HomeMy WebLinkAbout026-1121-24-000 (2)
Zand Wisconsin Department of Comme a OI EVALUATION REPORT Page -L of
„ Xivsion of Safety and Buildings Co m 85, Wis. Adm. Code
County
Attach complete site plan on p nnc sin size. Plan must
include, but not limited to: vertical an oi (BM), direction and Parcel I.D.
percent slope, scale or dimensions,d distance to nearest road. d 3& - 1 1
Please print all information. R ewed Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
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Property Owner Property Location
HA If, ui 16ers Govt. Lot 5LAJ 1/4 `jr1/4 S 5 T 30 N R 13 E( W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1113 Hw-i 61 A a r+;r I A se "m
City State Zip Code Phone Number / ❑ City Village `Town Nearest Rg2q
)d~►6- 113 I(~'Gh~lCtV\ /07 ►~S"~'.
,~`{'6W t $qo(? (115 0
New Construction Use: D° Residential / Number of bedrooms Code derived design flow rate y S 0 GPD
❑ Replacement t ! ❑ Public or commercial - Describe:
-
Parent material 1 f ( f yea' u-) ex. ova t Flood Plain elevation if applicable ft.
General comments yr +G T r-VV--r' V\t
and recommendations: t_~I,a5 cLv~oiL.'t-7S.a'T1QF_ 1,a 8i•?S'4r"eQ. t7- 7,5`TR.~Ntl,,
(9~,K7') r•y C93,a~,JlsFt w~1~ be
' T, 4 9a.cs')
'f 90.31
Boring F/I ;g Boring # 96
Pit Ground surface elev. L ft. Depth to limiting factor //Q 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-S 10\10a L. lFlsR as a F .y
g- Iq 104 R 3/y L J FPL c CV1 I F
-ply
11-33 )q 4R 141 L~ ams8k C 1u F s5 . S
b 415 ID S y Sk ~ . b -414
Boring # E] Boring 1 ► i tS q
yPit Ground surface elev. 7'b~ - St? ft. f ~ -0 epth to limiting factor i' f 0 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
0-8 )O A R - L o9 F&9 d s AS d F .5
c 8-►~ '1,5yR`~Ib "sue a W F .S
3 11-tia 1,5 A 51y ~ ILLS aFr c~ .5
3 ke+S of SV011 SL OF 58K
* 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) Signatur CST Number
j')0v%Y%v, 73-. 1-1,1, , 0701 ) ) q11-1
Address Date Evaluation Conducted Telephone Number
a3~16 door` s+Ckc W I S4boQt 715-ay9-35SS
SBD-8330 (1107/00)
1
Property Owner 404 1 Q '3u~ ~~elS Parcel ID # Page of a _
Boring #
F3-1 ❑ Boring
Pit Ground surface elev. Lt. 31 ft. Depth to limiting factor 9-5 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 o-S to 4R 31a L it ds as c- Fp q .4
oZ 5-11 10 vg 31y L PL 6si1 CVWj t . b
3 11-aa 7~VR "I~ Ne4L ar~stK c~S •5
4 as-45 `1.5 4k FS8 c S a , 4
5 yS-95 5 4R " SL. 1 r58 ~5V
❑ , l
Boring # Boring
j ID S
Ibl Pit Ground surface elev. Depth to limiting factor ! 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
1-0--7 10 JR 31a L /Fb as as aF y .6
a 7-15 WV 31L /FPL ds ~Vj t r .4 .b
3 Is-is )OAK slq L aF549 s u~ IV r .5 •s
I$- qb -1,s4R " b Hcau~h aMSAK 65 ul \Q-
VS 40-53 7,54R 41q
53-)bs-7.5gg yl a~x tal .s
❑ Boring Q
❑ Boring # El Pit Ground surface elev. ft. Depth to limiting factor in. ~O
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L.-
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SBD-8330 (R.07/00)
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