HomeMy WebLinkAbout018-1099-40-000 (2)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page_ of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County CC~1
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. q
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - M Q
Please print all information. viewed by Date
Personal information you vide m y be used for s ndary urposes (Privacy Law, s. 15.04 (1) (m)). l l
Property Owner F'ro rty Location
Go Lot NC 1/43kj 1/4 S 1 T 2'~ N R ~7 E(orQ
Property Owner's Mailing Address Lot Block # Subd. Name or CSM#
Hof I I r he a--,a n+ 4~.
City State Zip Code Phone Number El ity El Village ~9 Town Nearest Road
4n o ~c~ uJ~ i' mmonc~ ltd
New Construction Use: Residential I Number of bedrooms _3 Code derived design flow rate _ t'13-0 L 4GPD
❑ Replacement I ❑ Public or commercial - Describe:
Parent material T- Flood Plain elevation if applicable ft.
General comments slY- ~ P/Zv - 7-b -7 _
and recommendations: S `a s6 LOw/ T/ 7 Z O " n /
GYC G~rllu-ed CiCR 2-'d'am
,6k-- A21 '44'tA
c T3
i Boring # ~F7 Boring p Q AAA- -F~ /1Gr~rs-e ?
F -1 1
q] pit Ground surface elev.Q/_!(Y _OU ft. Depth to limiting factor ! u - in.
- Solt Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDI112
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
~-lZ 10~ 313 St 2 -rr C v 8
Z 12-30Ib r l 5c bk -4 CS
3 4g 31 c l Zm k -
Ll Y I 51 4 C 2P 1.5 y CL Mfr Co
F2 Boring # Boring
pit Ground surface elev. 7=36 ft. Depth to limiting factor _ V - in. Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
0-14 l~, -y-,3) 3 51-1 Zmc~bL m~r 65 I j I . 5 .8
2 ICS 4ly c s k nor C 5 - -6 - 5i 3 -)lv lD r5/-/ L5 1 mS ~ - -7
J- Z
Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) ig ature CST Number
253 LO 7
Address loe Date Evaluation Conducted Telephone Number
b a S-1, Same eY S v i z -S=a (7i Z~7-ADO
4 Parcel ID # Page of
Property Ownerl i 1C _ !r U
Boring # El Boring
0,p
❑ 6
Plt Ground surface elev.Q ft. Depth to limiting factor _O . in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDI1`12
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 C}-12 10 1 2rnabk mCr C l \X •
2 1Z- - 5c zw sb rncr c - -
,5 -50 10 r- A c_I 2m51~ mC4 _ V
?5 10 s C~ CZ 7"5 L
❑ 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
F1 Boring
F] Boring # Ground surface elev. ft. Depth to limiting factor in.
Pit 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
Effluent #1 = BODS > 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.
SBD-6330 (R.07/00)
s
Property Ownerj !,,YUJI Parcel ID#-------------_-_--- Page °f--
E] Boring
3 Boring # - Pit Ground surface elev.gs. W ft. Depth to limiting factor in.
Sod 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
l 12 10 s'1 Zq-abk m C t ,9
2 -30 1 A (I k4 5~ 2Yr~bk r
3 - 10 - d 2msbk 1 1' _ '4
❑ 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
E Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit -
Sod 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
Effluent #1 = BOD5 > 30:5 220 mg/L 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 altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SOD-8330 (R.07/00)
PAGE 3 OF ---5
NAME U l r~r'~ S LOT# y(J LEGAL DESCRIPTION 4C X6 10 14 ,S y T Z q ,N,R / - E(or)~
SCALE. 1"= BM 1 ELEVATION /GAD . C)
BM 1 DESCRIPTION -/ae o iy 9'{ e ( ev d
BM 2 ELEVATION 1q. 40
BM 2 DESCRIPTION Lp dj' 4 Pad 5c,-. q
SYSTEM ELEVATION Jc p q7 . SCE GO LJ-e r `f -7. ZO (6)
SYSTEM TYPE ~c u P r~ , 41 4
CONTOUR ELEVATION
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