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HomeMy WebLinkAbout026-1121-19-000 RFCEI Wisconsin Department ofCommer FEB SOIL VALUATION REPORT Page ' of Division-of Safety and Buildings 13 ~ ST in accordan~ l Comr 85, Wis. Adm. Code C County S.~ ~(Q17~. inch s in size. Plan must Attach complete site plan on p o J3(W1 ~ include, but not limited to: vertical and G?cJ e point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, aridtocati,Rn_ aid distance to nearest road. na l- Please print all information. we Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Revie 4 O Property Owner Property Locate 11 1r- Ile. ~U r I ~efS Govt. Lot s Ld 1/4 1/4 s5 T 3 o N R E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# MI 4w 104 19 Par+4" a 9e Rim City State Zip Code Phone Number ❑ City ❑ Village X Town Nearest Road W% Sy o %-l (11'5) 346- 6413 R, C-i o -7 S-{-, New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 4450 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material n v'f Lo &:5 - . I% Yh % A Flood Plain elevation if applicable ft. General comments 5 vg~e s+ l- 1.2.5 1 a 9 3 s i as '-rP-E I v-t,,g Fo.M e4-c%. 5 ;4,e and recommendations: T-5 y Z'.~ C95.as'~ 0 7.(. 04.3o') l..F-~- rv►os-~- V. ke11 J rT~~ ; CYy•8~~~ S,~e a • T.7 C9s.9a') Iv~~-eft ~ '1'•Y l9'!.S?' T~~ (4s. btu ~ . F Boring # ❑ Boring 11,0 I pit Ground surface elev. ft. Depth to limiting factor JDS in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 0--7 10 SIR 3/a L I rPL dsl a s a F , y .6 a - Iq S ~R sly - - SL .3Fs4K 6 s CV} q 3 K-y6 5yR 414 SL IFSaK ask. ej IVF y .b `46-1p5 5A 41q SL REAK 65,~% -S .9 4941~ cam, „s s -,,s le s/~ s ❑ Boring # ❑ Boring .Pit Ground surface elev. f p0 , ga ft. Depth to limiting factor /05 in. 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 y b 0-4 10 1, 3/a l FPL, As. , OS 2E 3 1q- 0 5lR Iq sL 1~sbK d~ ~y , * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur ~;T Number 1 e 03:~W12:~ bovwN 'J; S~}Qf\6) "1 Address Date Evaluation Conducted Telephone Number aool" 5 ar Pf0i;4`*f k)' 540216 10-19-01 -715- o-)q9-.3599 SBD-8330 (R07/00) Property Owner Palle i2y ilket' Parcel ID # Page C~ of 5 Boring# tI❑ Boring QQ Pit Ground surface elev. / o ft. Depth to limiting factor 9S 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 o-10 IONR 31a _ L /FPS ~s aS a , 6 Q io-Ib -7 54014 SL QCSQK dS CW I t= I5 ,9 3 16-29 - ~,Sy "t, SL aESQ as1A CW ilF .S ,q `I ;?q -95 SL- IF-SA F-q1 Boring # ❑ Boring Pit Ground surface elev. g$ • b7 ft. Depth to limiting factor 95 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 a-~ IoyR3 a L ► F&P, s~, as aF a g-is ,Svc" amsaK s 'Co i F ,s ,9 3 IS-33 ,S4R 41 k' SL aFSQK ds CW W r .s , L4 31-51 I'M 4 b S aFSR 6S CW 5 ,9 5 57- ?s '76 W s OAS aFs81C a oss - ~ _ At y COAiA;h s ~l of S 414 ~S A/ fZ Boring # ❑ Boring T !(I~X~c =10)p❑ Pit Ground surface elev. ft. Depth to limiting factor in. / Soil Alication 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 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 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) -CA V G O 3S, 73' • • Sa.- -0 rn C~A kA 70 W C 1~ J 6' d® o w 1' A r vv~ E s ~ c Na -9-0 i a "'V ! qF_ V 7d ♦L f J WIWC + I~nc~ (Q.4-St lot /o7 `S fi• sC