HomeMy WebLinkAbout026-1133-12-000
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings - in accordance with COMT-85, Wis. Adm. Code` ,✓7
County
S f `1~ f x
Attach complete site plan on paper not less than 8 1/2 x 11 in 41 size. PlarWust
include, but not limited to: vertical and horizontal reference ppi4(BM) di arcel I.D. percent slope, scale or dimensions, north arrow, and locaticl an,1 distanci;: 9 road.
'
r 11 _R vie Date
Please print all information.,, ~A Y 7 -
i n C~/~ aZ
Personal information you provi y be used for secondary purp privacy La~.fs.
Property Owner F ~
N
E(o W
Q Q T 1 S n+ tGovLo~E Locatiti 1/4 1/4 S T30 N R )S
P erty Owner's Mailing Address Cpn f oc < / c Su~bd/. Name or CSM#
Ro C ,a 1~'el,ar tU sor , 91fIIa to /JPV~/0 M?n
City State Zip Code Phone Number ❑ City ❑ Village Town Ne est Road
fir
`~'I
w~,~ Qeas ~ Y'~~~ 55110 (bSl )~~~-Jy~l ic~v~,or
New Construction User Residential / Number of bedrooms 3 Code derived design flow rate q5(0 GPD
❑ Replacement ❑ Public or com ercial - Describe:
Parent material q~nCja1 Flood Plain elevation if applicable ft.
General comments _ b.7S 'I`Qv~c $ L1aS! .aq"~ D r S
and recommendations: M~-
1'3 9 L o eC- e- s;+e .
❑ Boring
M Boring #
Pit Ground surface elev. '17, 35 ft. 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
, g
I O-S o 3 a aF~ rn ER as E 1!5
a -9- s y FS11V MFR cVJ F , 5 . g
3 Lai 0Y q 1H CL amsV F CW v F . N .b
q SL
qJ4 el-
S+1' 10°rlo
Boring
Boring #
Ground surface elev. l (o,S ft. Depth to limiting factor in.
QK 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
0-9 Id R 3a L (s R s aF S g
a 43 )OVR .51q L- aFsQ (2w IF .5 .S
3 13-35 f b 4 C L a , YYl P, C vJ I v to
vJ - , s
y ,5118 y SL aFSGK F9 C
j qf-,;tb 1 R 4 -Sr VFR
0
S~ a5% Co~~l
* Effluent #1 = BOD, > 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
')Gnywa -s' S+Ocv, as1 H6
Address Date Evaluation Conducted Telephone Number
~ ~ s -a~i~-3 88
aye 0-1004~ sk Spar Pry k 'l- l SgQa q -20- 01
9 SBD-8330 (R07/00)
Property Owner C.o A2s ~ H; I IS rtC Parcel ID # Page a of J
Boring # ❑ Boring
Pit Ground surface elev. ~17~ Q ft. Depth to limiting factor a D 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 o- /0 ►0 31,R a F&-,e M'CR s a r , s
a ►o-l-7 o yl3 L FS12 K/ MFA CVj ! F tS 18
3 n- 3a q14 CL s m Fx CW I v . ~I .6
3a-y6 -i y Y SL Fsg Fe, CW . s ,q
q Boring # ❑ Boring
Pit Ground surface elev. 9 Y.oZ~, ft. Depth to limiting factor 100 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- ►0 3Ja 1- a FU F QS F .5 .8
a -/a O s~ L Fsj3K m CW 1F .~5
3 IOU 'orb e L a slSrr Cw
- a 1,5 YR K Iq ams m r w .5 .9
❑ Boring # ❑ Boring
❑ 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
* 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)
Pte. e- 3
5w ley j S w l/y See-. lob on ,
T3oro, RI4 - Sat.
Sca1~: l yo
fi
t ToP ~
a~.3~AC.f G StGG.I
R t~~.k~n o L P ~ ~`5
fr
~f
Vf
rl
s
pfd 1
T, t
S ~
14
r
Y
fw
h /'o+ IA~
f
550.6-7 7
So V 1~ 1 1 r hf~..
9'7.3s'3 9 7r
M
y
W-mmumnaft
WEST LINE OF THE SW 1/4 OF SEC 6,
T.30 N., R. 18 W.- UNPLATTED LAND
2s0.6o . - . - . - 5.00 soir25'01 or 1085.14'
0°25'01 "E 0 244.2
e CD
e C e O
~ I
L
~ t*1 N
C) 50'-i OD Z I g
U) e co tT > IN*1 ' I SD 7~} I
ems, tZ*1 to ~e E} D 1
wo AE H-
D
V N I' / l
ZOP
00.
A \ 9
V i
63-1
lV / ' \
? 8 250.00 9 co
217.00 ' Z I i+µ co
N'.-
Aj~ NjN Nm \
y mMr
N
217.00'
s e
ir 250. 00, 14
v v / ✓ ,
r
W2,T
976.4
357.80 •siv. enn•