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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety° Snd Buildings
in accordance with Comm 85, Wis. Adm. Code
County C
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must rmn I.,
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ' /
percent slope, scale ordimensions, north arrow, and location and distance to nearest road. `t
Please print all information. Rev by Date 22
Personal information yo vide may be used fors ry p rposes (Privacy Law, s. 15.04 (1) (m))•
Property Owner Property Location
Govt Lot A/W 1145 F_ 1 /4 S Zt-) T N R E (or) 10
jg 1)!26L
J2 106_,
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
1,54611A (1 '54q-GU01 PC(
I l,ut
® New Construction Use: ® Residential / Number of bedrooms- Code derived design flow rate GPD
T?
❑ Replacement 1, ❑ Public or commercial - Describe:
Parent material C~ ~ij )(a Sh- Flood Plain elevation if applicable 'KIIAIX ~
` r 4,.
4e
General comments Sy~ vY\ e 12 J Q&' Z 4 CLr"~1~[D
and recommendations: L+~ el-Q 1/ '70' • i f
DEC 15 2000 - 1
- ST CRL?1)(
Boring r' ZONING O~FtE
t Boring # ,~l
51 ® Pit Ground surface elev. ft. Depth to limiting factor I Z in. ate "IS
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rooter •r;Fbik
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2
i -9 10 31 5; Z rrrPr c5 vP -
Z- 9-1 S'1 a-Wlr C-5 - .5 .8
3 18- 2 1 - s S m1 ~•Z
Boring # Boring p,,
® Pit Ground surface elev. /7 . -26 ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fti
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 -{d Sil -A- C- 1 45 .O
Z J l - S C I rte- c • 5 1,9
3 Z14-zo y - - '_7 1.2
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:5 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signatu - CST Number
J~ U f M J& --,4
S
'c 1) Address Date Evaluation Conducted Telephone Number
211 iZ)Sf r~r zl 6 -zo a y 7-4,nad
1
1 '4
Property Owner &)a r0 Parcel ID # Page Z of 3
® Boring # Boring J
® pit Ground surface elev. /00.'90 ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
a Jb r 13 S% 2 c I,,~ . 8
2 rr-lor c
Z
-4 It 0 5; l
4-4] Boring # ❑ Boring
S Pit Ground surface elev. • YO ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
2rrvbk
I nn-rr C5 I'A'
•2
❑ Boring
5 Boring # Ground surface elev. ~00.3o ft. Depth to limiting factor j 21 in.
® pit Soil 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 *Eif#2
4) •5
Z C-5 .05
3 381 10 Vir-4jita ms e I , z
* Effluent #1 = BODS > 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 608-2648777.
SBD-8330 (8.07/00)
• r
PAGE__7R,_OF_:S_
NAME (ija lct r-o -4 LOT# / Z. LEGAL DESCRIPTIONAIli j``/4&M4,S ZCST -?n,N,R IRE (or
SCALE: I"= too t
BM I ELEVATION (()C . C)
BM 1 DESCRIPTION.40 j? "~.r p'~Qe
BM 2 ELEVATION 9 (P• 7 (v
BM 2 DESCRIPTION J~o p a L Q,{
SYSTEM ELEVATION ti •Z C7
ALTERNATE ELEVATION C/4 ~U
CONTOUR ELEVATION q 9. 3 a 3 /oa ~d
A
ek
sr'- gs'
0
~a g2 0
c 6r
SIGNATURE DATE 0
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