HomeMy WebLinkAbout026-1121-08-000
Wisconsin Department of CommercSOIL E ALUATION REPORT Page of
Division of Safaty and Buildings pp
Lnorthar ECE VEn~°"-
rtial~ca~w~mm 8 Wis. Adm. Code
County l
Attach complete site plan on pape61 1 inches in size. Plan must 5 i • ~101~C
include, but not limited to: vertical bint (B direction and Parcel I.D. Q ' I 1 - 8
percent slope, scale or dimensionsand di tance to nearest road. `
Please print all information. Re ' wed b Date p
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location a
4a 114e &t ` ( ( 4 r'S Govt. Lot SSW 1/4 S[ 1/4 S S T 30 N R I d E (o W
Property Owner's Mailing Address Lot # Block # lai+r4R-e d. Name or CSM#
1113 LA RuV\
City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road
~j tvi R;ter '540 1*7 (1 IS ) R46-bS313 ►104 lot*
ff
New Construction Use: ~K Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material G ae~ at 1 Flood Plain elevation if applicable ft.
General comments-1~ 4 i~?tC? $ k° 91QS "
and recommendations:
O rt
fhtAS6'~v~.
❑ Boring # ❑ Boring 97.5
Pit Ground surface elev. ( ft. Depth to limiting factor- in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
I p-`7 1ayR ~ a L I Flak ds~ a s a F ,y
a -,-15 10 VR '114 t_ ) FPL. ds C> IF .14 .(v
3 15-a9 oIR 416 CL a d aw IvF .y b
q 54R 41LI SL .5
Fa~ Boring # ❑ Boring -t
® Pit Ground surface elev. r ! ft. Depth to limiting factor = in. '
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-9 104p, L. jF&R 6s~ as aF LI .b
a 9-13 IWAR 314 L. LES13K aSki CW ► .y . e
3 X14)0 IVIR Sly - L_ a Fsa K 6 s' \ c vi I v F .5 . S
y 30-30 )04K 416 Sc L aM23 8 saW , y A6
130-?5 s%4K 41q SL
* Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
1-)0hh T. 5+Ckrv, 17 H6
Address Date Evaluation Conducted Telephone Number
a7l6 Zook' s Pralr;t w► s4a 0 10-00-01
~1s-a4g 358
SBD-8330 (507/00)
Property Owner Hak 8uilhe fs Parcel ID # Page of F3 ❑
Boring # Boring
7. AS ft. Depth to limiting factor in.
Pit Ground surface elev. ~ Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
I 0-$ Ic,v1Z 31A I- F&R Est, as a 0: . y
d %-110116 3►y L I FPC. s Cw r .y
3 1641 104 ,5/q I- aFS13K AsAni Cut
y al-40 iolKg1b SCL arn56K dls Cluj .~t
SL IPSQK
S4 6f cotiAa-"'S. .5 of, - 6 %49 314
Boring # ❑ Boring
I W1 J9 Pit Ground surface elev. ~ ft. Depth to limiting factor ~S in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
0-4 104 1a~ L 1 FG-K d s a s a F .14 40
a 4_g 10IR3y L 1FPL- ds OW I r •y
3 g-15 Io~Rs y L aFsl3 dsl-, CW v;: .5
y 1s-as jolk 41b CL arAS6 ~'S yr q .1
5 as-3-1 -1.5`IR qjq 5L 1 r-s8 Ash, avi • y .6
to 5 yR 41y SL 1 FsC d s s, , y * b
❑ Boring
F] Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
L
* Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
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-8330 (R.07/00)
}4a►I~ Wys ~0. 3 3
SEA Sec. 5, -r 3o poi X112 ki -Z . .94 a. r lC
,-po 11 v, :5 c f- 19 4-cx f- vvi 1-7
- lot
130
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r `
00
~r
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1 prig TOPS
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d~ k3 YY1 ~e ia M 100.001
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97 a5 Y