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HomeMy WebLinkAbout026-1121-21-000 Lrcek- ~E e-....WisconsinDepartment of ComZOU SOI EVALUATION REPORT Page ~ of Division df Safety and Buildings 4 cordance with Comm 85, Wis. Adm. Code k CQ County s+, cfO Attach complete site plan on a" Tx`11 in es in size. Plan must include, but not limited to: vertical and horizonf~~e pc nt (BM), direction and Parcel I.D. / percent slope, scale or dimensions, north arrow, and locatiort and distance to nearest road. Please print all information. Revievve y 1 Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 6 Property 'Owner \ Property Location Hr, 110- ~3U~~aecs Govt. Lot ':,,,,W1/4:SC 1/4 S `j T 3Q N R ig E(or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ) 113 a 64 31 Par+r; e QQ%1 -1 City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road IUfW R'ic~",S WI 5401-1 (115 )ayb- $1Z R114Maa,d 107"" . U New Construction Use: X Residential / Number of bedrooms 3 Code derived design flow rate y 5d GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 0ACC, { -t 11 Flood Plain elevation if applicable ft. General comments S u35 C,.S + - 16 Q.5 i-Ne- e4 and recommendations: 11 T11 -3 3'3 -T.3 (9N.77') 6.44 -rs 196.x9+~ --T. 7 Fi- r 16. ~ y ~ tN ~ I 1 4~ G s'~ Te.' • -r., ,l ~ -r.6 L L N d! e* # ❑ Boring ' [~Tftrlng 5r Pit Ground surface elev. Depth to limiting factor T•? J 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 o-`I )C)IR 31a l_ J E&R 3s4. Qs a F ►4 LI-9 y - L FPZ 35V\ CW I F °4 .(6 ~'14 1 218 4)6 ~.~.a._ 'qesaf arAS6K 3SV-~ u, IV E .5 19 s-Io y1 ~)F asp. ° b 4l- ►us h,o' o z a ® Boring # ❑ Boring hf K Pit Ground surface elev. 101.56 ft. Depth to limiting factor / f? 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 1 a-5 10 y 310 L IF6R 3s' as aF 5- ro )01R 311 - - L, ) FILL dsL Cw 1F J0 3 10-13 IMR 514 L 3FSGIk' 3s CW WF .5 Neai - camsekk CW lu E' ,s 19 5 at4-y,5 ~'S~Rw e SL a FSQK 6Ss CtW .5 °q ~a 45-11D, 5yK 4Iy SL 1 rUK c~ ~ q ° 6A' ~ajere~ w;4% 1,S%1R y 1y F5 * Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number i~orna ~ S-~~,~`tc ~ as u b Address Date valuation Conducted Telephone Number a` b 0044 s+. S+cat' SBD-8330 (R07/00) e M i Property Owner ct I~e 9yi 0efS Parcel ID # Page L~ of F1 Boring Q F-31 Boring # Pit Ground surface elev. 9715 ft. Depth to limiting factor OS 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 o_y 16 4R 31a L JC6 R ~s as a F . y .6 a y- IoNR 31W L IFPL JStN Cw I F y . b 14 3 00-19 ~.s SIR y16 eq) ORm58p d CW 1v F • s q 19-26 `1,s w, 414 '5L a FS6k d s,, aW v 1: . s .9 544 yly SL ~FS6 ds • b Boring # ❑ Boring c_, pit Ground surface elev. a ft. Depth to limiting factor 95 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 I e-b Io`IR31a L IF& R ds aS v W •b a - 13 ►0 yR IN L ~ Fr~L ds C0 I F . b 3 11-16 io SIR Sly L a FS6k as LVA) 1V F .5 , gem L4 16-a$ 7.5 yR 416 -°r°-------~----~ spy amsak .31, eyj w F '5 ,9 5 a%- 3a l .S 40 #6 ~ - 5 L 3 PS6 k 6tW j v r- .5 .9 3b- 5 5 yR "ly SL FSl3K csS •y , b ❑ Boring ❑ 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 * 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) I ~ S' t~~ n U N tl 0' ~ O 712 a Lb ~ \ oA o +n ° o_ .e s 1 cn J OQ i Q..0. 