HomeMy WebLinkAbout018-1099-50-000 (2)
Wisrccnski Department of Commerce SOIL EVALUATION REPORT Page -_L of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must V, C) S-~ c~ `t
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. V 0 ~U W u
Date
Please print all information. Reviewed ~ a 0 O
Personal information you provide may be used for sec n ~4 lPnv SXa w 15.04 (1) (m)).
) P party Location
PropertyOwner
i
U} Gipvt. Lot 5 L 1 /4 5,-01/4 S 9 T Z N R 7 E (or V
Property Owners Mailing Address L t # FBlock # Subd. Name or CSM#
Pr~S Rtc~ ~Sf /L)C1~c-.
City State Zip Code Phc_ I(~umb~r c; ; City El Village 23Town arest Road
-j Cam n
um rK°I UJI .w ..u..
New Construction Use: 53 Residential I Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Flood Plain elevation if applicable ft.
Parent material
General comments ~
nts L/
and recommendations:
Boring
Fl Boring # [2 pit Ground surface elev. C (06 _ ft. Depth to limiting factor _ in.
- Sotl lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPD Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
I 0-!O fQ 3/ - Si / Zmc r c5 AX
Z /U_ -~I IUD / - S i cl Zrn- -7 P f5 v A/ '4"
;If 5 V 1'1
f7 -,23 gA
Boring
Boring #
® Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate
Horizon Depth Dominant Color Redox Descriptor Texture Structure Consistence Boundary Roots .E GPD Eff#2
71 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
o- I~ 2mo k- my (21) 1 V--
Z 5 10 lq Zms k r c -
3 5 to r-l P-7 ~ sc 1 3 k rv-,Cr
qj Z2 `l ~-Gt min- 3l~ !i
• 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 (Please Print) Si nature CST Number
Adm. <h~ ~r 2s330
Address Date Evaluation Conducted Telephone Number
-7 l L~7
2113 orrtcr ~4 W Syozs- /z - Z <~)^~o0 8
11 Property Owner Parcel ID # _ Page of
a Boring # ❑ Boring
® Pit Ground surface elev. --27 -_Q_ 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
Z / - I L1 3m5 k ~s
3 yd_ 2rn k w-Cr -
i P -7, 5 r 1 3 k m-Cr -
❑ 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
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor
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 < 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 (R.07/00)
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PAGE,OF~
NAME U I F-z r,4 S TOT#.50 LEGAL DESCRIPTION 55 X, 5L✓ t4 ,S 7 T l} N R 1-7 E(or~
SCALE: 1"=
BM 1 ELEVATION 1610. U
d
BM 1 DESCRIPTION ~pP%y~c/ ~o
BM 2 ELEVATION 99s0
BM 2 DESCRIPTION-/,p n~ -5/e e/ eo c( e ` `
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SYSTEM ELEVATION
SYSTEM TYPE L,,,,
CONTOUR ELEVATION G a d- /0 0 ` U
f I #A t
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SIGNATURE \ J DATE
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