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HomeMy WebLinkAbout018-2011-47-000 (2) s Wi-consin Department o Division CC `IC_ry, SOIL EVALUATION REPORT Page --t _ of 3 Commerce of Safety and B engs REC EI X ED me w , Conlin 45, Wis. Adm. Code County Altacf, complete Site p o1, paper trot less Men 0 112 x 1 excites kr size. Plan must C dam- - include, It, it not limited : Veit Id 00*0 eien point (BM), dliecilon and Paiml I.U. percent r lope, scale or III mil `((~or``i''s, u h rr , and to Ion and dlslance to nearest road. P/r df1~QOJLflJ~i?ttit on. v!Erwe Date personel Inromrn00n provide Q7Q1UN"iF3"d 4n )es (Privacy Lnw, it. 15.04 (1) (m))• / / PropertyOwner PropertyLocatfun t C S-}aim-~ ~JU! GmL Lot MF_ 111 NW 114 S jD T N It 1-7 E (or WW Properly Owner's Meiling Address lot # Bkx:k # Sulnl Name ur CSM# village f}t'fown fdearesl Road e Phone Number ❑ City U City Slate zip (.urf c Ltgrn Q C a ("7i! ) 73) ~__1__4, 1 d `T T- {-Hew Construction Use:n'"Residential / Number of bedrooms Code dolived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Perenl nleleriel `17"/1 - Flood PI *I ovation if appll(N bl General commends tyt 'ek-e.a arldre rmendal' rs: SyS~`' (3 t. S ~lt,~ - j 3 ~ c l lse s~ r~s Lei ILI Bodlig # ❑ Boring J 1n~ v Pit Ground surface a ".100'-70-ft. Depth to Ilndling factor Sol AI plicalion Rate _ Ilorizon Depot Dominant Color Redox Description Texture Sbucture Consistence Boundary Roots GPD1117 Ill. Munseii Qu. Sz. Cont. Color Gr. Sz. Sit. 'Eff#1_ 'Eff#2 _1q lD ZmSbk rrv ? - -/V-f 5 b 2- '+zc' l0 r,-f14 5; C-I Zm51nk m4~r_ 5 _ - .14 3 9-gl ►0 - sl 1 5 m I S - -7 /-Z -~S l© 5 Z Cl 1.5 (n 5 m l - - 4-( met, s ire 0-1 Boring # Boring '--pit Ground surface elev. LO_5U__ ft. Depth to limiting factor in. Sod AppliGatim Rate I lolizorl Deptl1 Duininant Color Redox Description Texture SlrucluFe Consistence Boundary Ruols _ GPD1fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sir. _ 'Eff#1 'ER#2 6-1l0 r-/2 Zm:,-bK CS 5 32-75 tD 05 m l C-5 -7 Ir Z - F 2 G P 1-41(o 4i Effluent #1 = BOD > 30:< 220 n1g/L arm TSS >30 < 150 mglL ' Effluent #2 = BOD < 30 nrg/L and TSS < 30 rng/L CST Narrle (Please Print Signature CST Number Ad ress Uale Evaluation Conducted lelephon, Number 2113 WU~fj, 7 y (71S) 14 : Z -79 J l! JO Page Zof Property Owner ✓ Parcel ID ft ❑ f Boring Boring _ # saw Pit' 50 it. Depth to Writing factor in. L Sol n 7 71icaUa7 Rate Ground surface elev. Horizon Depth Dorninanl Color Redox Description Texture Strudure Consistence Boundary Roots GPD#F 'Eff/lt. 'EI192 Gr. Sz. Sir. in. Munnsell Qu. Sz. Cont. Color I C'? I~f l© 2 5r" ZMNIA- nn~ir C , (v G 5 _ FS z ~q 33 lb r 41 iL rn 77- rj~- F Boring # Boring ❑ pit Ground sumac a elev. ft. Depth to limiting factor in. gj lica8ort Rale Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff tf #1 'Eff#2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. fjfl ❑ Boring ❑ Boring # Ground surface elev. It. Depth to limiting factor in. ❑ Pit Sol lication Rate Horizon Depth Dominant Color Redox Description Texture structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz- Sir. 'Effgt TIM , I I ' Effluent #1 = BODS > 3U :S 220 rnglL and TSS >30:S 150 rng/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 nrgtL The Department of Commerce is an equal opportunity service provider and employer. If you aced assistance to access services or need material in an alternate forrnat, please contact the department at 008-266-3151 or 'ITY 608-2648777. I SRD-WO rR.0N00r MOM. 3ur3 II J~" L,l.)I'!! y~ IJ?C~At.I)I?S~'kll'"I'It11J:A/~I/,t,vwli~t,`~3uIZq,~I,K,t~l;(~n)~ NAME: r SCALE: 1"- O I - - - r3M( ELL VA'1'1014:--- 100. BM I BM 2 GLCVA'I ION: ` - - - e `-3 BM 2 ULSCHI I'"I'IOt,i: SYSTEM ELEVATIOt1: - -Ina SYS"I~L•M "1'1'1'I~.:~G/ZtL?-✓_~T~bn.Q..4 - N ~Z B 3 i 5ys~-~r~'~ W f/ wry 1