Conducted Telephone Number
21/3 ~d' _51. SYn~-sc->~,_w 5`fo25 - _ e;' - s-- 0 2 0 15) Zy7-`IW?
i
'
ProOwner Parcel ID # l d T Page of
PertY
1-31 Boring # ❑ Boring 2 g
a pit Ground surface ewg2 , fL Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
( I(~ r3I2 5<< m~~
2 .11-29 10 ~31~ 2 m c -5
3 z8-. 1 l~ r3 FZP~.S Y co Sc1 Zrn5bk mPl - _ Cp
Boring # ❑ Boring
F-1 ❑ Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rate
Horizon Depth Dorrunant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - 'Eff#1 'Efl#2
Brai
Boring # ❑
F-1 ❑ Pit Ground surface elev. R Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30 < 220 mg/- and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 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.
ssD-8330 (P-07/OD)
1
Property Owner Parcel ID # Page of
Boring # ❑ Boring
Pit Ground surface elev. -0 ft. Depth to limiting factor Z g in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Struchm Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -•Eff#2
t~ r317 5~ t m~',r ~S l v 5 $
c5
2 11-2-9
r3lb
3 ZV-31 lp r,3 (o F2p 1.5 `f (D S-j Zm3bk mPt - _ CQ
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/1`12
In. Mansell Qu. Sz. Cont Color Gr. Sz. Sh. - 'Eff#1 •Eff#2
❑ Boring # ❑ Bcxing
Pit Ground surface elev. ft Depth to limiting factor in.
❑
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM2
in. Munsefl Qu. Sz. Cont Color Gr. Sz. Sh. 'Efl#1 'E1142
- • Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/- ` Effluent #!'L = BODs < 30 mglL and TSS < 30 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.
SBD.W" cRmroo)
PAGE S OF~
;TAME O e I OT# Z 7 LEGAL DESCRIPTION #V-) X IVWY4 ,S T Z 9 N R. 12 F.latO
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BM I ELEVATION %Od
BM 1 DESCRIPTION O C JV C Q e
BM 2 ELEVATION g~, XO
BM 2 DESCRIPTION
SYSTEM ELEVATION 79, 510
SYSTEM TYPE YYl 0 c) ri s~5 m
CONTOUR ELEVATION 9906
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