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HomeMy WebLinkAbout026-1147-29-000 t ~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ( of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ' Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0 24O'-' -7" Z~--~ Please print all information. Re ' wed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~YL~. 3 (2 G 3 Property Owner Property L%2 Qj Govt. Lot .aw 1/4 N W114 S 2 q T ,2yJ N R ~ O E (or&W Property Owner's Mailing Ad ess Lot # Block # Su Name or CSM# PD - ~ IO~Z~2 Z-9 N City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road r 5511th c l~~l) ~L~ -0'1 i r1d 1' EOM` New Construction Use: Residential / Number of bedrooms -3 Code derived design flow rate C~ GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material L I ( Flood Plain elevation if applicable E General comments Sys-teW\ 'e I e~J Y and recommendations: C~ 2[ 2U 9! od ~U d _ APR 2 3 2002 ►1-o 7~co-rin , ST. CROIX COUNTY ZONING OFFicF: F T] Boring # r❑r~~ Boring pit Ground surface elev. 2 ft. Depth to limiting factor 2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/1`12 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2- I C -lO 1b rJZ- - 5t 12 k M C_ S - 5 8 2 16- I y 5 i 2w7 { . y 1D 31 2P -1.5 r y s4 ZrnSbk vr)- r Boring # ❑ Boring 2// ® pit Ground surface elev. ft. Depth to limiting factor 3cn in. 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 'Eff#2 Z 2- 01:5bkmr 5- 5 g 3 310 58 / 6 hP FZ P T r hP L) Z m~b~ m~t' e-4 ee ' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print Signature CST Number -S-3 3 C? ?I Address Date Evaluation Conducted Telephone Number zl! Gl►~cr Gv ..S Uz -G~ ?/-04/ 7-Also g' S13D-8330 (R07700) } Property Owner A L I n Parcel ID # Page Z of Boring # ❑Boring pit Ground surface elev. I I ft. Depth to limiting factor 2 ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten undary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ©-tD 32 Sr 1 2 r e s I J J ' 5 Z I fl-Z? l U r`{~~ - 5 2 r - S Z738 10 S6 I 2 k L ❑ Boring ❑ Boring # ❑ pit Ground surface elev. ft. Depth to limiting factor in. coil 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 'Eff#2 F] Boring # ❑ El 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 GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 • 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 608-264-8777. 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