HomeMy WebLinkAbout020-1409-07-000
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Department of Commerce SOIL EVALUATION REPORT Page of vson c safely and Buildings _
In accordance with Comm 85, Wis. Adm. Code [Coun.1y
5T Cl~ D/
Allach complete -Ile pia" on paper not less than 0 112 x I 1 Inches in size. Plan must
include, bill not Ilmlled lo: vetllcai and hodzonlal reference point ISM), direction and arcl I.D. 020
percent slope, scale or dlnlenslons, north arrow, and location and distance to nearest road.
Reviewe y at
Please nrln[ all Infornfaf(on.
Personil Iflrnlr11aU0n y0!1 pro may be t1s d Io secondary purposes (Privacy Lew, s. 15.04 (1) (m)).
Properly owner 4 ~ I Kt~/l V erty Localliion e`` e
/(EIpNoN 13tF51' ° AG1~/~ WYrD ~ot !5f, 114 q, 114 S 2! T ;L1 N It !9 ~ (a) W
Properly Owner's Mailing Address Lot Block ft SSubd. Name Cot -OWN -IF
9y8 LsJ /3/lQlsF~ • JUL 2 2 2002 9oONj >,+R-
City Stale Zip Code hone umber City E] Village V] Town Nearest Road
it
t-7UPSOA] Svv* ( 715ST ~IGG ~R1C Y #VP550N 44AIA'UP5~~ -
New construction Use: Residential I Number of bedrooms Code derived design now rate ~yfj - (o6d GPI)
Replacemenl Public or commercial - Describe: Al
P-itenl maleriai _1_0F S S O u_ ~,v0 Flood r inin elevallon 11 applicable n'
General cotrrmenls OU A-s;/L
and recommendations: / -
10 5; r~ 7-5 r&V sv; rA13 ~oatiP P6WTs .
Boring 5
g
Soling ~ U ~ pit Ground surface elev. / " it. Depth to limiting factor 7 y in. Still AppllCallotl Rate
Horizon Depth Dominant Color Red" Description Texture Structure Consistence Boundary Roots GPD/fl:.
In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Effff 1 -01112
o•/y myRz/3 - s~ ~fr~e nwuie 3'" .y .G
z- l o io Y)ke 3 S~ l✓ /f sh/e /44 -ICI c5 2 • 2- • 3
3 .419 io !lR SIL- /,~s& - • -2-- • 3
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Boring fi! Ll Bori"g
Z Pit Ground surface elev. ft. Depth to limiting factor In. Soil ID Application Rate
Roots V`PU/tl'
.1 -14 I lorizon Depth Uominan1 Color Redox Uescdption text Ile Structure Consistef
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •EIINI •Eff#2
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Effluent 01 = SODS > 30 < 220 mgIL and TSS >30 < 150 mgA- ' Effluent 02 = SOI)s < 30 mgA- and TSS < 30 mgll-
CSl Name (Please Print Signature CST Number
TOSERT Wlhl?iC4T 224375
address Date Evaluation Conducted Telephone Number
cht & Associates i 715. 386 •8185
Private Sewage onsu
655 O'Neil Rd.
Hudson, Wis. 64016
For issuance of permits and designing
Contact: Ulbricht & Associates
Registered private wastewater consultant and plumbers
W l 016
ORIGINAL HSudson e
715-386-8185 or 715-772-3442
/3,4s r Go Tr 7
r•ropr•rly Owner 020 104 Q , /0 • /00
3 rter~- r'arcellb N Z
Boring N l 1 Storing ~j' s Page of
Pit Ground surface elev. 3
I lorizon beplh Io limiting factor In.
Ur''wh bominanf Color
►tedox bescriplion Texture
In. Munsell Qu. Sz. Cont. Color Slroclure Consistence Boundary Roofs Soil call on male
Gr. Sz. S11. GPD/II
/D y2 Z - s/L 'EnNt •EfM2
/D s~L• C'S
,m S' _ s
Boring l_.1 Boring'
U Pit Ground surface elev. n.
horizon
Depth Dominant beplh to Itmlling factorIn.
Color Redox Uescriplion texture l Ii
In. Munsell Qu. Sz. Cvnl. Color Structure Consistence Boundary Rools Sotcafion Rale
GPI)/4
Gr. Sz. Sh.
•EnNi •ERN2
r Borln
Boring I! ~~y 9
lJ pit Ground surface elev. if Depth 10 pmiUng factor
Horizon Ue fh in.
h Uominanl Color Redox Desr.►ipflon texture
in. Mu Structure SON /lppllcallon Role
nseB Qu. Sz. Cont. Cot Gr. Sz. Sh Consistence Boundary Rools GPD/R'
.
~ •ERlI1 'ERlI2
Effluent 111 - BO >
s 30 1220 m
_ g/l and TSS >30 < 150 mgt(.
• Effluent 02 - BOUs < 30 nV/L and TSS < 30 mg/L
'I he bepa►hnenl of 'onrrnerce is an equal o
pp . trunity Service provider qnd employer. If you need assistance to access services or
need aferial in an alternate formal, please contact the department at 608-266-3151 or
snn wrin re
8,n~r TY 608-264-8777.
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41-oricht & Associates
Private Sswags Consultants
655 O'Neil Rd.
Hicdson, Wis. 54016
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