HomeMy WebLinkAbout026-1294-41-000 (2)
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Wisconsin Department of Commerce Q BOIL EVALUATION REPORT Page of
Division of Safety and Buildings
accordance with Comm 85, Wis. Adm. Code
County C o I
Attach on paper not less than 8 1/2 x 11 ' Must
complete site plan o
p
include, but not limited to: vertical and horizontal reference int ( Parcel I.D.
percent slope, scale or dimensions, north arrow, and locati and dis~~~~F Fdad• 0 Z
Please print all informati . r views y Date
Personal information you provide may be used for secondary purp t as (Priv~ 41v, 1004~~ (mf). l ZU Q F~
Property Owner Property Location
S M ,'t n ST. CR IX COUNT}' ` wt •t D
ZONI @~k 1/4 J l4 S Ot D T30 N R E (or
Property Owner's Mailing Addreglii Lot Subd. Name or CSM#
90T, % C- N W I I ~ P at o ',c mawA- c rc
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
F1K R "VC-P, ~N 3~ ( S Ric.ti rn arm AJet5 New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe: - -
Parent material Q V-tW..A'!g LN -r• I I Flood Plain elevation if applicable T ft.
General comments S U '-r~ a1-Tr~►`c.~~ 5 FO r
and recommendations: SS ,
1 T,1
Boring # Boring
Pit Ground surface elev. V S _ ft. Depth to limiting factor _ 4L2 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 - 1 YR a 5L ~ G 13, F >r C~ Lo ;l.
40 , 4/14 -5 L . b K r C 1
I _ 1 1 Boring #
II II Boring 75 in
Pit Ground surface elev. 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
j ea,•~
5 G m 614, L4 1-1
m- I C w
iJa
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' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS < 30 mg/L
T Name (Please P ' Signature CST Number
1-7 qj
fa.rX
A ~rr a b15 - Date Evaluation Conducted Telephone Number
r ~
y
Property Owner Gera dQ Parcel ID # _ Page G?i_ of -Y-
F--31 # ❑ Boring
1'-'- Pit Ground surface elev. _L 0 3~ t g ft. Depth to limiting factor
A 1 ao in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Si. Sh. 'Eff#1 'Eff#2
64 y 3/ ~C. P-F56k rrr'r ago , (o 1,
`C 1; 1) `1 .mayY,"r 5,I J L l 1
Boring # ❑ Boring 99.0
F-q] ® pit Ground surface elev. ft. Depth to limiting factor ~ 5 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-I by ~ S L F55K M r Qw 01F t, 0
of -1 7 5'tRs/ - S L a bV to 1.0
14-a8 p,51jZ 41l, S L~ 1M5yrc. F~ c w I vF .7
`I g-Yzi S I y/ 5L I F55 K h'' 1 .7
S -75 7,5*f Qs/,~ S .7 I, l..
❑ Boring # F1 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 = BOD+ < 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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