HomeMy WebLinkAbout020-1447-22-000 RECEIVED
DEC 2 9 200
VlmarreinDeperhrr S IL EVALUATION REPORT 3
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ST. C301X COUNT w~rC mm85.Wls Adm. Code
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Attach ccmPiete We plan on paper not lags Om 8112 x 11 indm in size. Plan nwst
induce. but not limited t: v and horizo M rye point (BM), dtredion and Pdrod LO.
Percentslope. scete ordnmmsions, rodh arrow.mW kmedon and dMenceto neamdread „ (1
Please print aR Inlorrnaffon. Revtewed by
PermnW k9onnWan you provide mmy be uea rorsecana«y ourpom (PrW W Low a,s of (l)tmya . UN AJ f S£ Y~G1F• l
PW" Owner PmpedyLoc e0on /~i
~(J j3f}$ Govt. Lot *A/ 1M~~ im S-~'7 T'2f N R /I 4&(or) w
Properly Owner's Mang Address Lot # Bb& # Scbd Name or CON
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cW State code PWMAN*W o city ❑ Visage ®Town Neered Road
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WW Conakudiai use pd R f Number of bwmaiw 3 Code dmrivw design lbw tale y.~0 O"~ GPD
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Parent meWM A4,0 y o U- T WAr id, 7oES5 Flood Pram awmaon if sppite Al 1t.
General corriirierits
and
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F-/1 ja pq Ground sarbm slay M. Depth b brov fade b.
Sol Rata
Horizon Deo Dombard Cob pedalo Desai &M Texture Stud" catsiet wm Bomfty Root
• 1 mm
in. muned CAL Sr. cont. Ccbr er. Sz. SK
3 4;k -5 Gw f • 7 / Z
YR 31 G A"
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M # > 9G
KI Pit (around scsfaoe elev. ft. Depth fm r facer in. , Rate
Hatxen Dep& Dm*m*Coior Redax Descro* n Teguae Skucwm Carr oe Boundary Roof QKW
In. Munsell fm s; r_ Color Gr. Sz. Sh. 'Ett1 •EtW
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• Eftm t #1= BOD > 30 <220 mall. and M X30 < 150 ff* L ' Emm t #2 = BOD < 30 wx~L and TSS a 30 PvL
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Addmse Dale EvebAon Carduded Telephone Number
715• -?a • 3 ~~z
Private Sewage consultants o
2812 10th Ave. AV 'S Td7"q•L- of G~ Q A&U
Spring Valley, Wl 54767
20 • /01'7 • 2-0 01"
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Property Owler (p3 3 Y Parcel lD # "Z Page Z of
Pit Ground surface elev. ft. Dept, to Grniting factor >
in. Sol kadori Rate
Florizon Depth Dominant Cokx Redox Description Texture Structure Cores Bound~y Roots OPOM
in. Munsell Qu. Sz. Con. Color Gr. SL Sh. •EQ#1 •Eif#2
• /0 /0 Y4 ,3 .r'L s 11 Crv 3-F • y .6
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16
Boring F-1 # ❑ SMhV
❑ Pit Ground surface elev. ft. Depth to g factor in. Soti Rate
Horizon Depth Dominant Cokx Redox Description Texture Struchxe Cors;istwuoe Boundary Roots GPDW
in. Munsell Qu. SL Con. Color Gr. Sz Sh. 'Ef #l 'Eff#2
t Boring # ❑ BorkV
❑ Pit Ground surface elev. ft. Depth 60g factor in.
Hod= Depth Dormara Cokx Redox Description. Textrre Structure Consisterroe Bourud~y Roots Sod GPDA~ Rate
In. MunseA Qu Sz Cont Color Gr. Sz Sh. 'Etf#1 'Eff#2
Eflltwit #1 = SOEk > 30 220 nglL and TS9 >30 S 150 mglL ' Eftnnt #2 = SOD, 130 mg& and TSS 130 ng&
The Department of Commerce is an equal op ity service provider and employer. If you need assistance to access services or
need material in an alternate f t. please contact the department at 608-266-3 1:51 or TTY 608-264-8777.
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