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HomeMy WebLinkAbout018-2011-73-000 (2) yvi"cousin Department of Commerce SOIL EVALUATION REPORT Page _ of Division of Safety and Buildings in arx~ 185, Wis. Actin. Code County Attach Ixintpiete site plan on paper 110 less than 0 112 x ~ Ifr t size ten must Include, Imt not limited to: vertical and nolizot tai mfointicatpoint (BM), dlr loft and Parcel I.D. Pei cent rope, scale or dimsnslons, n rlh arrd„aJidc~tion and distan to neatest road. 73 Please fn[ *(1lfofrrtal 04 it "mAVsd t Date ~t C Pefsanai Informnllwi you provide may b used ray Cd~JWF&" Privacy . i (i r PropertyOwner G /CJ~ Pi per \ C. VAav ci GovL Lot 114 Y114 S '2>b 1- ~V l N 11 1'7 E (or& Property Owner's Mailing Address Lot # Block Subd. Name or CSM# 1353 of _ Cfly State Dp Code Phone Number ❑ City [:]village w 1 own Nearest Road NuLASar bJ( 2461 0.1 7 T GPD mew Construction Use: lid-Residential / Number of bedrooms Code derived design flow rate _ Q_ _ 4? 00 Replacement ❑ Public or commercial - Describe: Parent material Fkrod Plain elevation if aplilicabin /u__ R. General comments and recommendations: ( 7 ► / i Boring # ❑ Boring L ` I ® pit Ground surface elev. _ It. Depth to Ikniling factor Sol Application Rate Horizon Deptil Dominant Color Redox Description Texture Structure Consistence Boundary Rrxils GPD/ft' Ill. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 O-► 16 r5)2 - 51'1 5 - Z II- 5170 2m5 vl, c -'s _ 75 6 _ Boring# 6"-fBoring g5.G0 - L--pit Ground surface elev. it. Depth to limiting factor _-F in. Sort Application Rate Horizon Deptli Dotnina t Color Redox Description Texture Structure Consistence Boundary Roots GPD11F in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sir. 'E11#1 'Eff#2 l O I2 ,1D Z 5~, 2wfibK 0-kx- C~ S 2 f Z- 21 I 2. m 3 21-►f Cp ID Ltito -7 / Z Effluent #1 = GOD > 30:< 220 nig/L awl TSS >30 < 150 my/L ' Effluent #2 = BOD < 30 nig/L and ISS < 30 n1g/L CST Naine (Please Print) S' rotors CST Number Address Dale Evaluation Conducted Telephone) Number 5- Properly Owner Parcel ID It I - - Page - Zw~o- of Boring Cin. 3 Boring rE surfaceelev.gy . 1l• Deptlr :tv drni6ng tactvr icaGrnr Rale Pit Ground Horizon Deptlr Dominant Color Redox Description Texture StniiturE Consistence Boundary Roots PD(fEr . 5z. Sh. 'Ef(g2 in. Munsell Qu. Sz. Cont. Color Gr p.$ 1b 3 Z c Boring # 1y~' Z Sr e 1 ZrnSbk s Boring U ❑ pit Ground surface elev. It. Depth to limiGny [actor irrSolt A licatlon Rate F] Horizorr Deptlr Dominant Cokx Redox Description Texture Sducture Consistence Boundary Roots - GPDgf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 TIM i F I F] Bonny Boring # Ground surface elev. It. Depth to limiting factor El Pit Soil Application Rate Horizon Deptlr Dominant Color Redox Descliption l exture Structure Consistence Boundary Roots GPOIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz- Sh. 'Effftt 'Elf#2 Effluent #1 = BOD5 > 30 < 220 my/L and TSS >30:S 150 my1L ' Effluent 112 = BOD5 < 30 mglL and TSS < 30 my(L 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 format, please contact the depatiment at 608-266-31 S 1 or TIN 609-264-8777. SAD-WO (R.OLO(r) d PAGE cu 3 ►.l:(„11. ► ►(u~ ► ►~,t J Nw i i,v u,, ;3~"I Z .r, t(, /-,F(ol NAME: S J~ - ~ _ SCALE: I"-- _O ELEVATION:- -(0.6 BM I DESCRIPTION: -4- fiJJc BM 2 ELEVA'IION: BM 2 DL'SCRI►'"f1OP1: O SYSTEM ELFVATIWJ: 0 a~ d a 0 eCA SIGNATURE; - - - - - lA'I I: 7-\ 7 / u NOTE - 60 ft. wide area disked and seeded for drainage easement. Does not appear to have damaeed POWTS sites