HomeMy WebLinkAbout026-1144-00-000
_
vvrs8jR9eDepartment of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County
#/;ftach complete site plan on paper not less than 8112 x 11 inches in size. Plan must
include, but not limited to. vertical and horizorllal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. I
a Please print all information. Re Date
Personal Wormati vide may be used secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~2 v
Property Owner Property Location
Govt, Lot /U (,(f 114 S E1/4 S T N R E (or)~jV
Property Owner's Mailing Address Lot # Block # Subd. Name or CSW 061 / c~(f
s
-2p R ID LJOid g LO
City State zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
Lin
A
I L c~115)5
® New Construction Use: Residential / Number of bedrooms Code derived design flaw rate Z/SIOf/ rI n GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material aU-{-LA 3 G C Flood Plain elevation if applicable /C~.1~ 1 t ft•
General comments
recommendations: sys4e m 2 J 6/0'30
and
50
r
ZONING OFFtcl
Boring J
Bourg # ® Pit Ground surface elev. /00 . !d ft. Depth to limiting factor 1 Z6 _ in. r ; Rate
Horizon Depth Dominant Color Redox Description Texture SMicture Consistence Boundary GPDW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef#1 'Efr#2
ll
mv(;r
1
43 S
Z v Sil 2 rr-Cr c5 .5 . 8
X-1&~ -L4r- q it, MS
❑ Boring
❑ Borirg#
Z ®pit Ground surface elev. /60./D it. Depth to limiting factor l~ in. Soil plication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EffM `Eff42
~IS ^ S 1/ 1 2 cs .15 . 8
2 is- r i t -~-lr~ c - . 5 . S
36 t t mS - .1 I.Z
-J I
Effluent #1 = SOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) ignature CST Number
2'330
Address Date Evaluation Conducted Telephone Number
La'
211-3 -LI) So qo ~a o~ t5~2
1
Property Owner C I d no-w Parcel ID # Page 2 Of
# Boring
F-31 Boring Pit Ground surface elev. ft. Depth to limiting factor 117 L in. Solt Rabe
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Z 13 511 2 cS 4 •8
2 a-30 10 1 5d -pr
3 30-11-7 10 r41kk
ii Q
# ❑ Boring
F-H] Boring ® pit Ground surface elev. - -30 ft. Depth to limiting factor 1 O in. Application Rate Sod Horizon Depth DominantRedox Description Texture
Structure Corrce Boundary Roots GPD/if
in. Munsell Qu. Sz- Cont. Color Gr. Sz. Sh. *Eff#2
Z Si
3 ( m O m `1 1. Z
Boring # Boring
pit Ground surface elev. f4(1.BtS ft Depth to limiting facer in.
F 1-51 ❑
Soil Appi;i;. Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots . GPDNf
in. Munsen Qu. Sz. Cont Color Gr. Sz. Sh. '0101 *Ef#t2
1 0-12 j sit 2 wrpr c I .5 .8
Z - S' I m-f C-S
1Z
3q- m I 1
3 .
~t b
Effluent #1 = BODS > 30:5 220 mg& and TSS >30:_< 150 mg& ' Einuent #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 609-264-8777.
SSO-8330 (R07/00)
L
4 7 r ~
I
4
PAGE &0
NAME &1a(d CO LOT# /0 LEGAL DESCRIPTION T -40N,R i$E (or)o
SCALE: 1"= y6
BM 1 ELEVATION 10(2) • 0
~ 10
BM 1 DESCRIPTION ,p S-9
_~.t Iola r
BM 2 ELEVATION 9 q. 71
BM 2 DESCRIPTION 4p_R,~,
SYSTEM ELEVATION / ~0 30 X
ALTERNATE ELEVATION Y • 3
CONTOUR ELEVATION IOU.p 3 /O
All
8y os
Qr~~r~~1O1•C~O
D3
A
SIGNATURE