5 -1- 1 n,♦ 1: hc~ ;f% ZP tp Vo IOL `J c oQ a o CA C i~ F -o 7 o av _ c V\ 7, 0,.~► `ACA Vill\. a .a / 93.3x' p v ` 3 ° A (A r "G A _ 1 S s ~ n U 4 n p 0^, + -4 O, a 00 \ to ~ ` A o o ® \ +A IOQ Q.0. 5 1 0♦ f ; hc~ Z . ~ c o ~ 3 3 co (A cQ s~ o jr a AG /CAQ 3 -CA 14 J/c l J - - ! I I~ I ' 1 i , i I I I J - j - I I I ~ I ~ J I _ I I ~ ~ ~ I I , i 1 I , I I I : I I I i I I I- t i I I i ~ i I I I i : I r v! i Abel- I I 1 I d I i ILI I r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code 1 _ County • fa Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 151 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Oa (j- I I a ' aQ Please print all information. eDa te Personal information you provide may be used f La15.04 (1(m)). Property Owner operty Location Na11e I krs vt. Lot w 1/4 SE 1/4 S T36 N R E (orCT) Property Owner's Mailing Address - L t # Block # Subd. Name or CSM# III b4 OUI , r 0 {I it ~;d Ru City State Zip Code Phone j aqr OFFICE City ❑ Village g Town Nearest Road Mul ~ic~M64 w1 sg00 15)aq(o-6,813 ;cl„1,d 4 107"h 5-'- [R) New Construction Use: [K Residential / Number of bedrooms Code derived design flow rate 111 so GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Q I a- C. i c, T ~ [ I Flood Plain elevation if applicable ft. General comments Sv55es-f f'$l,aS a,tr,:Q 7S.o' Ti2ONW4- es For--e otLL, S :-fit; and recommendations: T, y 9 N. 7 T, 1 (9a.7a') SAC- Ta (9a,os'> Opt. 5-.4e- d. -5 n~ E... f T 3 (91.39' T~ 93.3$' .8M #Z s'r~lrih, rvl F-1 I W Boring # ❑ Boring Q C( &4 - X Z. Pit Ground surface elev. ft. Depth to li factor 10 in. / pplication 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 0-9 1or#R Ila L a ds~ as a F f=1s a q-13 -i's \1?,q arAS6 dh cw 1 F= ,5 ,9 3 13-a5 -7.S4R4 SL aFSQ 3s~ CW j\jF ,5 ,9 y a5-32 7,s 1R `41h SL. arSak ash aW 1„ F , 5 .9 S 31-1a 5*qR4 I,- s1_ I Fs3k ~s\,\ b Boring# ❑ Boring R~PrO?C. 413.6 5-1 Pit Ground surface elev. 9 s, ft. Depth to limiting factor 1 a d in. Soil cation Rate Horizon Depth Dominant Color Redox Description Texture uc ure onsis ence -136-uffdW Foots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I 6-9 Io SIR a L a P&K as a r tS , a 9-I -7,510 4 1... aFSeK (6 st, cW I1= ,5 a 3 1 -a R y b SL at s#U, 8VN co w r .5 y - b ,s y y I y s L a >r s 9K d SVN au) 1 v F . 5 .9 a. F7 3 q, 3z" 5'~ a`1er"e w:+~• ~t.5YR 41q FS S . /7t 4-0- * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = GODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number ►Onha 'S+ckr : m, A. aaV y b Address Date Evaluation Conducted Telephone Number dao s~ s+a~ i~r~;r;e wi s4oab ~C,- Iq -ol X15- ~g8.35$$ SBD-8330 (1107/00) e-f- 10 ) f ah n4 T..5-~-a y- , OC~ v1D aG %0L C 5~v ' Open Pe kS) 0 i a { a. I lei 1 ~ rl w / ' 1 dy'~ Li% 6m 1 C v C re Fe wt.rt. } P / + t a. o rn 7.o AV c( rr\- y r6 t- U. 6 g ern kR f gi qq,~q g3 g~.ys ~~~G3