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HomeMy WebLinkAbout018-2011-50-000 (2) ' RECEIVED Wi cousin Department of Con►r arcs SOI EVALUATION REPORT Page- j -a-Z) Division of Safely and Bulkiwtgs `rt~ar~rr~arr~~~r Con r► 05, Wis. Adrn. Code Count Altadr complete site plan on per ,rot less Oran D 1 2~,~1} rclro irr size n must y~r6 - Include, hurt not limned to: verb I an rg aMtL~ oint ( M), and Pawel I.D. l percent elope, scale or dirnens ns, n r yartavl~i 8~aol Islst~yCbll earl load. Plea n ValUt ~ln'fortnatlon. G4U(O Rev' a Date ! Personal brformalion you provide may be used for secondary purposes (Privacy Low, a. 15. I) ) . ~ ~ G~ Properly Owner Pt operty to R GovL Lot 111 ov w 114 S f N 11 E (o lo Property Owner's Melling Address Cot # 6Vxk # Buhl. Name a CShi# 12S 53 - _ bald ~cre~ fD - City State PC 0 uriPhone Number ❑ City ❑ Village '~'I own Nearest Road o al In ( ( ) -X73 Ooxn o C ~ T T New Construction Use:i;ftesidenl'ral / Number of bedrooms- Code derived design flow Tale _&W--___--_ GPD Replacement +I ❑ Public or commercial - Describe: flood Plain elova 'on if ai rlic:able Parent material General cormnents P ~ L f r /00- and recommendations: / t Boring # Boring `f - 111 III ~ Pit GrourlJ surface elev. _ R. Depth to Iltnitiny lector _ (Q5 in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Sbucture Consistence Boundary RMIr GPDlfP In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sit. 'Effftl 'Elf#2 ~S v -(5 10 yr312- iii 'Llmbk - C5 I v.C .5 r~ 6-30 (1) rqI ~,`t 5L 2 -n5bk r- GS 3D-to5 IU r 4 4 - SL Zr r,sbk r c - I, 0 c~5- iU lf C I P -7,5 yr` 4 ~s G5 9 CID Ffl Boring # Boling -Pit Ground surface elev. ft. Depth to limiting factor© _ Soil Application Rate Horizon Depth Doininant Color Redox Description Texture Structure Consistence Boundary Roots I GPDfff in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'EII#1 'Eft#2 4H 5L 4 e OY'r (4 1L4 2MSb 4r c5 - I•o i t~ r,r1 = EMuent #1 = BOD > 30 < 220 ng(L and TSS >30 < 150 mg/L ' Men( #2 = BOD < 30 ntglL and T SS < 30 nig/L CST arne (Please Print) Signature CST Number Address Date Evaluation Conducted Teleptlone N- w~ n-F bar 1 Parcel IU !J Page of Properly Owner _-V1 - f ~ Bornrg # ❑ FjBoring &n--ill. L -pit Ground sw face cloy. _102. LO it. Depth to IinNtiny factor w Soil Application Rate limizon DepUr Dominant Color RedoxDesc.-ripliun Texture Strudure Consistence Boundary Roots .Eflltl D/(FEff#2 in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sir. `0 $ - 5 _ 1 - 2 I& 4 S i cl 2►7 > k m~►~ C- 3 q 'lu - SL ZmSbk c CS 5 yy-,~ - ? /.2 Bonny Bonny # _ rSo c a elev. Depth to IimiGny factor L icaUon Rate ❑ Pil Ground swta ~ Horizon DepUr Redox Description Boundary Rtxils PD!(F In. Munsell Qu. Sz. Cont Color Gr. Sz. Si . 'Eff#2 Bonny U Boring # Ground surface elev. t f g It. De rth to limiting factor in. ❑ Pit Sol Application Rate Horizon DepUr Dominant Color Redox Description texture Structure Cvnsislonce Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sir. 'E1101 'Eff#2 - - Effluent 41 = BOD > 30 < 220 rngJL and TS S, >30 < 150 mgJL ' Effluent W2 = BUDS < 30 mgJL and I SS :S 30 mgJL The Vepartment of Conuncrce is an equal opportunity service ptuvider and employer. If you need assistance to access services or need material in air alternate forrtiat, please contact the department at 608-266-3151 or "1TY 608-2(A-8'177. G. t'AC~L:3 cJr3 ' ( Lt_)CI! Sd _LI?(;~AI. I)GSLR11'"I'I~)I~I:~~II~IA~wIi~1,S~~I~~,N,lt, (~•t'(ur)C~ NAME: SCALE: 1 - S - CLLVATION:_!Oc> BM I DESCRIPTIOH:_ C. 3 d I3M se BM 2 DESCRIPTION: }z,-i a~ filJc__- -P---- SYS" ENE ELFVjVFlON:_ - too. - - SYSTEM"I')'I'I?:--Oaf -A-~_vy,a 4-4 f 0 t J>ench Mar~3 3 Un Sw ('vrNr cr Ip~ ~U I • , I 1 v SIGNATURE