HomeMy WebLinkAbout018-1096-31-000 (2)
ekiscoAsic!Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County
include, but not limited to. vertical and horizontal reference point (BM), direction and parcel I.D.
percent slope, scale or dimensions, n to nearest road. Q ay- /0
Please pri t all M&WdrtFD 7R; by Date
Personal information you provide may be us Dd for secondary purposes (Privacy . s. 15.04 (1) (m)). Gr!l/!/LYk- 3 J
Property Owner . _ r Properly Location
- JU► l~~- ' iL . Govt. Lot /\fE 1/4/V 6,J1/4 S T N R I Z E (o W
Property Owner's Mailing Address ZONING OFFICE Lot# Block # Subd. Name or CSM#
3! P
A-i
101r - '106
Ct State Z~~iprrC^^ode Phone Number ❑ City _ ❑ Village Town Ne t Road
-New Construction User-Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material i ( Flood Plain elevation if applicable ft•
General comments S /~✓i v , , $d Sys w► G AJ C / 7'~*=-
and recommendatio lv~~Gr/ZK(/YL, Sfi//~1°p
3 f d 6Z -F;,- Lei- 2 inO/cak -d ✓hvdles akSb£I
a~tt- 20 a dakf 4k72 6 s
Boring # ❑I `Borin9 (y~~ C -4$ Z
.pit Ground surface elev. fL Depth to limiting factor (P In. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
2 l Z-A1 r `Nlf S; Cl 2msbc fY4~r cS _
%SZ- to lr`flto - LS lmS Mir cg -7
l(~ 13 SL ZM5). L ml's( - .5 9
a Boring # ❑ Boring ~~11
pit Ground surface elev. l y0- Z) ft. Depth to limiting factor in. Sal 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
0-LLJ InZ L c- -5 1 v~ 5 -11 --421 Z - ! ' c 1 -.1
I - L 2m5fo~ I✓ S
4 59 (p If
-7- J
Efflu #1 = BODs > 30 < 220 mg/L and T59 >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sign CST Number
ZS
Address Date Evaluation Conducted Telephone Number
"1 10,
- -~Mew, L61 Sys G z
R '
Property Owner u~0 rl Parcel ID Page of
F-31 Boring # ❑ Boring
Pit Ground surface elev. 100.0 ft. 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
L LA, I Z 5/ eS w~
I - 0 I = Sic1 r cS -
3 1(~ l r C I,
-7.
V ' '
Boring # ❑ Boring S
❑ ❑ pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots GPD/112
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 'Eff#2
F-I Boring # ❑ Borirgl
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfft2
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff42
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.
SBD-8330 (X07/00)
Property Owner Parcel ID # ° / - page of
Boring # ❑ Boring
a Pit Ground surface elev. W l ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture SWAM Consistence Boundary Roots GPDI. t2
In. Munsell Qu. Sz ConL Color Gr. Sz Sh. 'Eff#1 'Eff#Z
Sj C~ r C
3 r C - 1,
- t 3 L -
52 -7
2- 1 , ,
_rX.-,
a Boring # ❑ Boring
Ground surface elev. ft Depth to limiting factor in.
❑ Pit Sdi Application Rate
Horizon Depth - Dominant Color Redar Description Texture Structure Consistence Boundary Roots GPD1ft2
In. Munsetl Qu. Sz. ConL Color Gr. Sz. Sh. 'Efft! 'Eff#2
a Boring # ❑ Borir
❑ Pit Ground surface elev. R Depth to limiting factor in.
Soil Application Rate
Horimn Depth Dominant Color Redox Description Texture structure Consistence Boundary Roots GPDM2
In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
• Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L 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 030 (807/00)
PAGE_aOF~
NAME !'~o n + e r OT# 31 LEGAL DESCRIPTION N E X4 Ajw `4 ,S 9 T Z 1 ,N.R. 17- aor
SCALE: I"=
BM I ELEVATION
BM I DESCRIPTION{~,D l1+ ~t1G ~,'D2 - -F
v I N
BM 2 ELEVATION /QO - o
" i S ems,
BM 2 DESCRIPTION
SYSTEM ELEVATION
SYSTEM TYPE Cam U e n + , cL
CONTOUR ELEVATION /OV . G d-
~C3 C~
00
,
_ - D
6
SIGNATURE -DA ' O Z
PAGE_aOF~
NAM n 2 LOT# 31 LEGAL i)EscgiPTioN N E YiflW t4 ,S T L q N,R, 13- E(ad@
SCALE: I"= b '
BM I ELEVATION /CXj • d
BM I DESCRIPTION ~,p n-f I
BM 2 ELEVATION IQ()' U
BM 2 DESCRIPTION-6 0 6+ seG.
SYSTEM ELEVATION
SYSTEM TYPE 0aA u
CONTOUR ELEVATION_ JQQ. 0 d- 10 / U
00
,CP
32-
ATp
,to
I~~ N les f7A
It L I-,
~a
SIGNATURE DA - S = O Z
.r
y