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Home My WebLink About018-1099-45-000 (2) f r ' 3 Wisconsin Department of Commerce SOIL EVALUATION REPORT page ( of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County _ Cro' 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 (8M), direction and Parcel I.D. Q/ 1 ! / p ~j^ ~/J~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q ~a Please print all information. R ewes , . 72,Di23 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). b{~jr t y,- Property Owner Cyl Property Location L. 0 . Tu Govt. Lot NF 1/4_-~jj 1/4 S 9 T ?_9 N R I? E (orQV Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# t of k t-7o -ice C15 hea~r~+ R k e~ k City State Zip Code Phone Number ❑ City ❑ Village iEl Town Nearest Road YYl C OY A w ( ) Canr 1 I oc R New Construction Use: a Residential/ Number of bedrooms Code derived design flow rate l O _ GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material r Flood Plain elevation if applicable ft. General comments 5,1 Sim & eW . y+ q: d and recommendations: (r o V v- Boring e l t J 0 1-11 ❑ Boring ) # 0-pit Ground surface elev. ft. Depth to limiting factor `?N in. • Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP In. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Ef1#2 i 0-16 I I - sr &ahk ,r r (11- -5 - I? Z Ip-2-1 ry/ 2 k &-4 - - ~f 3 y 3L I 31t, A~ S 4~c~ c 2msbk _ a Boring # ❑ Boring 9 Pit Ground surface elev. Depth to limiting factor 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 t o-8 10 313 5,'I m~'r 'C Ivy `3 - 8 Sid Z,~s k r- - - 16 3 I - 3l p 7. jr'l 'to 5C I 2m5bk Yv-~'r - - `l G 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 (Please Print) nature CST Number AC.karyn Scl.~rY~G.1tCr- Z$3.30cY Address t Date Evaluation Conducted Telephone Number 21 13 ~611- .won-,c,5G+ , wl 51YOZ5- Z--X- 0 ~y t! 7/5- 2-Y7-qZ36 S" Property Owner 4 i ~ru°~ Parcel ID # Page of _ -3 IT] Boring # ❑ Boring Q-7 pit Ground surface elev. 0U ft. Depth to limiting factor in. - Sol 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 U-i0 1 r 3 - ' i I ry~ ~S 1 v 5 $ rv it c 5 _ G Z Zb i0 ry~~l S i ~I 6L 3 10 f - SL ZrnSbIL (Y F r' ❑ 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 F-1 Boring # Pit Boring - ❑ Ground surface elev. ft. Depth to limiting factor in. Sol ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots !GPDAF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Ef'Eff#2 Effluent #1 = BODS > 30:S 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. M-8330(8.07/80) I PAGE_ :~OF 3 NAME 56 LOT# ~S~-uc.A i. D _ RIPTION Al G 14 ~w 14 ,S I T Z 9 ,N,R / ~E(orYO SCALE: 1"= ~U BM 1 ELEVATION /Do U BM 1 DESCRIPTION lop c,-( yy .5~tc/ 12oc? BM 2 ELEVATION f O BM 2 DESCRIPTION ~OP o %y St~r~ Wod re SYSTEM ELEVATION 7y 60 SYSTEM TYPE /%I o"n cj CONTOUR ELEVATION q:7. S y _ I 3~~1 I ,3 r. ~ ev• 6' Z l az 04 -~3 5, ~e pla r1 SIGNATURE DATE -Za " U3 artment of Commerce SOIL EVALUATION REPORT Page _ of Wiscons Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County • 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. Date =4~kxq'vl" Please print all information. a3 information you provide may be used for secondary.purposes (PriyaCy.Levv.tz-45.04 (1) (m v)) Personal Property Owner I Property Location (~e gal, 111 lk~i' Govt. Lot AJL 1/4,S, j 1/4 S 9 T 2-9 N R 17 E (orQ Property Owner's Mailing Address a a Lo IF Block # Sub 1. Name or CSM# Village Joy Town Nearest Road City State Zip Code I PhoPq-NumbeF City El Code derived design flow rate © 7'~GPD New Construction Use: 5~ Residential Number of bedrooms - ❑ Replacement ❑ Public or commercial - Describe: Flood Pllain elevation 'rf appliicable Parent material General comments t. S m e/ ea and recommendations: Co~~ r e 1•e J 5 E] Boring ❑ Boring # -Pit Ground surface elev. ft. Depth to limiting factor ~ - in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Ef GPD/ftZEff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Z /p-2. IU r'-ll s i c..I 3 y-3L I 3l~ 5 41~ ~I 2msbk - Boring # Boring 7 9 GC~ - pit Ground surface elev. ft• Depth to limiting factor ~ - -in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .E GPD/ftzE2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r c~ 1 I313 5;1 Zrlb r r c -V 2 s10 C:~ 3 1 - °I 1 P '7-5-1"C1(0 5c 1 Z..mSbk w f _ t{ ~o 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 Number CST Name (Please Print) nature Date Evaluation Conducted Telephone Number Address 2-113 ~UT~ Lot 51yo2.57 / z--s_ 0 3 L 1~s L~ 7 ^~~os (p~ 1 , ~ 1093.2 \ , ' T i ~ 1093.5 X (1.3 ) C S ~ \ 1 I. I CRS iv ~ _ 021 L OT 83 -3 a• 1.82 ACRES 1 I ° I g r q, 2A - - - S 5,606- . .O 1.65 ACRES 1097 ec)Oi vryr~~ ; ~,c~p ~ ~M •E r ps- r 1O" o L OT 84 ; 6v • ss' r O 1 d 1.38 ACRES ' r ®r OT 8 • 1. 3 ACRES rM' O 04 O ; O N N r° 76 1 M 04 ~ s 1 f r ADV I S( 110.4 r M 3 s 1200' ` r ' ~ ~ FORAEI X r ♦ 1 r o r N 11 r - r ° 125, r c~ ' 1 W 3 ~ O ~ ~8~?' 38° 38 ~ 27" yy 298. 6~_ ~ _ y i f ~ 1.82 ACRES O N ~ ~ t Or r ` OT 81: 1.68 ACRES 1 Nr r r ~ S82'51' 1pME 3 Jl r o O •33'