HomeMy WebLinkAbout026-1151-20-000 (3)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ) of
Division of Safety and Buildings
in accordance with Comm 85, WisLan Attach complete site plan on paper not less than 8 112 x 11 inches in size. -S~ - CrO1X
include, but not limited to: vertical and horizontal reference point (BM), dire Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance 9 265 0,2L o -~7b
Please print all information. Reviewe Date
6 X AUNTY
Personal information you provide may be used for secondary purposes (Privacy Law, FILE a3
Property Owner 1 Property Location
5 ~.e ( k1 (AO Govt. Lot O 1/4Sk) 1/4 S T 30 N R E (oro
Property Owner's Mailing Address River Lot # Block # Subd. Name or CSM# ~d
city State Zip Code Phone Number ❑ City ❑ Village 2 Town Nearest Road
4t(c4S On I OJ/ S'qal ( ~1s) SW- x(061 ,c~' d
® New Construction Use: ® Residential /Number of bedrooms Code derived design flow rate vs-o 1In O GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material CC( 5 k Flood Plain elevation if applicable ft.
General comments sy~f e/y~ ~/e Ur Q~0
and recommendations: '4t4` e J e J~ 9S D 6
F-11[:]&pit Boring # Boring
Ground surface elev. 7, 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
1 6-% (o ,~3 f z - s 2 q-ob~, rn r e s I Y 5
Z. ~-W f O r't1i 2 bk 1Y)V cS - Li (o
3 Zv-tl~ to yl' ms D m I - Z
F2-1 Boring # ❑ Boring O f
® Pit Ground surface elev. ft. Depth to limiting factor ~16 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
ry in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
- Z i 12 2mo bk C- s I~ 5. g
16 ION r 14 ko - m 1 - `1 ► , 2
' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 150 mg/L • Effluent #2 = BOD5 < 30 mg/L and TSS 30 mg/L
CST Name (Please Print) ig alure CST Number
Ado.{,-, Scho er - - ?-533n9
Address Date Evaluation Conducted Telephone Number
2113 (25L
Z 715 Zq 7- qo68
SRf)-g,in rrn7700)
LJ=\rOT Parcel ID # Page of
Property Owner
F,31 Boring # ❑ Boring jig_ Pit
Ground surface elev. Depth to limiting factor 1 " in.
Soil Application Rate
fHonzon 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
1 -3r
F-1 ❑ 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 GPD1ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I
II
ail
❑ Boring
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ 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 '01#2
• Effluent #1 = BOD5 > 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 608-264-8777.
SBD-8330 (R.07/0D)
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NAME Wu W pro -i tLOT#ZU LEGAL DESCRIPTION A)t- X-':~~f 14 ,S ZZ) T.3 G ,N,R, 1 ~ E(or~
SCALE: I"= "Id
BM 1 ELEVATION /1".
BM 1 DESCRIPTION o ~rD~c
BM 2 ELEVATION 80
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BM 2 DESCRIPTION 16,0,Q
SYSTEM ELEVATION
ALTERNATE ELEVATION 9s, od
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