HomeMy WebLinkAbout026-1294-38-000 (2)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page J_ of y
Division of Safety and Buildings
in accordance with Comm 85. Wis. Adm. Code County
Attach complete site plan on paper not less than 8 1/2 x 11 Inches In size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. D_
~ 7 3~
percent slope, scale or dimensions, north arrow, a oca
RIttTfWa ad 7 Dale
Reviewed
Please print all Int rmat on. (Ib
Personal information you provide may be used for secon ary purposes (Privet law, s. 15.04 (1)
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Property Owner perty L cation c1
e.rcd ► '5VVN ►`l Lot 1/4 114 Sr~ v T 3t,) N R IS E ( W
Property Owner's Mailing A dress Lot # lock # Subd. ame or CSM#
9a ► /acvC.. 1. I4>*_t F (~►c.~•►~►o►'bq Acxl S
Ci state Zip Code Phone Number ❑ City ❑ Village (Town Nearest o
=
New Construction Use: Residential / Number of bedrooms _ Code derived design flow rate GPO
❑ Replacement ❑ Public or commercial • Describe:
Parent material IA.) Flood Plain elevation if applicable _ ft.
'44a
General comments SuS~G S`~ ~'~t`L►iv°~ C•'~1 for a L•, ' 1'~' w► D ICc.a y
and recommendation TAY q
(93.791 - S (9~.s~~~ pe~'~~' .
1 .3 Cq3. 5'~
Boring # Boring 11-0 _ in.
Pit Ground surface elev. lTIp 31 ft. Depth to limiting factor Soil Application Rate
Eftizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - GPD/ Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
• I. _0
DL L SStt rn ~r Aw 7
D- I 01 Ph -
19-31 -1,SYRy i F-g5.6W. r w i %1 31
-56 161 Rye I rnS 5V r~ y
V-1 '76 `IP.'S)y ~ 5 FSb f , 110
Or
1 ...1 1 Boring # Boring 7, $ 3
I1 II pit Ground surface elev. _ ft. Depth to limiting factor ' a 0 In. Soil lication Rata
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .E GPD/f Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
aFSbVt r w' u ►14
-5 P
y5~ 'f A - V F
' Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L Effluent #2 BOD < 30 mg/L and TSS 30 mg1L
CST Number
CST Name (Please Print) Signature
r at Evaluation Conducted cTelephone Number
Address
° r .
Property Owner-
Parcel ID #
❑ Borin Page _ of
Boring # g
Pit Ground surface elev. ! 97•73 ry,
JA Depth to limiting factor a'd
in.
I D/ff n Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots soil
in. Munsell Qu. Sz. Cont. Color GP/ff
Gr. Sz. Sh. 'Eff#1 'Eff#2
I O
n Boring # ❑ Boring
l L I 9 pit Ground surface elev.1 v• -n_ ft, Depth to limiting factor 01D in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil GPD/ff plication Rate
in. Munsell Qu. Sz. Cont. Color
b- )D'IQ3 Gr. Sz. Sh. •Efftll 'Eff#2
rtn -r- w 01 1, Q
w r
a Boring # ❑ Boring
❑ pit Ground surface elev. Depth to limiting factor
In.
n Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil GPD/tfF
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
'Eff#1 'Eff#2
Effluent #1 = BOOS > 30 5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg& and TSS 5 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 j L EVALUATION REPORT Page of
Division of Safety and Buildings ~ UVn accordance with Comm 85, Wis. Adm. Code ,
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must (Z V I
include, but not limited to: vertical and horizontal referen po n Parcel I.D.
percent slope, scale or dimensions, north arrow, and to ion a road.
Please print all informal -on. fewe - Date
n ld
a,i~ @ 05.))•
Personal information you provide may be used for secondary p oses (f~(~La3,,r~15 o o6
Property Owner PropeyLocali
Ger od . Sm.'t k GT•CR01 1/45,,71/4 S a$ T30 N R E(or
Property Owner's Mailing Addr_1 Subd. Name or CSM# LVL 1 Qp e. NW 39 at o F r,c w► crc
city State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
I? a1*Q Aoe-.
~lx R veR rAN ao ( , - 8 P-
New Construction Use: T~ Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe: - - -
Parent material ~u~4_t?s 1, P/ J! 11 h'► 'fi't _ Flood Plain elevation if applicable - fl
General comments ~su5'f~S"F ci. $rX. S(~.~5~ ~S1.wllou?+~MO~r~` S~"f ~~-"E' 99.73
and recommendations: 7-"-Zt'"'
G~.S~tJ0►~► a3 c o~-+ovr~
Boring
Boring #
Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I 0-/;a y2 L s h -r L a~
3 4 Y, ~j~, c w 1V-F y
yr` V~ 5 . Srl~ tom, L c w
5 y -u Isyp% cl.a - q7
Boring # E] Boring
97,00 Pit Ground surface elev. _ft. Depth to limiting factor 0 in. Soil Ap2lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
is -a a 7.5Yr~ L ti ¢c Li 1 q
t, v
2A - 33 -7,SYS,L L iii. 6 "k .
,
-7 t°
' Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
T Name (Please P Signature CST Number
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a.v-k
A ss a 0 Date Evaluation Conducted Telephone Number
r +e.~ w"cod -CAS 71s y$ 358$
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Property Owner Gera Ids Sm'+k Parcel ID # Page of
Boring # ❑ Boring
F,-31 Pit Ground surface elev. 9. 1.1 f 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
1 - q 5Z- P m 56K m4 r ~,j ;2 1' I
3 W -7 ,5~ ~b"K m4 r
31, YID V IPS 1 a~
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
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 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODE < 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-8330 (0..6/00)
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