HomeMy WebLinkAbout026-1143-20-000 (2)
Weconsin Department of Commerce SOIL EVALUATION REPORT Page of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code Amy
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must l
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale ordanensions, north arrow, and location and distance to nearest road. 0 -
P/ease print all information. R Da
Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). 07
Property Owner Property Location
r Govt. Lot NE 1/4 -<-,6,/1/4 S 200 T 3() N R j E (or)
Property Owner's Mail Address Lot # Block # 5ubd. Name or CSW
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City State Zip Code Phone Number ❑ City ❑ loge [ig Town Nearest Road
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Son c 1 ) 5
New Construction Use: 1) Residential / Number of bedrooms ` Code derived design flow rate F~IGPD
❑ Replacement Public or commercial - Describe:
Parent material U Flood Plain elevation if applica le
General conmeMs Sy S~{-e ia*. /V and recommendations: -2 Riot ; A V►'ie~-( 6-e, S 1 l 7- d i s \ ZONING OFFICE r
Boring # Boring C~„ c`ry j
F Pit Ground surface elev. 7. OU ft. Depth to limiting factor 120 in.
n Rats
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundaryy Roots GPDW
in. Munsel Qu. Sz- Cont Color Gr. Sz. Sh. *Eff#1 *EfW
-t 1 sit 2yn . $
2 I_ 1 Si 1 2 C- . 5
3 to r~r(to g mi i•2
FZI Boring # ❑ Boring
6R Pit . Ground surface elev. 99 86 ft Depth to limiting factor 8 in. Say Application Rate
Horizon Depth Dominant Color Redox.Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. -Eff#1 *Eff#2
t 0 -8 t0 'rSi 1 by-ab k. rrr-Pr c5 5 • d
2 - 10 rifiq ,50 m'~r C,S .5 .3
3 _ Zip-M 10Y(-4(W m5 05A Yn ( - - • 7 1. Z
" Effluent #1 = BOD > 30 :5 220 mg/L and TSS >30:5 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
afore CST Nunim
CST Name (Please Prtirt)
Address Date Evaluation Conducted Telephone Number
21/3 FL-112 a, + 3 p -zcroc~ 15)2NI -UC0
Property Owner lit-J i ry -k=~ Parcel ID # Page of
Boring F-3-1 # ❑ Boring
Pit Ground surface elev. ft Depth to ft" factor J..~.- in. Sod Applicalm' Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. *EW *Eff#2
I
OjO 3 g; I 2 C .5 .8
Z - I -1 8
. f• Z.
3 nr5
BodM # ❑ Boring
q] Pit Ground surface elev. 99. ft. Depth tD limiting factor )b$ in. R SW Appk*A'mn Horizon Depth Dominant Color Redox Description Textura
Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff02
0- 101gr3)3 M& - S• I Z C J VC 5 .8 'vi-41V n-abk Z - 3 10 5.I -fit' . 5' • $
3 -1D8 ms m 1 / Z
Boring # F5~ Boring Ground surface elev. ft Depth to lam" factor 2 in.
Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Effffl *Eff#2
1 10-33 JO 3 5i( M-Pr CS lvC • 5 •8
3 2 /0 9/ - s nn i
* Effluent #1 = BO: s > 30 5 220 mg/L and TSS >30 1150 mg/L * Effluent #2 = 800,130 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.
se"30 (RO7=)
PAGE-3_01F__~5
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