HomeMy WebLinkAbout026-1294-45-000 (2)
Isl.-' 'VALUATION REPORT Page of
Wisconsin Department of Commerce
Division of Safety and Buildings
in @ 6 Comm 85, Wis. Adm. Code
S 1 C a t
Attach complete site plan on paper not lessan 8 1/2 County
include, but not limited to: vertical and horizontal refere ce poi t Parcel I.D. o ~b
percent slope, scale or dimensions, north arrow, and to tion rest road V Z
Re 'wed by Date
Please print all inform tion. CC~~ Zv 06
tFS9~t~ (m)).
Personal information you provide may be used for secondary pY,rposes 14
Properly Owner Prober ocati n
c ,y ( t4Z COUNT 1/41/4 S SProperty Owner's Mailing Addre p Lot # Block # Subd. Name or CSM#
Nu-) at o F .c ma 6. ctrc
City State Zip CodPNumb❑ City ❑ illage ® Town Nearest Road
~1K R ~lR KIN (~iLti rn 13a"~ Avr- .
SO
_
New Construction Use: R5 Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe: - T
Parent material Flood Plain elevation if applicable - fl
41
General comments SUSS GS-t- -TrL•-c~~S C.77 Fa -e-91 7;pUW KtnOww ~ C
and recommendations: , 'l'. 3,(~ S
~;-'~c !5.4e- a • T,`t 9 A < <6? I,
0 1
Boring '
Boring # ~.1 Pit -p~ -
4~► Ground surface elev. _-DV h• Depth to limiting factor / in. Soil lication 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.
-12 r o fP, L i r--5m f r ata 12, F
~l I 7 S "Y(j 44 - Yy7 L 1 u l
® Boring # Boring d/
pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots tEGPD;fFEff#2
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
L m56i~. r nl r o a i -rx l Y eo -,t ~ m S b k 1^n ~ j t J f ~a
3 -20- 1223, IV
Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
T Name (Please TO Signature CST Number
"Din, r) A 4 a.rx c;49( 171.
a a O Date Evaluation Conducted Telephone Number
Property Owner Gcre ek Sm All Parcel ID # Page C=Z of _2~
❑ ~
F,-31 Boring # Boring 9 8 y
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
1 0-/ /0 y6 31A ~ m s tqi-, m-rr- a 9
3~- w .5YH/ .5 rn L CGil lv-~
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
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 = GODS < 30 mg/L and TSS < 30 mg/L
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