HomeMy WebLinkAbout026-1143-50-000 (2)
wisconsm Department of Commerce SOIL EVALUATION REPORT Page I of
Division of Safety and Buildings '
- } in accordance with Comm 85, Wis. Adm. Code
County . Cr '
Attach complete site plan on paper not less than 81/2 x I I inches in size. Plan must
include, but not limited to: vertical and horizontal reference pant (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. &
Please print all Information. Re Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Z)CJ1 e Govt Lot F 1/4.1`1/4 SZ)n T~ N R [ Etor)
Properly Owner's Mailing Lot # Block # Subd. Name or CSNW
8 Ao~/ (L s
Qcl- d 11W-aidY44~ T
Ivey
Crly State Lip Code Phone Number ❑ City [I Village Town Nearest Road
Hu0son w ( l ) 1 C
® New Construction Use: 19 Residential / Number of bedrooms Code derived design flow rate Q GPD
Replacement ❑ Public or commercial - Describe: '
Parent material Q U 4 C~ S V Flood Plain elevation if applicable - ~ -
General comments S,/S+(e yh -9 q6. o
and recommendations: y + . (e J • qS- Co r`' t u VL U
i;.;JJ
COUNry
F Boring # ❑ Boring zC'fNiNG of=FrCE
® Pit Ground surface elev. ft. Depth to limiting factor I in Application Rate
Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Bounds .,Roots GPDW
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff/I1 'Eff#2
o - S;J
2 t _z 5' 1 .8
3 ! - rr~s mt 1.2
Boring # ❑ Boring J ^
Pit Ground surface elev. ft Depth to limiting factor 1 L~ in. Sad Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary . Roots GPD/fP
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Effll1 'Eff#2
-6-11 nslz' SA k' C5 .57 a
2 II.29 ! 5 l C-5 ~ ~ • g
-Iw
' Effluent #1 = BOD > 30:E 220 mg/L and TSS >30:5 150 mg/L " Effluent #2 = BOD < 30 rig/L and TSS < 30 rnglL
CST Name (Please M1jmrjkex-- re CST Number
Z 330q
Address Dale Evaluation Conducted Telephone Number
2113 Fn-T-1) 5+, Lfffff~a+' L)j -q6 2S 6-?-G-cam 15 241-CIC0
~ °r f
Parcel ID # Page Z of
Property Owner
Boring El Boring
a # a pit Ground surface elev. _ft Depth to limiting factor Ib g In. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Struc tuure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. °Efr#1 'Efr#2
l 016 t 2 Sr i c 1 try' • 5 •8
3 yb - ms ( - 7 /.2
q]Boring # ° B
F
Q Pit Ground surface elev. ft. Depth to Inuting factor 1I 9 in. Rate Sol Application Horizon Depth Dominant Color Redox Description Texture
Structure Consistence Boundary Roots GPOW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. TOM TRW
Cf, V4r . s
^2 1;0 2
1 12
Z .s B
3 321 • 7 2
31 Boring # ❑ Boring m
®Pit surface elev. 77. 7y R Depth to leni~g fader in.
r-Ef'M oti Rate
Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Roots GPD/it?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#2
I -fy j0 ? 1 c Iv- .5
2 * 5' c - 5- - 8
3 -421 t d r ~ - --_7 1.2 rns ` Effluent #1 = BOD, > 30 < 220 mg/l and TSS >30 150 mg/t. • Effluent #2 = BOD6 130 mg/t. and TSS 30 mgA.
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-9330 (8.07/00)
s
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NAME IA)a jd fo •+•t LOT#,S LEGAL DESCRIPTIONQ E '/,SW1, S 20 T 3QN R E (or)
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BM I ELEVATION /00
BM I DESCRIPTION•hopp•C j" (AaP
BM 2 ELEVATION R 7. 2 7
BM 2 DESCRIPTION 4a p a y~ e c PPQ r PT
SYSTEM ELEVATION 9G . 6 0 K
ALTERNATE ELEVATION YS' COD l
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