HomeMy WebLinkAbout008-1055-10-000 (2)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ( of 3
Division of Safety and Buildings `
V~ in accordance with Comm 85, Wis. Adm. Code County C
Attach complete site p~on paper no ss than 8 1/2 x 11 inches in size. Plan must 5T C' `Rd 1 x
include, but not limited to: verticaiaq"izontal reference point (BM), direction and Parcel I.D.
percent slope, scale or c)in'((~~ 'north arrow, and location and di ce'~e~t ob s - Jo - S~b -o oo
`M` /eas~QOe p p~information. r Re' wey Date
LID
Personal information you proV ► d for secondary purposes (Privacy La 1 W),
Property Owner Property Location
/cf Il 6!u", coc1'So Govt. Lot 5E 114sJ5- 1/4 S (g T Q N R E (o W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
.3 AD L' S+,
City State Zip Code Phone Number ❑ City ❑ village own Nearest Road
wr s4o (/5-)#,4g4l y yZ3?l Qi 7% s
❑ New Construction Use: ❑ Residential / Number of bedrooms Y Code derived design flow rate 9900 GPD
eRReplacement ❑ Public or commercial - Describe:
Parent material /-mess B Uer- T / Flood Plain elevation if applicable ft•
General comments GCSE.' e3 ' -5',on el Ltvt o~e- CWes- c ol~ L o -C GcA
and recommendations: Oft C o ,t{o ut'- 177-3
M.a 1VD
F-1 I Boring ❑Bo'g
#
Pit Ground surface elev. 9~• / ft. Depth to limiting factor. in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2
-i o _ ,,K 1, t . o
3 5-7 6 faD .s c L C- 6h I`
5=~1 10`1R M--kD 7,S /DY VyLT1 rt ,,2 ~3
® Boring # ❑ B Bing
rLr~~/pit Ground surface elev. 9 7• W ft. Depth to limiting factor 17 in.
Soil A I'ICation 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
6-7
- Sil 6h t~ t I d
-!-7 19~ 9q
7--2!~'/ 0 y2 ~P 75-Y9- 66L k 6? LL) tufiF y ,
S~S b`I2 ~j p SL L'am ' If 10 0 0
-4k 4
` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print Signature CST Number
t~>n t ~ ~ .sa n ~ae~ a
Address r Date Ev cation Conducted Telephone Number
Nr,°fW l~ ~ln Uc~LI /3 -715-- 77~ ~3a7e
Property Owner Et e t ► (t- no d &-S O n Parcel ID # Page of 3
Boring# ❑Boring ¢tw
t Ground surface elev.B,_. pepth to limiting factor b in.
Soil Application Rate
Horizon Depth Dominant Color Redox Des jption • "7ezture structure Consistence Boundary Roots GPDM
in. 99 Munnnsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2
~-S~ L' L.) e, to c g
b ~I vtti it ►U •
,,3 6-a toy CL Avks - f~ prof
VIVS -10'4R- 63P 7 5-`l2 fo b C4- Luc tub .3
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2
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/fP
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 = BODS < 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.
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