HomeMy WebLinkAbout018-2011-77-000 (2)
vwconsin Department of Commerce SOIL EVALUATION REPORT Page _ of
Division of Safety and Buildings
in a~ nfan~ w, omm 85, Wis. Aron. Code Counl
Alladr complete site plan x 11 idles in size. Plan must
induds, Imt not limited to: orizontal reference p int (f irQctbn and Parcel W. J/ -7 -7
percent!-. ope, scale or Orth ar►ow,~a(n1(d~~Innocatfol and realest road. Q~ ' 02 6 / _
Fdamaybousedt GO y . C
O r view Dt Per soosl InfwMmIkm you Inw soconda epos (PIIvacy Lnw, ;8. ~l m) - 11 OJ
PropertyOwner Plope fun
Zp ING OFFICE
Govt Lot nJE 114 Ary4j 1/4 S 'r 29 N R 1'7 E (or~l
Property Owner's Melling Address Lot [31uck # Sulxl Name rx CSM/f
city State Zip Code Phone Number ❑ City 0 Village Fuwn Nearest Road
l (l 7
-New Construdirxr Usot-2ftesideMiial / Number of bedrooms _ C(xfe derived desiyn flow tale GPD
❑ Replacement r ❑ Public or commercial - Describe:
Paretlt material Flood Plain eio ' i _ R•
's
General comments Sy 5 ~ry~ -2 eiiJ 9G . j-r~ - ~ cal t/-41
and reconttn rrdatials:
Being
Boris Pit Ground surface elev. q91 JL) It. Depth to Ilndling factor in.
col Application Rate
Horizon Depth Dominant Color Redox Description Textwe Shuctme Consislence Boundary llmts GPD/fP _
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Effff2
I
Z 17-4t) 10 r 4 SIC
1. Z
3 46 I 5 I -7
b. 5- q LS 33,
Boling # E] ~ Boring
Leh-F it Ground surface elev. _ it. Depth to limiting factor in.
_ Sad Application Rate
f lorizon Depth Durninant Color Redox Description 1'exture Structure Consistence Boundary Roots GPD/le
ill. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Elr#1 'Efrf/2
b-4 10 S. 2rn5bk _ vS B
4 8/Zs~ - _ ti -
Effluent 01 = BOD > 30:< 220 nx1(L amt TSS >30 < 150 my/L ' Effluent fl2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print), Siyn a CST Number off ak r-
Address Date Evaluation Conducted Telephone Number
2.x(3
Property Owner Parcel ID It G U Page - of _
ff Boring # ❑ Boring Q(]
L it Ground surface elev. ` r 20 it. Deptlr to Grreting factor in. goj n Iica'orr Rate
Horizon Deptlr Dominant Color Redox Desmiptiun Texture Structure Consistence Boundary Roots 1 Dfif
in. Mmrsell Qu. Sz. Cont. Color_ 1 Gr. Sz. Slr. - 'EII!! 'Eff#2
4 G 8 2 E CA
Boring # Bonny
❑ Pit Ground surface elev. fl. Depth to limiting factor in. _ Soil IicaUon Rale
Horizon DepUr Dominant Color Redox Descniptim Texture Structure Consistence Boundary Roots GPDI(F
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. _ 'Elf#1 'Eff#2
Bonny
Boring # Ground surface elev. Depth to lirniling factor
❑ Pit Sod Application Rate
Horizon Deptlr Dominant Color Redox Desc►iption Texture Structure Coosistenc,•e Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz_ Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD,> 30 < 220 rnglL and TSS >30:S 150 rnglL ' Effluent U = BOD, < 30 rnglL and TSS < 30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in all alternate fomrat, please contact the department at 608-266-3151 or 'ITY 608-264-8777.
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SIGNATURE. L~~ . - - UATF - - -
NOTE - 60 ft. wide area disked and seeded
for drainage easement. Does not appear to
have damaged POWTS sites _
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