HomeMy WebLinkAbout026-1294-37-000 (2)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page J
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County ~ •
Attach complete site plan on paper not less than 8 1/ x 11 in r~qJ-WF0 f}+st
include, but not limited to: vertical and horizontal refs nce point ue d Parcel LD.~ L p V-3
percent slope, scale or dimensions, north arrow, and ovation and distance to nearest ro d. 2 /
Revie y Date
Please print all intor atYor U~ 1 8 2006
Personal Information you provide may be used for seconds purposes (Privacy Law, s. 15.04 (1) (m 6
Property Owner Lo lion
ere,) 15 L 1/4 1/4 SD% T30 N R /'S E( W
Property Owner's Malin A dress 11 Lot # Block # Su Name or CSM#
Ci State Zip Code Phone Number ❑ City ❑ Village (Town Nearest Road
IK. f'%2 r MIN) 53.36 (10) y
~1 New Construction Use:9 Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial • Describe:
Parent material "..1-) Q- 6 - Flood Plain elevation if applicable - ft.
General comments SSk2' $ 5-+ 3 .,rtr,Ur~c $ C y, Fi) r 0-ack.5 '-tC «
and recommendations: '
-rs r IY,11') ,
3,-Ac, i -r. a y s J L'
S T, (9 . s'J M
Boring Q
F-il Boring # ry, DePth to limiting factor In•
5L pl( Ground surface elev. r Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPD/ Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
I o-13 IM3 S L aFSbit MF,r' aw ~F ~(0 1,D
a 13-32 _75 lR Y aP'w5b+2 Mrs- c.N r << o
3 5 ~s~ - S (?E~kw - .5 1.0
- 5'1 S I '
F-7
Boring # 0 Boring
Pit Ground surface elev. O-N 'DS ft. Depth to limiting factor 00 In. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots E GPO/ffEff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
CO- ! 1 ID1 k3f ,w. 5 L a~5b k M fir- Ct w a F (o a
.D 12-34- ~r5`tRy -~°y ~rh~- Myr I P r y , 7
loi? 5Y R5~ F 111:5 -4k. - r S ► r D
3
= _<30 mg/L and TSS 30 mg/L
' Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L Effluent #2 BOD Number
CST Name (Please Print) Signature CST ST I -'e y
Dale Evaluation Conducted Telephone Number
Address .576 ;LDOV~N -off, 7 S-;t -3589
C y
Property Owner Parcel ID #
Page a_ of _
®Boring # ❑ Boring p -
Pit Ground surface elev. -17, 1/1? ft. Depth to limiting factor DS in,
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots SOS GPp~ n Rate
In. Munsell Qu. Sz. Cont. Color
Gr. Sz. Sh.
0-1a. fby/~ 3' 'Eff#1 'Eff#2
R s L- f5llo - a•a a F
7 S`I Q. Io $ L v~ Q 'sb E4 r
q F 1P
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Rs ~-5 a FSI~►L ~R . 5 1, D
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r r~ l Boring # ❑ Boring
I I 9 Pit Ground surface elev. Depth to limitin factor
g L O - in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil GPDD/~tf n Rate
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
3 'Eff#t •Efffl2
R %;6b 1t v.,~ Q w a F v -
q 7 YRy N~ Vn 5'b )L w►~r G.n~ --7
F S K r ~ . 5 1. CJ
N ~
Boring # ❑ Boring
❑ Pit Ground surface elev. Depth to limiting factor in,
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil GPD/ff n Rate
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
'Eff#t •Eff#2
'Effluent #1 = BODE > 30.5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 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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Wisconsin Department of Commerce jp. }S III EVALUATION REPORT Page of
Division of Safety and Buildings If"'
a Comm 85, Wis. Adm. Code
County S"t, C d ~
Attach complete site plan on paper not less than 8 1/2 x 1 inche
include, but not limited to: vertical and horizontal referenc point Parcel I.D.
percent slope, scale or dimensions, north arrow, and loca n and distance to nearest road.
Please print all informatf n. AUG -3 U 2005 7R!e!wed tb Date
Personal information you provide may be used for secondary pur ses (Privacy Law, s. 15.04 (1) (m)). { a 0/0-6
Property Owner L tion S kJ
1 ZONING 0 FI E iV 1/4SW7114 S aq T30 N R 12 E (or
G e t'a ~ , S r~ ~ ~'1
Property Owner's Mailing Add re Lot # Block # d. Name or CSM#
11/100 90 e. NW 3-71 Subat of is m Acres
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Roa
.
IF-1K R.21", SIN 55,5301 ( 1 8 c.h m 13AP-L
C9 New Construction Use: M Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material o L7-V k? (4-Sh_ - Flood Plain elevation if applicable
General comments = SVS$LS~" cc. ~,t So,aS' "Isk,IIo,-) • mou,e9 Se-+ 0,* 9g. f'~ r
and recommendations:
~ Lo7 36 aAa- ~/tav,.~h~/ ~~c~s`c~ G+~l ~9.Y? Go► o•:r
EE Boring # o Pit Boring r
Ground surface elev. 9$~ ~ 3 ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
/ -1t 10~(Z 3t - 5L a):7sb k&J 7;~ 4~ , y ,
I U - 3 1 -,5'(R 5 L 4- CIS
3 31- troo a h k 4 i C. t,J }A a r 3
(p0- yA 1V- -7. c-,Yt1 V L - )?1 ) i o'Z c
Boring # ❑ Boring t 75
Pit Ground surface elev. 9• ~9 ft. Depth to limiting factor 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
IK-34 5L mS6 CL-J I y
F -5 i, O
41 e3 y 7, 5 Y P,
' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 _s 1150-g- ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
T Name (PlelaAse P ' Signature CST Nul ber
Aerr "f b Date Evaluation Conducted Telephone Number
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Property Owner Gera ltk T, Sn Ak Parcel ID # Page C~_ of
F.-31 Boring # ❑ Boring Q a
Pit Ground surface elev. ft. Depth to limiting factor 75 _ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
L4 Y
3rd -_7,5y FS 1
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/ft'
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 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 = BOD6 > 30 5 220 mg/L and TSS >30:5 150 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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