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HomeMy WebLinkAbout018-1099-53-000 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code C r0 i Attach complete site plan on paper not less than 8 1/2 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, north arrow, and location and distance to nearest road. OIL- /Off- 53 - tY-Od Please print all information. viewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 3 01 Property Owner Property Location { H Carn'l -kr L) Govt Lot Aj L 1/4 5i.v 1/4 S 9 T 29 N R / '7 E (or) AW) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# lblk \-1v'2, I • 53 Pheo-5czn4 Qtd e, S1-, City State Zip Code Phone Number ❑ City ❑ Village RTown Nearest Road O.tn GJl ( ) ~ ~O~ T... [50 New Construction Use: I~ Residential /Number of bedrooms_ Code derived design flow rate !Z 'rj GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ___T_ r_I Flood Plain elevation if applicable A _ -ft. General comments S,/_54,-trl C 1e v . q O ' J C~ and recommendations: CG I~-ycl yr e Vr C/ • S F Boflng c~ - - a Boring _ # Pit Ground surface elev. ebrl S ft. Depth to limiting factor Zco in. Solt 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 '0192 p-ID t0 r I_' Si 1 Ztbk ~r I v , 5 Z (C)-2(. iQ - Sc I &f)bl< m ~'lr c < 3 2to ! rs/y P -1-5 411D C_ I 3 t►, be, >rylp Boring # El Boring / ® pit Ground surface elev.!Y ft. Depth to limiting factor_2NO -in. Sol Aimlication 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 'Eft#2 I 0-1 1 I x 313 `_i i i 21y.,Gbk , mfr c' I v 5 8 10 ly s~1 2 Il- vyAi- c - y Z 11-2 5 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) ture CST Number t4dCLryj SC -P) 2 5 3 wc9 Address Date Evaluation Conducted Telephone Number Z l/ 5402 /z - 5--~ z ~7/ )z5~ 7 -S~DO $ Property Owner Parcel ID # Page of [IS]Boring # ❑ Boring Pit Ground surface elev. _ 4 ZG~ ft. Depth to limiting factor _ L in. e Sol nGPDKf Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'EfD-12 31 - 5' 1 zry a k m4'r c 5 S $ Z 12 - 3(„ ► 1 - Sc I 2frtShK f~-, ~r c S - y 3tp- C 3P1 • C l 3n-,5bk rr~ 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 GPDlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 ❑ Boring # Boring - ❑ Pit Ground surface elev. ft. Depth to limiting factor in. SoA Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f 2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 `Eff#2 Effluent #1 = BOD5 > 30:s 220 mg/L and TSS >30:5 150 mg/L ` Effluent #2 = BOD5 < 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-9330 (R.01i00) PAGE 3 OF -3 NAME U f Ft rf 5 LOT# S LEGAL DESCRIPTION N C-~ Ys w X .S 9 T Of ,N,R, E(or) SCALE: I"= I/O BM 1 ELEVATION 166). O BM 1 DESCRIPTION ,b,e o 1,i 51,,-,l j(a -0 BM 2 ELEVATION of ~?U BM 2 DESCRIPTION 3% ,~j& 51e r/ loci A Sec. 9 SYSTEM ELEVATION ( • SYSTEM TYPE V}1 c) CONTOUR ELEVATION q . 5-0 T q6,s ~.ti SIGNATURE M DATE 4 WiscoWin Department of Commerce SOIL EVALUATION REPORT Page _ Of- 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Cr0 i 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, nor h w. and.locationanddistagr.