HomeMy WebLinkAbout018-2011-58-000
0--consin Department of Commerce SOIL E=VALUATION REPORT Page _ ) _ of _ 3
Divisk)n of Safety and Buildings
in ac cordame with Cornet 05, Wis. Adrn. Code
Courtly CrQlx
Mtaci, Complete 12 x 11 inclhes in size. Plan rnuat -
Include, h,rt not tilted ~11 trrtal re rence point (BM), directlon and Pnroel W.
percentrlope, ale or dimensions, not , arrow, ar location and distance to nearest road.
f jawed b Date
1fpal l tiff ""alto".
May r
Pm
sonel inlwm Ionlmaodde mar C Se ~ g riecon my piuposea ivacy Low, s. 15.04 (1) (m)). / ProperlyOvn,er ST.CROIXCOUNTY operyLo lion ~ lI , ~
Z IN kt(J4 1(61' S-3), - 27 N R E (o W
Property Owner's Melling Address Lot Block # Subd. Name or CSM#
City State Zip Code Plrune Number CI city ❑ Village down Nearest Road
1 { c.Ld l 15'00-o 1015)549-622A Patmnnon / Pd T T
'New Construction Use: ig iResidelll'ral I Number iff bedrooms Code derived design How rala GPD
Replacement ❑ Public or commercial - Describe:
Parent material Fktod Plain elevation 'f al,plicab
General "evils
ar wmmerrdalicx s: T n / /
2 ,J
Being a*1 S/ f
oring # q
Pit Ground surface elev. ft. UepUt to Ilndtiny factor
Sol Application Rate
horizon Depul Dominant Color Redox Uescription Texture Structure Consistence Boundary Rmts, GPD/fl' _
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Si,. _ 'Elf#1 'Eff#2
b-I(P I br~31 Z - :50 Zyr)Sbk C-
14-216 I 5 g
2 S> 2-M5bk
3 3~ IL s 8 2_ C7 rr~;_ - ( 1p
❑ Boring # Boring
~p1~ 9~ Z
C7 Pit Ground surface elev. ft. Depth to limi6ny factor Sol Application Rate
Horizon Depu, Daninant Color Redox Description 1'exlure Structure Consistence Boundary Roots GPDffe
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sir. _ 'Eff#1 'Eff#2
--15 b z -5 r 1 2 fY1s v 4c c 5 1 vl -5 .3
3 3-7- 1 2
Effluent #1 = BOD > 30 < 220 eVIL aril TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) r, a CST Number
Address Date Evaluation Conducted Telephone Number
2115 b r(rL-5e I I~ Z~ - . z-Y y-- _(7!5} 7(~Q -0 Z79
Parcel IU # - ~O f" Page of 3
Properly Owner -
Boring Boring
3 ❑
L pit Ground smfac;e elev. Y7"76 it. Depllr k) GnNling factor ill.
gut A , >ficaGrnr Rate
Horizon DepUr Dorninanl Color Redox Desatplion Texture Structure Consistence Boundary Roots GPDlIF
Gr. Sz. Sh. 'EII111 'Eft#2
in. Munsell Qu. Sz. Cont. Color _
=(P l o
z- I -1 to -3Z - (o
lo slz cam _
❑ Boring
ORring # TSoi" pit Ground surlace elev. ll. Depth to limiting factor in. Iicatlon Rate
1lorizar Uepllr Color Redox Description Texture Shucture Consistence Boundary PDRF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Effff2
❑ Boring
❑ Boring # Ground surface elev. it. Depth to limiting factor in.
❑ Pit _ Sorl n I'rralion Rate
Horizon Depth DorninantColur Redox Description lexture Structure Consistence Boundary Roots GPDIfF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 'Eff#2
Effluent #1 = BODS> 30 < 220 rnglL and TSS >30 < 150 ncg1L ' Effluent 112 = BUDS < 30 mglL and TSS < 30 mg/L
7 6e Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in all alternate format, please contact the department at 608-266-3151 or 'I-I'Y 608-269-8777.
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