HomeMy WebLinkAbout026-1294-06-000 (2)
Wisconsin Department of Commerce j\ EVALUATION REPORT Page of
Division of Safety and Buildings
`ih accordance with Comm 85, Wis. Adm. Code
County 5 ~ C a ~
s
Attach complete site plan on paper not less than 8 1/2 x 11 riche~iZ$!
include, but not limited to: vertical and horizontal reference Int ( t 8r1ef-- Parcel I.D.
percent slope, scale or dimensions, north arrow, and locati and distance to nearest road.
Please print all informati A U G ?QQ 8V1e1Ne Date
Personal information you provide may be used for secondary pure es (Privacy Law, s. 15.04 (1) (m)). ~1 Z
Property Owner ~5 1. tion
ZONI OFFI E
CG 1l4 SF-1/4 SaJT3(~ N R E (or
erod . Sri-.-'~
Property Owner's Mailing Addre Lot # Block # Subd. Name or CSM#
/ I to 4`2 1 90 E. NW co of o is m crc
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
F -K R~VfP, SIN 1 5.5 3 30 ( - 8 le I K►C.h M
[B New Construction Use: Residential / Number of bedrooms Code derived desig rate S Q GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material -11 1'k► • - Flood Plain elevation if applicable h•
General comments ? Sv5ga t 3 -rtrtr~c»~•S ~.t(~ F~ f' a a.c 1~` and recommendations:
,,,rye rt T. ? ( 97A.7') 1 ] T,/,y[ f 9b.'TtQ)` ul~v..}K►..ow►~ 'r
V\~ G f w T-.~. 7Se 5 0-7 E
~ 5 1 ~T Q-P • 1 ,J ~9~j •~T1 11 Y , • Rs ` I
T.3 t 97.03' .o71 S i A I7
El rs 5
Boring ~ 1 Wl S i 1a La
5 1 Boring # ✓ 54 pit Ground surface elev. 11>24Y.- ft. Depth to limiting factor 1 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
10-10 jQ Ye, -3 /;Z L :gmSVnL 0A, m ~r %V-0 a 1= •
y/ L_ (1= m F.-- e- Lo . y - 7
AQ- -7, S M L Gw 1 v- P
Y Z10 7-SYkS/j, I t-'1- . 5 1'0
Boring # C] Boring d u 7
® Pit Ground surface V. ! r d tt. Cfdpth to limiting factor in-"/ Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD,fff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 'Eff#2
v- ! a
S -Ka t R 3/ L.. N w - -
►tv O f?.4' - L-r P 5b W I r✓ . u
f J /r I 1 i r
NO SL
e c.+ t V% C( o v
150 mg/L ARA Ant #2 30 mg/L d TSS < 3
S >3 <
Effluent #1 = !V-
OLST Name (Please P Igna u umber
aC
:AddrUss Q M s Oate Evaluation Conducted Telephone Number
• - 3 _ t>5 115 a y$ 339?
r W
towr
Property Owner Gera l& Sm A k Parcel ID # Page gp_ of A-
Boring F31 # ❑ Boring I Q
A Pit Ground surface elev. LD". -6 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
5bit Kkq~- Ciw G' F • qc
S 7.51(0 - L I FSbvt 1~ r G w I , w :7
3 ,s ~SyR~ - mss , ,f ; c . ~I .-7
rq)p%-qq -7
lit - J' eo-w1 S k - o {2 sY
-=X-
Boring # ❑ Boring 7, _~!1 C~1,(Sl 7 S
❑ ❑ Pit Ground surface elev. ft. Depth to limiting factor - in Soil ication 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
L
a Boring # ❑ Boring -
Pit Ground surface elev. _ ft. Depth to limiting factor in.
E) 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
Effluent #1 = BODS > 30 5 220 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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