HomeMy WebLinkAbout026-1121-26-000 (2)
Wisconsin Department of Com ercS IL EVALUATION REPORT Page -L of
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Division of Safety and Building 22
ct aO& Nith mm 85, Wis . Adm. Code
County
Attach complete site plan on pape~ 11 i hes in size. Plan must
include, but not limited to: v ical ence p int (BM), direction and Parcel I.D.
percent slope, scale or dimensionand distance to nearest road. Q 11a a
Please print all information. Revie - Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Locatio
1
Ail e av; l ~etS Govt. Lot Sw 1/4 1/4 S 5 T ?,Q N R E (or Vw
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
13 + o'~~o of POLr~ r,% uIv
City State Zip Code Phone Number ❑ City Village [g Town Nearest Road
lfV3 k'~c~tino~~ Wi 54011 (')15) q&- Ric o•+~ I d`7*h S
i
M New Construction Use: IX_ Residential / Number of bedrooms Code derived design flow rate q:50 GPD
❑ Replacement F-1 Public or commercial - Describe:
Parent material n U.L l t,06- s ~ / T'J1 ►°w't ~ X Flood Plain elevation if applicable ft.
General comments SSV,5St st !,a5 ~ - 75.0''1'Reh~c_S Fl a ~.~►-c 5ife
and recommendations: T, I (9U . 39') T. (9!. 9 N $ f In 5 ,
p =4'e.s x,,,;11
7, Z (g9.87') .S ~ c a~ 7.5 ru
C m ESL 1:
-
T, 3 Cla9. 35') T. b 1P. I'D
Boring # ❑ Boring
I pit Ground surface elev. ft. Depth to limiting factor I 10 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
0-11 10 I 31 ~ L a P&P, d sly a s a P ,5
a ►I-aa, -),.SIR SC L 2M.S69 ~ CkAJ F .
3 as_~ -),54R 4/y41q S L a F- aW )vF
66- Ida 5qR q14 1 FsBk a S .6
I'd
C0.4A:nS PO&C z y1Zq - FS -
Fa~ Boring
Boring #
Pit Ground surface elev. a, / ft. Depth to limiting factor 91) in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fta
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-1 OR 3ta - L o) F& P, s' as a Ir .5 '9
~.S4P, yl~ ' S` ams& s c%A►
►~-a ~,s yR yl SL rS,e Sa+) Iv F ~ a,- o yrz y► - 1 ES8k a
* 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 Prin Signature CST Number
s Q1rk ~5 9C)D4b
Address Date Evaluation Conducted Telephone Number
C-)?(O ZOOS S-rckt 9rCk'V -f 00 540" -7 IS- iRqg--3ezW
SBD-8330 (R07/00)
Property Ownerg L~~, ~d PdS Parcel ID # Page of
Boring # ❑ Boring
F3-1 Pit Ground surface elev. s~ ft. Depth to limiting factor O 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
6-10 IOyR 3la L a FUR (3 s as a ,s IS
a ~o-i7 ~,syRyl - arcs ash c\Aj , s 19
3 17- 7,s 4R Sl Fps a P.S8V, as - - ,5
C Ira la ere w;A S 4 SL I FSaK
F41 Boring # ❑ Boring
Pit Ground surface elev. T ~ ft. Depth to limiting factor o1 (7 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 0-10 10 -q p 31a
a ~o-aq i'sARy)q SL IFSQ ds eel it: ,y 2te
3 as-I~ 5\4R 4I S rs8
F-1 Boring # ❑ El Pit Boring
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
* Effluent #1 = BOD5 > 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)
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.GRICULTURAL