HomeMy WebLinkAbout026-1294-10-000 (2)
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Wisconsin Department of Commerce EVALUATION REPORT Page of
Division of Safety and Buildings
~Ia d rd omm 85, Wis. Adm. Code
County st C. P'0'1
Attach complete site plan on paper not less than 8 1/2 x 11 1 ches I I~tllr~EtEIAP°la
include, but not limited to: vertical and horizontal reference int (B 4hr~ Parfd-° Parcel I.D.
percent slope, scale or dimensions, north arrow, and locatio and distance to nearest road.
Please print all Informatio AUG 3 (4 ~QQS Revt ed by Date
Personal information you provide may be used for secondary purpo s (Privacy Law, s. 15.04 (1) (m)).
Property Owner 0 f. tion
ZONING FFICE 1/4SE 114 S a$ T30 N R E (or
tet , 10 21
Property Owner's Mailing Addre Lot # Block # Subd. Name or CSM#
I// too 90 e. NW O at o F tc M crc
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
FIK R~JeK P1N 55,5 30 ( > K;C.h T, 13-6 ~vQ• r
New Construction Use: l~ Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe: -
Parent material _ d ` ) " Flood Plain elevation If applicable - fl
T.-4 ~ ~orr~Plaer=
General comments ?S* vSScst 'IrsrL~S (.%A Fu a
r Pr' `Lr ~ T• Y ~9b.15') :
and recommendation T 1 (q5.3 • ~t
(95.85
T,1 f9'l.'35:~~~t . T, to C9S.sV') bt race
T.3 (9T.7
ED Boring # Boring Q/yru2 ~T~/
Pit Ground surface elev. _ + ~Y 7 ft. Depth to limiting factor '95 _ 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
- 3 - a 6 / Fy- acv OF •
2110 /iL) wi F G~J
11) -0 4 -1, Y
y/ SL IF r~ cr.v tv~ •
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7 SY/Zy la a -Vj
,Slvntrt L 0
Boring # Boring
p9. a 0 O in.
1~ Pit Ground surface elev. _L- tt• Depth to limiting factor Soil Apelication 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
I - D l0 a d:F,22-F-r Qt,w o?F to
a Ins /o R 314 >r I , lO
s-a 7,SY yla `14 IMsbk cto 1,
4_ Ll -7• SYfZy U sad a
CAr!S
Effluent #1 = BOD > 30 5 220 mg/L and TSS >30:s 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L
T Name (Please P ' Signature CST Nu, ber
Add ss a C * 1, Date Evaluation Conducted Telephone Number
'-a3-05 -7 IS d 35s8
v' c` r W
Property Owner Gera Idk 1; Sm Ak Parcel ID # _ Page -25;R_ of _
Boring # ❑ Boring I
Pit Ground surface elev. _9 7. 13 ft. Depth to limiting factor 43 O_ In.
Soil Applicatio Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 -113 JQYP- 31 L F m Fr a.w c9 F :R
S 4 HeavI M i w F -V -7
.11 S yJ 1 b k r-% Fr Gw t vF 4 -Z
s -s .SY SJ S - M
~ - - -7, S YP,
y a
F-1 Boring # ❑ Boring
E] 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/ft'
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
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 GPD/ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODE > 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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