HomeMy WebLinkAbout018-2011-59-000 (2)
Wi7consinDepertmentotColl) nerceRECEIVED SO EVALUATION REPORT Payo_' _1r_5
Division of Safety and Bufld'nig
in accordance wiUr C nrn 85, Wis. Adrn. Code
~~nq County jt_- L Y ~I X
Attach complete site plan or paper I of l6!'4J' 04WA I 1 hr to e. Plan muet -
6ndude, b-it not Iknited to: v rtical and horizontal reference poi It ton and parcol I.D. x~
percent r lope, scale or dim rsk,n~TwQRt~W C ®(!1NaUon nerve road.
p Z tort. I eviewe Date
/Sd S
Pmeonnl bromrnllon you prvdde may be ueaf for secondary purposes (Pflvpcy Law, a. 15.0 ~
Property Owner Pt openly Locallon
R`C rC~ S ~ ► GuvL Lot tiW 114 V 114 S 30 T Z`P N I I E (orf9
Property Owner's Mailing Address Lot # Bivck # Sulxl. Name or CSNiff
1353 ~x kv~ke e -Tr , C rywc Kid A. _e- _!ST Ac' an
City State Zip Code Phone Number El City ❑ village X9.1 own dearest Ruad
1-" t ~cl scar I u)( 15` o i (.k, 1(`t 15) 51G- (o 3 I Ho mM end I C t}r . 2J. T T
5"ew Construclian Use: fSPitesidenlial / Number of bedrooms Code derived design flow rate GPD
Replacement ❑ Public or commeruial - Describe:
Parent rnalerial Flood lain elevation it applicable1 _ R•
General cominents W\ v
e ` 1 3 , C U C : / ~0/. Z!
and reconenendalions: /5 ( 7
2& /'/v4X-- sad
Boring Bunny #
I ~Pil Ground surface elev. L_ h. Urplh to Iindliny factor in.
_ Soil Appl'rcalion Rate
Ilorizon Depth Dominant Color Redox Description Texture Sbudure Consistence Boundary Pools GPDlfP _
Ill. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1_ 'EffH2
2 I _z c - if
3 -c~5 (b 2 --F5 or,) ds
n
Ff I Boring # l Boring
L~t Pit Ground surface elev.,LQ,4k it. Depth to limiting factor _LQ in. Sol Application Rate
llorizon Deptlr Dominant Color Redox Description Texture Sbuctuie Consistence Boundary Roots I _ GPDIfh
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. _ 'Eft#l 'Eff#2
o-( Io 31z - 5d 2 5bk 1 IS Ivy '5 .8
3~ C,zD 6 C (P 3.7 6.1 2m:~) ~4'v' - - (o
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Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 rng/L ' Eff luent #2 = BOD < 30 mglL and 1 SS < 30 nrg/L
CS7 Narne (Please Print) Sir lure CST Number
Address Date Evaluation Conducted Telephone Number
2(13`' ' mf'ce , (~l (oz r off' - C 5)t~U v z~9
Parcel ID It page of
Properly Owner
❑ Boring
Boling # 6 1t. De Ut to 4netin (actor `r in.
Ul pit Ground surfaceelev. ~ P g Sort A icatirnt Rale GPD
Horizon Deptli Dominant Color Redox Description Texture Strudure Consistence BRoots •Effll Ift*01#2
in. Munsell Qu. Sz. Corti Color Gr. Sz. Sh. cI YL S _
2 i3-24 Lll
3 2435 ILA 0-60-1-t~yr (4m CI 2- m -)h k =y- 1°--
❑ Boring
❑ Boring #
L] pit Ground surface elev. It. Depth to limiliny factor Soil n-lication Rate
Horizon DepUn Dotninanl Color Redox Description Texture Structure Consistence Boundaty Roots GPDItF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Ef(#2
I
El Boring
F] Boring # Ground surface elev. ft. Depth to lirniliny factor
❑ Pit Soil A licalion Rate
Horizon Depot Dominant Color Redox Description Texlure Structure Consistence Boundary Roots GPD/IF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sit. 'Eff#1 'Eff#2
Effluent #1 = DOD,> 30 < 220 rnglL and TSS >30 < 150 rng/L ' Effluent 112 = BODS < 30 rnWL and 1 SS < 30 ing/L
7 tie Ue attment of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or p need material in an alternate format, please
contact the department at 608-266-3151 or 'ITY 608-264-8777.
SAD-IUNI IR.077Artt
'I NAME: LO'C!1 •I:C;AI. UGSI;KII''I'It)r~ / /t~✓ U~t,Sl ~f Z~,rl,lt ~ I: ur
SCALE: I"=------------ -
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iy~LEVA'I'ION: _ 0
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DNI I DESCRII' 1 IOH:.
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BN1 2 ELEVATION. 30
BM 2 DESCIZII' 110f, I: SYS'1'1iM I I,F V AT1Ot 1: 103,30
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