~to nearest road. gg pp diy:. Please pri it all alhi"BftOl~ -a=1 R ' we by Date Personal information you provide may be us d for secondary purposes (Privacy Law s. 15.04 (1) (m)). o3 Property Owner Ji°;. G?? 2 ? Property Location Govt. Lot Aj L- 1/4 5t j 1/4 S 9 T 29 N R / 7 E (or) Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 'J( t) DICE: ~f t±.'' b1 1 `"I U n " 5 3 Ph2Ci,5Ctir, Q t cd e~ ~ S't' c~. City State Zip Code Phone Number ❑ City ❑ Village EjjTown Nearest Road Q►~h~U► x{ G.SI ( ) ~~l~r. ► (00 t~lr New Construction Use: EN Residential I Number of bedrooms _3___ Code derived design flow rate sf~ - GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _---------,Flood Plain elevation If applicable ft. General comments Ptyl C /f -v 3, 0 C Aj 0 Ilax- -,Q Ge and recommendations: 4.Q?.t/~ d'4,vr~ ~►cc~a. ~~tau Gil a12~ -~t~c l ~(t~s~. oti. - F I Boring Boring # pit Ground surface elev. b5 _00 ft. Depth to limiting factor Zco in. Sod 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 ( O•-lo (o r 13 Si 1 Zty-'C" -b k m -~r C- I v r 2 (O-Z(- I b / Sc_ 1 2n-)56k m k r' C - . y 210 (p rs/y C P 1.5 `110 C1 3m5~C Boring # F~ Boring ® pit Ground surface elev. 60 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffr in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 0-11 10-1 r 313 s i 1 Z rr bi( tY r c I v Fj Z 11- 6w'i 14 - 5c 1 2m 1- fY--,,f r- c - y lA ~b--(o6 )0'jY- 51 S-ir yI(D C- i k "4'; _ - L T J 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) ature CST Number t'd c r 2 5 3 369 Address Date Evaluation Conducted Telephone Number Z 1~ S-~ . ,Sa I S446?-S- Cpl )2-117 -<IW F Property Owner U r[~> Parcel ID # Page of _ 3-- ❑ Boring S Boring # pit Ground surface elev. ~ak. ~-O- 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 'E02 -i2 Si 1 Zlry-la k, mxr 5 ) J 5 Z i2-3(p i Iy - Sc- I 21,nS1~K 1,-,~'r c-5 Ll 3~ 5c~ 1~ C 3p~ y C 3>bk ❑ 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/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring 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 'Efl#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 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. SBD-8330 (R.07/00) PAGE -3 OF -3 NAME 5 LOT# 5 3 LEGAL DESCRIPTION A/ C Xs w X,S 9 12 Y ,N,R, / E(or) SCALE: I"= !/O BM 1 ELEVATION 16O• n BM 1 DESCRIPTION ice c a A/ BM 2 ELEVATION qy ~U BM 2 DESCRIPTION ke SYSTEM ELEVATION 93, ~o a SYSTEM TYPE Con„ t n +t'v ekct ( _ 1- CONTOUR ELEVATION 1Cr sue' 98• s I ~ v SIGNATURE 6 DATE i F PAGE 3 OF 3 i 'AME -5 t,'1 53 LE DESCRIPTION A/E X / zv N.R. MOW SCALE: V= -'/0' BM I ELEVATION 16c). O BM I DESCRIPTION -k p a -(,r -51, c,/ ~o BM 2 ELEVATION q f f?o BM 2 DESCRIPTION IvP o iy S~~ t~ J 9 SYSTEM ELEVATION 93, o I SYSTEM TYPE C'a n c n +L'w A _ CONTOUR ELEVATION fG • 5'v 9$. S co /Y1 es c Z(o, 3 3 127f ~ i ►33- Id~O-s' ,ti SIGNATURE p DATE l9-U~ 00, 1~ , 1 D X 1093.2 ~ i, L ~ -i , T C S 1093.5 X (l. 3 X N. 1 1 1 CRS . qN,... ~ ~ ~ 1.092.6. ~ ~ . ~ 02 ' LOT 31 4; rr 1.52 ACRES ` I ° S _ 3a 2R' - r , • 35, ~.56.e N. 46 9 Or r K d 1.65 ACRES 1097. 40,0~ 1 N X in V r r r r ' r , f , M L OT S O •33~ r ♦ ° r a 1.58 ACRES r r r OT 8 1. 3 ACRES 4~' O O i p O a a ° 76 i o Mr r 39 ACRE p~ 4 r $ 2 3~! M THERE ADV1Sc ' s 1200' ~ 110.4 r ^'1 a2 ' M FORAV ' M , ► h r ~ N82051, w 125. ° r /O W 3 ~ ~ , ' ~ ' 33' 1~ 68* ` rr N 1.52 ACRES O ~ o T 81 r N ►Np~`' O: o, r ` cfl 1.68 ACRES Nr r O r @ \ r , r : S82~g 1 1pmE 30 ji % rn.