HomeMy WebLinkAbout026-1294-27-000 (2)
Wisconsin Department of Commerce D Q d?"I EVALUATION REPORT Page __.t' of 41
Division of Safety and Buildings
i n Comm 85, Wis. Adm. Code ,
County St 1 ~ C U (
Attach complete site plan on paper not s than 81/2 in
include, but not limited to: vertical and horizontal refer ice po Parcel I.D. 6z 0q r / _
percent slope, scale or dimensions, north arrow, and I tion and distance to nearest roa l `mil
Vb1 Date
Please print all inforMation., D , )nn Re
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Y41 Personal information you provide maybe used for secondaryurposes (Privacy Law, s. 1) (m) Q~
Property Owner ST. CROIX BffiilyLo iorL Sw
ve-rt-1 ' ZONING OF6WELot w1/45& 1/4 S a4 T30 N R E(or
Property Owner's Mailing Addre Lot # Block # Subd. Name or CSM#
11/100 90 e. NW a7 at o f lc m c rc
city State Zip Code Phone Number [D City ❑ Village ® Town Nearest Ro dk
f-1K R•~ iR PIN 30 ( - 8 K;c.h m 13V t .
IS New Construction Use: [6 Residential /Number of bedrooms Code derived design flow rate 44S GPD
❑ Replacement ❑ Public or commercial - Describe: -
Parent material -fl~fi W Al S h • I I hA Flood Plain e;evation if applicable ft
General comments T S is 5 5 ` s t S i 4 e
and recommendations: T,( (Io• iq,) ( 44. q5,),
t)w kho ,
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7.2 1
T,3 CIDD.4D•~ (99.b5r~
Boring # ❑ Boring
a tg pit Ground surface elev. I ID ft. Depth to limiting factor I 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
we L a w5tvK m-~,' a- Vj , q
~i 1a-1 -re %4 1 5L SDK r C w I 1,
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3 I g -1 Y2 4/e µca __._a. 5 1 r e G w \ v ,
Fo-11 Boring # Boring f
Pit Ground surface elev. 1 D 3,38 ft. Depth 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
i YL 3/;:1, - L. ; yr56m''r a w -L
a 7~ SO, 4/ 5 L I rr;'r C Li 1
*3r J~5 I e ~
Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 5150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS < 30 mg/L
-CST Name (Please P Signature CST Number
[Add ss a O Date Evaluation Conducted Telephone Number
17 U
r 01,; `715 -d VS 3399
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Property Owner Gera Its. 5wl ► 1 k Parcel ID # _ Page CK_ of A-
Boring # ❑ Boring
Pit Ground surface elev. ~~s $g ft. Depth to limiting factor a~ in.
r*Eff#1- oil 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#2
b OYR3f L ask ieI V- aW g
s L- fA w- 111.7
J`
3 104- ' c t,~ t
y 31-`15 , 5 `1 LQ rw ~r C w . s ri . +t7
S ~S•11 7.s`t YJ v t FSb GL. fr- , y Lo
S Vi
023 0 1 1
Boring # ❑ Boring F-1 -
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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
I
❑ Boring # Boring Ground surface elev. Depth to limiting factor in.
❑ Pit 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 = BOD, > 30 5 220 mg/L and TSS >30 5 150 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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