HomeMy WebLinkAbout026-1294-15-000 (2)
OIL EVALUATION REPORT Page of 41
Wisconsin Department of Commce _
Division of Safety and Buildings
accordance with pp85CWis. Adm. Code County
Attach complete site plan on paper not less than 8 1/2 x 11 riches Sl6 S~ 1
include, but not limited to: vertical and horizontal reference int (BM), dire ion Intl- Parcel I.D. p
percent slope, scale or dimensions, north arrow, and locatidn and distance to nearest road.
1A j, ij' 6? eviewed Date
Please print all informati~ n. i 2005
Personal information you provide may be used for secondary purtses (P ' ac Law, s. 15.04 (1) (m)). v>
Property Owner ZONIN FI E catio
G e ro-1 . C~ M •r ~ o III 1/46E 1/4 Sp q T30 N Rj !R E (or
Property Owners Mailing Addre Lot # Block # Subd. Name or CSM#
1/1 too 907 e. Nu) 15 0.10F 'c m C_rc
city State ! Zip Code Phone Number ❑ City ❑ Village co Town Nearest Roaq
~1K R*.~C-R KIN 30 ( ) - figs ~~ch trn 1/ st
IS New Construction Use: [F4 Residential / Number of bedrooms d derive design flow rate _ S _ GPD
C] Replacement ❑ Public or comma al. Describe:
Parent material CLl 2ftk,> O-S Flood Plain elevation if applicable ft.
Generalcomments SV r~QJL5* 3 -Trtr+,c,~n ~S .°I Fo r^ Qc-C h S •te„ =
and recommendations: • .c,' ! T. If
~7 ()IV KrOW ~ r
-r-a 9 Y. r.. 5 9 Y. 510,
Boring
'T. 3 a Boring # pit Ground In. Soil Application Rate
Ground surface elev. ft. Depth to limiting factor 5 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
O-Q 10Y
Ia-► ►o S L a i r GA) fly-d4 7. y y/ H e••v~ AJS b m 1F% Guy v F •
aH - 7. S y/ ` L I F k vet Fr w • -93 1-1. 5 Y02 y a-5 tin L cm--) - - -7 1 • Ile
(O 43.51 7.5 Q 5/ 5 0- s rn L. r~ )
7 s 4 TS s/y aF k - J.0
$6ib 4Lo -30%~rauellj - SY2`I H 7Z 1 Fsbk l•r -S
Fi-alBoring # Boring p
Pit Ground surface elev. _ $ •O yr ft. Depth to limiting factor O S 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
b 3/ a mfr w F
02 Iowt,s/ 0~1- MFr w r
)10 _ 31 yk 4 L~ 1M k. ri Fi Gw ;r-
14/1.
S 5 o-S L c~a r-7 '
w-- - - 0 -S vv1 L. L,w - . •
ly
,I Ll 11 - 30 yo r tic.) l ~ 3
Effluent #1 = BOD > 30 _ 0 mg/L TSS >30 < 150 mg/L uent #2 = BOD < 30 mg/L and TSS 5 30 mg/L
T Name (Please P ' ~r f~ Signature CST Number
t t / 6•
Date Evaluation Conducted Telephone Number
Addre/mss
S-towr a ! a -a 3 -o `1 15 a y$ _3588
VDA10
Property Owner Gera IBC 41 1 Parcel ID # Page CK_ of
13-ol Boring # ❑ Boring a 90
A Pit Ground surface elev. ft. Depth to limiting factor _ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
d-9 IDye- 3 L- IF PL r>^ r aw a?F .4
a q-3 d ye, S L IF PL w,Fv- Gw IF ,
. 7
3 13-0 TSYA 4 te A4- IM S6& MFi C-w 1vF . Ll
9-31 7,S M L Lpi - . I
'S I S y/ F&6 r 7
6
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
Boring # ❑ Boring
F-1 ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in.
Soil A 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
Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
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need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
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