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HomeMy WebLinkAbout020-1448-32-000 (3) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ' of _2L Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County C J Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. Od- (J" a' percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print a# infonnation. _.i R e b Date /3 0 Personal information you provide may be used fat secondary purposes (Privedy Law. s. f 5.04 (1) (m)). Property Owner Property Location jGLot n!C 1/4 Sh/1/4 S3z T N R E (or)~ Property Owner's Mailing Address~o~ Block # Subd. Name or CSM# 3Z ity State zip Code Phorj Number v_.... ity ❑ Village own Nearest Road u SO .e 1.Ane. l ( ) }-New Construction Use. E&Residential I Number of bedrooms _ Code derived design flow rate GPD ❑ Replacement C,1 Public or commercial - Describe: t material u ' 5.~ Flood Plain elevation T applicable ft Parer - General comments nF~✓ and recommendations: 3~-km f1evabd) op `1`•'©" ~zO1Q G ~~J Loft J l h q/ I 1A ❑ Boring i. F11 Boring # 9~ pit Ground surface elev. _'Io ft. Depth to iimidng factor Inn in. Sol plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIIP in. Munseli Qu. Sz..Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 p-I( 16 r,31 z 5i / 2ms cS I V -5 11-30 Q / - s 1 2 ~ cw 3 YY) - 7 I.2 L Boring # C❑i Boring C~ Pit Ground surface elev. % V • J ft. Depth to limiting factor - in. soa ApprEation Rate Horizon - Depth. Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 f i I 5i cS 2 ~0 3 ID r y '51) 2yy)!5bk cw - . 5 , 9 3 30- 10r' SL 2 Y I M1 - - - ~J -cf Effluent #1= BOD 30 < 220 mg/- and TSS >30 < 150 mg1L ' Effluent #2 = BOO < 30 mg1L.and TSS < 30 mg/L CST (Please P S' re CST Number Address Date Evaluation Conducted " Telephone Number ~V)-U79 1 Parcel ID # Page _ of Properly Owner Boring # ❑ Boring `7150 ft. Depth to Nmi6ng factor ~ in. Sol Applicatim Rate F31 EA-pit Ground surface elev. ( ~ Horizon Depth Dominant Color Redox pesafption Texture SWcture Consistence Boundary Roots GPD/fPEft#2 In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 0 32 Sal 2-MSbk c 4 Si I CvJ -7 i, 2 ❑ Boring # ❑ Boring ❑ Pit Ground,surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfP In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 'Eff#2 ❑ Boring # Boring Ground surface elev. ft. Depth to knifing factor in. F-1 ❑ Pit Sol Application Rate Horizon Depth Dominant Color Redox Desci pt . Texture Structure Consistence Boundary Roots GPD/(f in. Munsell Qu. Sz. Cart Color Gr. Sz. Sh. `Eff#1 `Eff#2 Effluent #1 = BODS > 30 220 mglL and TSS >30:S 150 mg1L ` Effluent #2 = BODS: 30 mglL and TSS < 30 mg1L The 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 the department at 608-266-3151 or TTY 608-264-8777. SBD-8130 (R.07M) PAGE _50f NAME:61 eS-~/QG -e LOT# 5 LEGAL DESCRIPTION:AjFi/4 1/4,S z TZg,N,R, E(or SCALE: P== 7 Q r Fpm( ELEVATION: O BM I DESCRIPTION: h, Dac, ®•'De BM 2 ELEVATION:. Sec. LZ BM 2 DESCRIPTION: DUG I T_ SYSTEM ELEVATION:_,~,75•,::>d Gaw{~ 9y /!Q SYSTEM TYPE: ~o~t v e,~ l fir, end SIGNATURE: - > DATE: 7- Z -cCO Y ~ 3~ y SaNVI a31W dNf1 I I-Ou IPA r/l AN 3NL d0 f/ 3S 3NL !Q 3Nf1 153M f/l MS 3NL !0 f/L .LL 13 *Am 3N 3NL 410 3Nl iS3M M « t 08.00 N oa 13VHDOVJC ,i,0'66£ M «Z L,O L LO N - - - ,L4'C6 Z dZ w zE o I \ \y ~ ~ I I= ~ JQWDI > (A 0 all 1r CA to xl oV 0 ca / ZiZ~Ss x( OD Io 00 r m o I °n i bd I cn at ;u m S: I; G C 00 (A m IC) is. rM H \ \ / N tv I w cm I I _ N i~ o \ d z to 00 \ \ a W 0 W AN I ~OtV \ :I la q ON 00 v m ODD I n ~ ' E>f Z8 + ° N Cn I m C? l,~ ~ UI 8 k; 0_0 - 3 «£g,LO. LO S z w N Z m o 0 0 / I( ~ I 5.,,~ x COP z / i* 10 0 Ca ( CD t2 I / 10 :n Wt n N 9PP lip Sty m U A sn p$ L .4fOLL 00 Iv ~zz z IM :n Ia O I m En O - - T 3 .6L,Zt 00 N j O Q " 3! O Z f/! ` Iz ,Z£YSL r - - - - tno ii IX moCR 0 CO, r~c g# c M .95.10.10 N I t,, U= m ~a 01 m M2M I I I - v I rnm I~ Inc z sF-m m; Q! a c4 v W I v IN l~ maim i W P p v Fn ^ CWIt al MmSL+Z r. DD=Z 0 ca Cn v4 n fn 10, Z, c j_ C ~ t > Ln x W20C7711V Z=v Z° m I - ,c F r~ 0XO0'6 , Z Nm Msn,~~ ~~>o l - -s iOD g cn o G i N :M o Chi = _ - - 0 Z ~6i1 9L if ff0 N 9L'66l M AL,69ZON - ZS ££LZ ,ZZ•~£ZZ , rn 3 «9 l,ggA S- ,66'£Z£ 3 «9 L,99.00 S- 3 9 L f99.00 S W- Z - - I 3Nn f/1 NLfWS-NLHDN « I ~o 1 o+ I 3 .0t,,Z1.00 S= va I CIO ~ I L~£ L ~od 's ~~on I ~i~£ i •od 's ~~on I ~ 'W'S3l lOl I 'YV'S'0 l lol I N N I ~ I Icl m2g -n- n m- ocnr' D , r>r~-tn=I...n.. FSI