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Home My WebLink About026-1294-36-000 (2) Wisconsin Department of Commerce U ) EVALUATION REPORT Page of 4 Division of Safety and Buildings C < r with Comm 85, W is. Adm. Code County St C V Attach complete site plan on paper not less than 8 1/2 x t include, but not limited to: vertical and horizontal referen point Parcel I.D. 7 (j~ ~ percent slope, scale or dimensions, north arrow, and to ion and distance to ne road. Q L Re 'wed by Date Please print all informs on. AUG ~ ~ ( 2~ ~6 e~ V Personal information you provide may be used for secondary p oses (Privacy Law, s. 15. m))• Property0wner -T. CR01 ~MML caJ Sw e (.Q` ' C M -t ZONING (4Wapt 5 1/4 sw 11 4 S p~$ T3(~ N R E (or Property Owner's Mailin~~re y Lot # Su me or CSM# e. NW 3lo at o F c - cLf- City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Rroad Ave- C9 F1K R~J~R KIN 3C ( 8 KZic-h m New Construction Use: 95 Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: - - Parent material V L,J Flood Plain e;evabon if applicable _ fl General comments Su g 5 a 5 G 7 S `Sl,a l rw+ o r e S c-t 10 D, '7 3 and recommendations: MO 17dC-"? /-uT3-7 vcl ~14 3E~4rM41 ow 1bv,a►3~40j'~Ovr~ n Boing # Boring q pit Ground surface elev. -3 ft. Depth to limiting factor o- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#GPD/ffEff#2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. (A uo L4 144 LQ- 775YR 71 -7 YR Boring # Boring ~p q R Pit Ground surface elev. _LslLL ft. Depth to limiting factor 7S in. Soil Application Rate -Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPD/ffEff#2 In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. o-~~ ID1'R % L a r r a~ , L4 19-3141 -7, G Y 9/ FI A.~,I a m 5bk r G~.L~~ 1 L-1 r- - 5 • C~ 3 3 7 yet s/ A-- 71777-77 Effluent #1 = BOD > 30 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = BOD 30 mg/L and TSS < 30 mg/L Name (PleaAse P ' Signature CST Number T i'iI Add ss Date Evaluation Conducted Telephone Number a a 7t s 7 ;L -dS `l is d Vs 33919 TC It , rut. Property Owner Gera Ii~ Sm ,+k Parcel ID # - Page _ of Boring # ❑ Boring a Pit Ground surface elev. O~~S y ft. Depth to limiting factor ~75 _ 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 O--/o D'f R3l ~5 i. a ~~o m Fr Lx w OF y , S a a3 o'I 1 - F s L a s s r., IF- r F . y 8 3 a3-y Sy s/ v f$ I F ►ti F Cw I uF • y L/ y8-75 .5 YRy F5~1- I rn S b K. , a . 3 F 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 F1 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 = BOD5 > 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. SBD•8730 (R.6=) o 1,0+ 1$ tom) 170' N E 94 5w ly I_5E/ya- Swyl 1 Sec. 2$,T30M.4 IRt8w - Sw`F' SE.I - - GSt aaila74'tp CLC-r e. D-t 0 O p O 1 Qe ` ) -ro1 0- 1 %A) cC>V-Ner 5-~ e.~~ Sv v E,. y' YYl a. Top C- N E C- pr r -t r - ~s \P-9 ` - - - 4_ - - 1- v - $ 3 / ob-. 9 y - - - A i UNPLATTED LANDS- t ,t.-, . ) 1 1 --North the or the SW 7/}1' , , - t•y,.c~v-v-7~•-..s{,,_t t 9 K'" -ai C!Q~ a`., t ..•:.:(~Q, \....:':,1 / )",J~~.,.•, 7t.., \ .t 16 9792 N.B.A. 97 .7 • 1.91...ocres x j 5_'i 7 , a3.i l ! i } t ' 521 . Y>, i r l - " Z,?O'J 301 , ©o~~ ` '~t 411 85rc a res ="'~c~.r 1,7' Cnj MA A, .41 c.res : NB:A, 1 6T Acres 2 / c~ 2 SB.A.\ g5 ogres 194'acles (i / ' r Cxr %0.4 i J. 98 o~re~ \ 1 i I l! B A W N B A NBA 294,3 ac rp 22J acres 4 i, 't \ \ \ e 1 J ~0 167 96 rBS O 1 B2'oCres 1 NB.,1 i \ \ i 1 ' 1.96 vl.res 1 Z6< I J- - 1 r ~ i Q~ t~ C 7' £'00 119 t3 3 - ' 966.s 1 } i 1 - _ - -71y. w ,i j 14W 107' y\\ C)C~i 1 61 t , IV .J.. k` . t , jj t-80' 1EWPOP •QE- 1 ! - ARr ' EA.9FAIENT (m R£ R£aI04ED...}•' 1 r \ \ I _ - ~j I I UprW -XTVVWCW CF 7HE ROAD? J / , I 1 t, C,t t 968.8 St 1 i - 411 u, ( J' ; "26\ \ iAA7 =~acrgs y NB. A. - I B. 4. ,,1.73 acres f l° ' j 1 o res - 4J.'~? 6 C1Cr~S`~ t~.B' a. I 4 y acres I ,Q1 24 (r ~1 962.9 1., ) NB, A. i.9~ aLxes I „ 9729 i 2.! ~j U,crS x 26 47cre~ '.jN~.B.A l\ " ` i acres i 219 7.2 ? 'l` V Qr rG~.1 960.7 1 _ N f7. A. 1 %6.7 i \ \ ` J , NAA 2 25.' acres. x o 2.40 actes I ` 12 ac7es__... Z.t i, 967.7 f,yQ' \ < ~277 acres. v x y, Z' 964.4 .1 20~ _ - 241 964.6 11 t\ 32 21g1 B cFes Io o FA, N. E. r cres I I~ 37 36 5 .31 1.81 l x - ~ ``f,46, acres acres 2. 11~ acres f 72.9 \ N~. A. 961 N B. A. V. B. A. r x.01 ac/8S'B. A. 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