HomeMy WebLinkAbout030-2131-13-000 (2)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _J___ of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County 114
CEO i X
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 7~ ,c
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q >v' J 13 1- 3-W"
Please print all information. Revi W by Data
2
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). / J
Property Owner Property Location L~
Govt. Lot 1/4 1/4 S 23 T N R 2-0 E W&
CO.rrt
Property Owner's Mailing Add reds Lot # Block # Subd. Name or CSM#
IIu_ a~ i 3
City State zip Code Phone Number ❑ City ❑ Village 2) Town earest Road
~il l) ~1-Zyl _ Nw 3s/G
® New Construction Use: ® Residential / Number of bedrooms 75 Code derived design flow rate 0C GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material 10, 3-L/ Flood Plain elevation if applicable ~ ft.
.~4 S~ /
General comments G / s-~ n*%, e (e, V r yCO • jo ~v
and recommendations: cd~
❑ Boring
Boring #
a pit Ground surface elev. JG ft. Depth to limiting factor I I in. Soil liation Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. q~
5~(j t r~A1cIL C_ I v O
Z L 4 - 5 2xn r C _ (P
3 III rt +l cos o ,Y,l - 1- Z
V /A A-1- >
0 s ,
'7L Boring # Boring
❑ pit Ground surface elev. qr~11 Ab ft. Depth to limiting factor 12-0 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
I b-r3 I~ . 12- Si I Zm abk- r c 5 I V1 /",-5) "3
2 x3-44 104t L4 shk c _ y
3 _I 10 ti I Cc co bs
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) ignature CST Number
A~ c e 253-309
Address Date Evaluation Conducted Telephone Number
Ge
C715)Z~f7-Moog
c
Property Owner t / cr-10 Parcel ID # .3
❑ B ng Page of
Boring # .
F -31 ®-pit Ground surfaoe.elev. (O,1C) R, Depth to limiting factor in.
Horizon Depth Dominant Color Redox Description Texture Struchrre 4 Soil Application Ra
Consistence Boundary Roots GPD/fl2
In. Munsell Qu. Sz Cone Cobr Gr. Sz Sh. .
3/Z Eff#1 Eff#2
10-3 to Li i~ zmsbk cs - .9
3 3$-I1~ 16 r4ko - coS mI - - 1.2
❑ Boring
F-1 Boring # ❑ Pit Ground surface elev. R. Depth to limiting factor in.
Soil Application Ra i
Horizon Depth Dominant Color Redox Descripoon.., .Texture -Structure Consistence Boundary Roots GPD/fl=
In. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # ❑ Boring
❑ Pit ' Ground surface elev. ft- Depth to limiting factor in.
Soil Application Rak
Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots GPD/ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
'Eff#1 'E(f//2
- ' Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = RODS < 30 m
gN 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.
SBr111710 (807/00)
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PAGE-:S OF `j
NAME Oct r r ~ a a e T OT# 13 LEGAL DESCRIPTION-5cJ Y5E X,s Z 3 T Za E(or)60
SCALE: I"= yo
BM 1 ELEVATION /00. O
BM I DESCRIPTION 44,G 44e
BM 2 ELEVATION Z Z6 o
BM 2 DESCRIPTION/" vc 6~~e _------_.---I ec
SYSTEM ELEVATION 76,30
SYSTEM TYPE ('on y er~~br~a 1 ~-t
CON'T'OUR ELEVATION loo. u ~ lol• 6
0.
S3
SIGNATURE DATE F -Z Z roz