HomeMy WebLinkAbout018-1099-39-000 (2)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of -If I
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County _ C r
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Paroel LD, rn
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~U 3 ~U V
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Q/Y+► J O~
Property Owner 01,jj Property Location C~
MI -T u:Sk Govt. Lot /U Lj 1/4~ 1/4 S R T 2 t N R (-I E (or e
Property Owners Mailing Address Lot #9 Block # Suo. Name or CSM#
1CAk -~Yi 31 hm--nr4 &q 1~1 10'
City State Zip Code Phone Number ❑ City ❑ Village f9.Town Neares oad
_Y_ Code derived design flow rate ~rLSI~ 0 O _ GPD
New Construction Use: Residential / Number of bedrooms
❑ Replacement ❑ Public or commercial - Describe: -
Parent material Flood Plain elevation if applicable __!G !!T ft.
General comments sy Q ~t ✓
and recommendations:
a Boring # ❑ Boring
® Pit Ground surface elev. 9170- ft. Depth to limiting factor- in. ~ yco 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 'EEfff#2
10 s 2
Z $-2 10 r ` l r c- 2m5bk rnk)r c- 5 4 -
Boring # ❑ Boring F2-1 4~ -
® pit Ground surface elev. O l • - ft. Depth to limiting factor a in. Sol 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
0-I2. 51 t I 21 k C-
Z 12- Z(o i L S r c 5
3 Z - I Ids Zl~n r - - • 5 .
Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = 801 )5:< 30 mg/L and TSS < 30 mg/L
CST Name (PPrint) er 'nature CST Number
/ z,5 3 W q
Address Date Evaluation Conducted Telephone Number
Z4 B U-'7~- SD e 2 /Z - S- o 01S- L 7 - M... , r .
y
Property Owner ~1 f! 5 T~ I J CU5~ Parcel ID # Page -2 of
❑
Boring # Boring -j
Q
pit Ground surface elev. 1-30 ft. Depth to limiting factor I~- in. Sob 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
-1 10 r3( 50 r C ~v 5
31~ 2 r c
Z -2 I r q 4 1-4 40
3
2q -?s D
z!r
rS S Z Ir - 5
F-1 Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor _ in. Sol 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
❑ Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
F-1 ❑ Pit
Sol Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPQ/fF
In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD.5 > 30 < 220 mg/L and TSS >30:s 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg1L
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-9330 (R.07100)
PAGE 3 OF~
NAME S LOT# 39 LEGAL DESCRIPTION .Vw % Sw `4 ,S 9 T 2 2 .N.R. 1:-E rf
SCALE: 1"=
BM 1 ELEVATION ZjQ . D
BM 1 DESCRIPTION 4,, n y ~ ~ .Slt e
BM 2 ELEVATION Yq, -q o
BM 2 DESCRIPTION -kj2,-%/ S~r e ( oeocp
SYSTEM ELEVATION yg, q0
SYSTEM TYPE co ✓l V e h-, c A a( 4
CONTOUR ELEVATION 7 Q. a u q, o U
Bm' Bra 2
I ~-3
B -L I a~
I ~ e ~ 9/ •~t`b ~q,
`TJ~,,,~ 9G . G U
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41,
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SIGNATURE DATE °3
Wisconsin Depbrtment of Commerce SOIL EVALUATION REPORT Page _ i of -If I
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County _ C r ,l
Attach complete site plan on paper not less than 8 1/2 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 information. R sewed b Date
Personal information you provide may be used w"ses4Ps+va + 15.04 (1) (m)). (g b 3
~e
Property Owners rty L ocatio Q
. Lot ~ I„j 1/4,5W 1/4 S g T 2 1 N R/ E (or e
u v&A 5 1G0.m1:`VPte
Property Owner's Mailing Address t # Block # Subd. Name or CSM# r ' -j t b\~ ~ ~ S ► . 591 1 P ~1^dqc rsr. kal'c'
City State Zip Code Phone, Number city ❑ Village Town Neares SLboad
New Construction Use: EjO Residential I Number of bedrooms 3Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if apj licabfl / ft.
General comments S spm Q (~t/ 3 ~Eieax~l
and recommendations: y
1'~tc✓ ~Of ~rke fk w~ l~t~>1 JYQ(ha
~orOJoT l71meNs~oNJA-A pxnY .3 Z a gDl-n",
/s a2
,Qa.te nom, --S~eSys-4i?►, o a-l-- be-
❑ Boring # Boring Jl -
® pit Ground surface elev. ft. Depth to limiting factor V in.
Soll A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
a-~ ~o s 2 k ~s I„~
Z rc-l 2m5bk mfr ~5 y
F2J 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 o-i2 (t~, 5; I 2mabk C5 Ivy 5 $
Z 1z-Z6 &j,rci - Sid I Z s 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 Name Pie a Print ' nature CST Number
(c ) S er----- zs 3W 9
Address Date Evaluation Conducted Telephone Number
l3 U'~ Sa e e 2 /z-s- a ~7~s)L ~-~a0~'
Property Owner LAI tt (1Y11 I _I rusk Parcel ID # Page 2 of _
Boring
Boring # El -7
jj4 pit Ground surface elev.q_1 _30_ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 'Eff#2
i 04r,36 Sil 2 r C IVT 5
Z I -Zy 1(~ r c 2 r c i_
3 2 -75p r~ FS S Z ~f- -
F] Boring # F1 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
❑ Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
F-1 ❑ Pit
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 'Ef1#2
' Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30:5 150 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.
SDD-8330 (R.07/00)
L
} PAGE 3 OF_3_
NAME F-e r LOT# 39 LEGAL DESCRIPTION ,4' ci X Sw X,S ~ T 25l ,N,R, / - Rorer
SCALE:
BM 1 ELEVATION ZtC .
BM 1 DESCRIPTION k~ c~ ~~/t e ( ~~cP
BM 2 ELEVATION
BM 2 DESCRIPTIONT . %4 S-/, e (
SYSTEM ELEVATION O
SYSTEM TYPE Cy ✓t y e i a . ct
CONTOUR ELEVATION c + `f a y
kI
F"r! 3rn 2-
Y
~-3
~r
Ito'
r Bz lj~
x
7
U
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SIGNATURE e~~ DATE
PAGE 3 OF_3_
E u i f-e / LOT# 39 LEGAL DESCRIPTION f l tj X Sw Y S !I T 2 cl N.R. / 2E(or)V
SCALE: 1"= y~
BM 1 ELEVATION /C o
BM 1 DESCRIPTION:I,,n y t ~ .0~ A
N
BM 2 ELEVATION H, :7 o
BM 2 DESCRIPTION k %4 1 DQo~ l s ~'C ,
SYSTEM ELEVATION O
SYSTEM TYPE Co ✓l ye ovt a
CONTOUR ELEVATION g Q, a o q/. C)
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9av
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Lam- c6o r
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~ Q ~ ~syt Q.r~~
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SIGNATURE DATE 03
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