HomeMy WebLinkAbout018-2011-76-000 (2)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of
Division of Safety and Buildings
in arx;ordame wiUn Comm 05, Wis. Adrn. Code
County - , CV-C;t _
Attach complete site plan on paper out less then 0 112 x 11 inches it size. P
Include, Md not Ilmlted to: vertical slid horizontal reference if r Parcel I.D.
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hb he O~ 020
cenL WPe, scale Tarr w, and 1 n West roar .
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per
(Gr/ s r I- nt Uon. R rewed b Date
Pmvonel brormnUon you dl!'may us condary ps Posoa ( r y L ,j. 11Gk-t r) (111)). ! t
78" callo
PrvperlyOwrner P1
- - 114-Nw 1l4 S 301 29 N R 1-1 E (ore
IZ~c~aL4 S • CRU
ME
Properly Owner's Meiling Address Z Block # Subd. Name a CSM/f
(353 p,l,,sc~ 4"ee _l.Ernercci cve ~ 5T ddi 4ion--
City State Zip Code Phone Number ❑ City ❑ Villaye ff}-I own tdearesl Rund
lkc t>on I UJ( ajDiLo i c~tls 5~~t X31 //ten NV, Rd-
k_24--New Construction Use: I`I'Residenliai I Number of bedrooms 5Y-L Code derived design Iluw rate _4~ _ 6? 00 GPD
❑ Replacement ❑ Public or Comnlercfal - Describe:
Parent malerlel Flood Plain elevation if applicable I~__,-_____ R.
General oornmenls c 5 /03- S U /r i~ ),L(,{/4~ ey-n ~ I c('
acrd recornmendalions: Y
❑ Boring # El Boring -
4 Pit Ground surface elev. lC_leQ It. Depur to Ihnltiny factor - 3tv___ in.
So" A 'ica'im Rate
Horizon Depot Dominant Color Redox Description Texture Structure Cunsistence Boundary llmts GPDffP
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efffft 'Eff#2
1 U-Iln Ib 2 _ 5 t Zmsb IY4r za - - Iv, `j -
- - 1 LP -310 ) 0 r `I - ; c I 2m Sbk rf4~r_ C-5 3 - it) rS -1. y (n v ~5 Qm t j . (o
Boring # ❑ Boing
2 Pit Ground surface elev. ~g _3CU It. Depth to limiting factor- tab -ill. Sod Application Rate
Horizon Depot Doninant Color Redox Description Texture Structure Consistence Boundary Routs GPD1(e
Ill. Munsell Qu. Sz. Cont. Color Gr. Sz. Sit. 'Efr#1 'E0#2
_-14 10 r-31 Z- Sr' C ZmS mfr c, S-
Z 1`f .30 O `f Si Zm5 r r CS_ - ~ 4
3 -t0U 10 ~ •s O m 1 -
E(Ikrent #1 = BOD > 30< 22U n1g/L and TSS >30 < 150 mglL ' Effluent #2 = BOD < 30 nrglL and TSS < 30 mg/l.
CST Nar (Please Print) Signature CST Number
_ . Irv, Sch r l"el- _ _ Zs 3v--
Address Date Evaluation Conducted Telephony Number
213 Sb`a3 N omer5cl, Lot 5-we S-- -7
u-~ Parcel ID fl - Q I - Page 2rf
Property Owner _
I 3 ❑ _
L~ Boring # Boring
L llzT Pit Ground surfaceelov. ►b(o ,4D _ It. Depth to 4n►iGng (actor in.
Sua n r icaGon Rate
Horizon Deptfr Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF
'E11111 'E11#2
.5 %f
in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sit.
2 14 -90 U) r`tl ~0--
3 4Cy1d I r8 2- rI 7.5 r '1_ vas5 Om
Boring # ❑ Boring
E] TSou,61 Pit Ground surface elev. _tt. Ueplh to limiting factor lication Rate
I _J
Florizar DepUr Dominant Color Redox Description Texture Strudure Consistence Boundary PD1IF
in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#2
❑ a Boring # Boling Ground surface elev. It. Depth to limiting factor S-
pit Pit oil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sit. 'Eff#1 'Eff#2
Effluent #1 = BOD5 > 30 < 220 rnglL and TSS >30 < 150 mylL ' Effluent #2 = BODS < 30 rnglL and I SS < 30 nrglL
7 he 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 fire deparUncnt at 608-266-3151 or TFY 608-26A-8777.
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SYSTENVIYIT: 44 racQe__-°r_ Y✓le>~ 2
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Amy
SIGNATUit[::_~y _ - - f
NOTE - 60 ft. wide area disked and seeded
for drainage easement. Does not appear to
have damaLyed POWTS sites -