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HomeMy WebLinkAbout026-1294-08-000 (2) erl 5• ' Wisconsin Department of Commerce lh~ '61 '-EVALUATION REPORT Page of Division of Safety and Buildings rd i Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 n must c: 0 1 include, but not limited to: vertical and horizontal refere ice po Parcel I.D. percent slope, scale or dimensions, north arrow, and to tion t st roa aJ a Please print all inform tion. e d Date yy~~ i~nnnn ~ Personal information you provide may be used for secondary urposest(Pray Lafs. t9 ~4) (m)) u(~Y1,,.,,,~ / Properly Owner Property Local on L ST. CROIX OUN V Ge ~a! . S M • ZONING of it.) 1/4 SE 1/4 S aq Tau N R E (or Property Owner's Mailing Addre o # Subd. Name or CSM# 100 _ 90 e. NW lPla-t o F Richmomb. Acres 1 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road F1K R~~lffR MN 3~ ( - 8 Rich rn 147 S't 0 New Construction Use: 95 Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material . Q & S -T. I l hh Flood Plain e!evation if applicable ft. General comments :r :s v 55 t s'F y _ ,r r- a, ~ ~ S C ► N )i Foy L e- c.. h and recommendations: T.1 (QS.S'0 'T 5 C 99.$`1 F~' VN fio~.,►~ ; ~r l L T.2 os.34') • 1• l94. t.f.'1 1.3 116.2 1, t C4 y. y7' I S N~~ g •`f C S• rr In'J T 1 ' F7 I Boring # Boring c< U R Pit Ground surface elev. Llst-ft. Depth to limiting factor I -"D _ 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 3/ L L m Ir OUD a N EAV~ M Gw I- I/ S L• r2m r G 117 / tf r I FIR r~l J-7, I ~f J I F-6 6 1 lot I~ a.. Y '41 --Ai # Boring "j';~ Al 44 3) it of t1'W kS fA Pit Ground surface elev. _ 9 D y tt. Depth to limiting factor 105 in. Soil lication 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 1 3 L 11= ✓ Cct~) c F M I'S 5 L t,J IF ete 3 7.5 y J M k rn i C-w I v 1= -s 4 m L e-w .7 1 1, (e 5 5 -I o I Io C: - ML ' 7 1. 7 * - aLk-L O S Effluen = > 30 < 220 m _ = D < 30 mgit and TSS < 30 mg/L T Name (Please P Signature CST Nu, ber -I'Di> T11 - A&A 14 1p AAdddrr v1 O 7t Date Evaluation Conducted Telephone Number 715 a y8 3588 ,r t ell iw~ 7 ~ 3-OS .If Property Owner Gera Ilk T Sm A 1 Parcel ID # Page C:Q_ of 131 Boring # ❑ Boring I Q P5 Pit Ground surface elev. _!~a! ft. Depth to limiting factor I D 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 3 215 SY 4 L 1 F b m P y- tw IvF -4 .7 s - q -7. sl o - - - , 7 - -7-5)!924 Al CI5 b k) a F-1 Boring # ❑ Boring - ❑ Pit Ground surface elev. ff. Depth to limiting factor in. Soil ADolication 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 Boring # ❑ Boring F-1 ❑ Pit Ground surface elev. _ ff. 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 Effluent #1 = BODS > 30 1220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOOS < 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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