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HomeMy WebLinkAbout026-1294-44-000 (2) IL EVALUATION REPORT Page of Wisconsin Department of Commerce Division of Safety and Buildings in accord ~fice with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 1 inchMl~ tnlt31 include, but not limited to: vertical and horizontal referenc point slid Parcel I.D. percent slope, scale or dimensions, north arrow, and loca on and distance to nearest road, -L7 4T5,-- Z/ ob Please print all informat' n. AI J(; 11, 0 ?005 eviewed Date - /20(6 Personal information you provide may be used for secondary purl oses (Privacy Law, s. 15.04 (1) (m)). Property Owner ST. 7RT VP tidcatio ZONIN F C 1/45E 1/4 S aq T3(, N R I 4R E (or Get-al . Sr~~~'~+ Property Owner's Mailing Addre Lot # Block # Subd. Name or CSM# 9070` e. NW '~y a'1' o F .c m Cfc City State Zip Code Phone Number ❑ City ❑ Village ®Town Nearesot2R~o F-1K R'r/'C-R PIN 3~ ( ) 8 ►ic.1~ rn New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: - - Parent material -0.vtw. as I'N _ Flood Plain elevation if applicable - ft General comments s.S$ c S t e1- -Tr'Gr%c4-' S fo'''' Q` ♦L~ and recommendations: a ..r ' ?,3 S r ~ V h !Cv►pwna ~ ~ 1 15-4 1 *0 3 T,, T Boring FT 1 Boring # 54 Pit Ground surface elev. I DD - ft. Depth to limiting factor D - 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 l ior2 /a ~ ~s r G a~ f g q-. 2 Y `i qd-YD s fA ' J F4-al Boring # Boring J Pit Ground surface elev. ft. Depth to limiting factor ~y in. Soil Analication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'E GPDIfFEff#2 In. Mun°saell Qu. Sz. Cont. Color Gr. Sz. Sh. t --7 7' , L a m S Y a t.J o~ ~ r (0 r Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 5150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L T Name (Please Signature CST Number t AAddrUsss a 15 .t Date Evaluation Conducted Telephone Number 7-aa-ds `]IS aye 3599 40 a 11. R Property Owner Gcra Its Sm Ak Parcel ID # Page C:Q_ of 1173 Boring # ❑ Boring 1 $.5 - A 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 loY - L 2,1 y 3 - I'F PL h-)-r r- Lj ! r~ _-W - L t ~5bk mfr 64) i u , 71.5 YA V m 5 bK, M-'; C w t_ '-l5 Y s S Yy'1 Lr 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 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 Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 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 (R.6=) CST br SE corrs1r_'3~c«1 Pe - - VII Tv `1MG~I'h aC- ~ _ ~ Qrh 2~ P Ftv. c.-cam... {~as~- v.! or. ~ S 0 - o ~ 111 Q/ J - - aSQw ~ l 1 i 7 L o `s ZQ _ o 16 a O ilLo+ y N h' m d 4 5 wy4j SEA )Sic.. 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A..:f;~ } } 2.251 , 96c.7 2.40 ace es\ ca~ I t i~ 967.7 ' 1bo 964.5 24 .964,6 - cc s j~ s 9i h \ NBAa - A 2.1B acre =s* .1632 37 16 5~ 20 I x lk, acres 1.' 1 ocr~s 2- 111 2. Cl> acres.. NSA. N.B.A. ` . 1I OCrG' 72~ a t N.B.A. ~B6- acres " 1.8~\ cre -~N.B.A, 3911 2.01 acres x %oz ,x/2.11 acre 7 2.481 ages 1, 1. 1. Q Gc"res-- f` ~V"B.A.T i 96~e , 1~ 62 acr s ~ NB.A: 2 ~fJ acres, %6s 1.90 acres x X N.B.A. x . .w4A - - _ \ 1. 2 acres r 1 . ~ X1171 (2 j x i0~ ' x 960.7 " 939 2 i f 1 `44 46 --Sl 45 - %7.e 96 acre`s ~C' , 1.79 acres ~ vl. 83 acres x 1.74 B cres N.B.A. . r9T crS . V /t! B.A. N.4 N.B.A. N. . F96..Rcres r f jebt cres 11. 7 acres 1.79 acres f ' N b 76 . 2 - dGreS % 969.9 1.74 ocr~ " \ x \ 26.7 nIrej } ) f 9727 / , 96a7 284 1 ^ 2.63 acres I r I 971.4 t t r 200 x HBO' 180 140 47 x 979.5 %g. 961.6 t x I i .4 1.96 acres LOT J v LI x N.B.A. fI SUR Jx j CERTIFIED D SURt~EY MAP %z7 1.96 acres 1 -.203' x 7203' VOL 8 PG2199 ,1___J \ 452' \CER7/F/rD SURtj-,Y MAP FEND/NG,- ~N M' I APMONNC AU111ORI , SEC. Ii T. 30 N_ R.19 w. mw t Ri y ur n ~ ~