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HomeMy WebLinkAbout018-2011-55-000 L 0--vonsin Depsibnen►ot nme"RECEIVED IL EVALUATION REPORT Page 14 Division of Safety and Bufld' gs in acconlarne wiUr ormn D5, Wis. Adin. Code l Altadt cvniplete site plan t pap ~prlc~ l~art~Q~.x 11 ' ores br size. Plan mu County 31- Cro In percent r ude. b t pnot Br its or dim ens~ bplg ar td hartzontal rafetencetp int (BM), direction and PonRl LD. CD t~O i . y b jt~,vb a U ~ i g distance to nearest load. b l.h(VUC 1,V - - leaseaplfjryf~®~p~f(3Bnat ,~4 Revi Date Personal Information you provide may be used for secondary purposes acy s. ) (mn)). PropertyOwner Location ~c~o rrJ S-4o~s } GovL Lot N~ va ~L4j 114 S 3p 'T Zy N It Z E (or&► Block # Sulxl. Na me or CSMlE Property Owner's Mailing Address Lot 1` 1~me,-cam kyles - ~ P'ck3 tA~kbn - C' State ZIp Code Phone Number u City ❑ Village (tj" 1 own Nearest Road t~11 t (11 tiQ1-~a1 ~I a C d. T T L+14ew Construction Use:lg fTesidellt'ral / Number of bedrooms Code derived design flow rate nQ_-_GPD ❑ Replacement ❑ Public or commercial - Describe: Parant materiel -411 Flood Plain elevation i( applic bin General comments ~5f eV" and reconrmendalknis: ~z z .144 Boring L 1 I Boring # El _J jt Ground surface elev. it. Depth to limiting factor in. _ Sol Applic:alion Rate Horizon Deptli Dominant Color RedoxDescOplion Texture Structure Consistence Boundary Roots GPD/lf _ Ill. Munseii _ Qu. Sz. Cont. Color Gr. Sz. Sh. _'_Eff#1 'Elf#2 ©-1c~ 1© s; zmsbk 4 - -cam S 2 I~ 37 tC) 41 5 Zrns - cS-- • C~ I.O 3 3~ 85 1 s ZmsbK r I.O 01 Lei d T - Boring # Bonny F2_1 hil-Pn Ground surface elev. it. Depth to limiting factor _ ~ _ q - Sol Application Rate Horizon Deptli Dominant Color Redox Description Texture Structure Consistence Boundary Roots I GPD/ff in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sh. 'Elf#1 'Efr#2 1 6-17 [o., 3(Z s Zl bk r,n c I v-~ 5 2- 17-39 ttJ SL c5 3 3°I- 7q 10 5~-- 2rn5 - / . d VhS~ D- EMuent IMi = BOD > 30:< 220 nrg/L and TSS >30 < 150 rmg/L ' Effluent #2 = BOD < 3U nrg/L and ISS < 30 rng/L CST Name (Please Print) Si natur CST Nunmbar Address Cj~~r~j~~ 1/ ` \ 7 D/ajte E/v/aril^uation/Conducted i Ie11e/phone Nuumbbetrr 11 ~U~ Parcel ID ~~1 !1----------- Page - _ of Properly Owner _ - ❑ Boring IN Boring # (jF-_ l:p V in. ~ Plt Ground surface elev. /OK-10 It• Depth to Gn►iting factor Sol n r fica6ort Rate Horizon Depht Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRF Gr. Sz. Sir. 'Ef(ll t 'EM in. Munselll Qu. Sz. Conn- Color 2- ( tC7 r~t~ SL Zrn bk m ~5 . Cp 1 • C7_ 19Y . sy - - ❑ Boring # Boring - - u ❑ pit Ground swfar;e elev. it. Depth to limiting [actor in. rSofl lication Rate Horiztxt Depth Color Redox Description Texture Struclure Consistence Boundary Roots GPDIIF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sit. 'Ef(ff2 i ❑ Borfny U Boring # Ground surface elev. It. Depth to limiting factor irt• ❑ Pit _ Sol Application Rate Horizon Depth Dominant Color Redox Desgiptiort Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sit. 'EffifI 'Eff#2 Effluent #1 = BOD5 > 30 < 220 rnglL and TSS >30:S 150 mg(L ' Effluent #2 = B005 < 30 mg(L and TSS < 30 mgfl- 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 fomtat, please contact the department at 608-266-3151 or'1TY 608-2(v1-8777.' sno-ruto rn.ovorq PAGE >O L(_)l'11 I,►,CAI.I)I,Sl.IZ11''TIC)tl:,v~~~~l~i~.A~~►,•`~ j_IZcj.N,It,( i:(ot NAME: _ ✓ _ SCALE: 1' ~m( ELEVATION: ji BM I DESCRIPTION:Aof--_D - levc- 61 C7 BM 2 ELEVA'11C1N: - Se c~ - L Blvl 2 DESCRIPTION: o } PC SYS'T'EM L•LEVA'flOH: SYSTENITYIPF: o carne _Z X62 a ~S tw 11 Q p-3 ~a e _uA-rl.: ~