HomeMy WebLinkAbout020-1448-30-000 (2)
;7e t of Commerce SOIL EVALUATION REPORT Page of _ 3
w~ans._, Departmen
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code
county ~--I ,
Cr o ~ x
Attach complete site ~n on paper not less than 8112 x 11 inches in sae. Plan must
include, but not Qmned to. vertical and horizontal refimce point (BM), direction and Parcel ID.
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percents", scale or dimensions, north arrow, and location and distance to nearest road. D
Please print all intbrmadon.
Pwwaat ink matron you provide may be used for sacondwy purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
5 Govt. Lot AIE 1/4_ SW 114 S 3Z T 29 N R (9 E (or)~@
Lot Biodc # Subd. Name or (Slttf#
Property Owner's MaiNng Address 30 o ~,o 1 e 5}
C) -l~
City State Code Phone ttaber 13City ❑ village (3Town Barest Road
W 51AC A Sb r r I.Cx e
QLNew Use: N'Resta i~,,,~~'~mrtial l MWr*w~bedtoonie. 3 - -Cade derived design flow ram D Cc 0 GPD
Construction _
0 Replacement ❑ Punic or commercial - Describe:
Parent material Flood Plain elevation it applicable ~4 ft.
2 / G~
ToP ~YYY3~K~ Jfo
General comments Q l~~Q 1 ion )
and recommendations: / S 1~ r 1
Lower q 1.00~`~`~
o. i C
& a, /
Boring # ° Boring
93301t. Depth to Iimiitirr►g factor
Pit Ground surface elev. _ in. Sol Application Rate
Horizon Depth Dominant Color Rector Descriptron Texture Structure Consistence Boundary Roots GPDff
Gr. Sz. Sh. 'Eft#1 •011#2
in. Munsdl Qu. Sz Copt Color
i c~- b BIZ s'i ( 2m b -fir C5 ( C' 5 S
Z O i cl Zfnsb M~7r Cvj T V-
LS Irn - 5 )0 r r cs --1 /.2
3 rQ ( time _o r e fu p niA
®Boring # a Boring
n
g~
Applica tlon Rate
tt Ground surface elev.`s/~ L_ ft. Depth to limiting factor in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKF
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 'Eff#2
( 3 2 Si 2msb cs Y S
Z- 10 -25 16,ir If/4 S i ~I Ll YY)-~'r Cw I V .Q
D,f 3 25-M (0 -y r q L5 my c5 .7 r Z
4-- - f ►m es v 0 e, - JUP A/
• Effluent #1= BOO > 301220 mg1L and TSS >30:E 15o ng/L ' Elikou t #2. = BOD < 30 mg/L: and TSS 1_ 30 mg&
CST Name (Please Print) agnature CST Number
25 3 3CA
Address Date Evaluation Conducted, Telephone Number
2113 26~ l- . 5402`')
s~ Parcel ID # Page Z of
Property owner
E] Boring I , factor ~ in.
Rate
Bourg # 0-pit Ground surface elev. ft. Depth Irnifing kedon
DIff
Horizon Depth pan uns Color Redox Descrlption Texture Structure Consistence Boundary F7GP
Sz. Cont Color Gr. Sz. Sh. 'Efi#2
in. MarseM O
bk C S
1D r`~
Cw i s r~s vl~ arm ~f'
C
F-1 Boring # El El Pit Boring
Ground surface elev. R. Depth to Rrruting factor in. Sod -Aiggtion Rate
Horizon Depth Dominant Color Redox Description Texture Structrrre Consistence Boundary Roots GPDIfF
Gr. Sz. Sh. 'Etf#1 'Eff#2
in. Mussed Cu. Sz. Cost Color
El Boring
F-1 Boring # Ground surface elev. R Depth to lanifing factor in.
❑ Pit Soi icatlorr Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
'Etf#1 'EM
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh.
Effluent #1 = BODS > 30 220 mg(L and TSS >30:5 150 mg(L ' Effluent #2 = BODS: 30 mg(L and TSS < 30 mg(L
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SBD-81301R.WM)
PAGEJ OF3
NAME: Vr .U P LOT#_ 3 LEGAL DESCRIPTION:Atr-I/4a 1/4,S,3T R!LN,R,LLE(orW
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