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HomeMy WebLinkAbout032-2012-10-040 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code County St C.-o K Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must _ include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel 1.D. percent percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 0 )01, �01 - - /U-ti L7/6) Please print all in • • .fir ED Re ewed by Date Personal informar.n you provide may be■•sed f.':r.. •urposes(Priva Law,s.15.04(1)(m)). R (6 1 f Property Owner / Property Location a , 5 2p3 S(,4 z c H-111,-61(3,/if - M0 .., Govt.Lot SE 1/45 1/4 S O N R I f t!(or)0 Property Owner's Mailing ,, a.., e S1 CRO,G OQF CE Lot# Block# Subd.Name r CSM# CK City (/ 7p State Zip Code T f`'":.er 0 City ❑Village ®Town Near st Road 5- 0 f(r J e l' •1 (7/$ ) 2 '7 Y■ 1,S- V.0 c erfer I /70'1 a,e © New Construction Use:f -Residential/Number of bedrooms 3 Code derived design flow rate 7S0 GPD ❑Replacement // ❑ Public or commercial-Describe: ,4- Parent material ,-`) 92 P1 fi,, 64.c;a_( P'.'<- Flood Plain elevation if applicable 64/4L ft. General comments and recommendations: Boring# Boring // ,/S ® Pit Ground surface elev. . O.27 ft. Depth to limiting factor .4 _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 1 0-1/ // frt NA $z- //,3.4,e 7),04,- a S >,-) 0 / 0 , Z II-Z6 75, 4/ ilk 5Z. Z.-s�,e i7- Pr- C w / 4)-- 0 , S O , cf j 21-6s- s'M `/(4 62p s�msrR4/ .SL Or r, t2( - -- — dd3 0S 2 Boring# ❑ Boring IA pit Ground surface elev. 103. -C ft. Depth to limiting factor <2 7 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. Eff#1 Eff#2 1 D-q /D l v‘g z /v, SL /lk f 1-2 j Ii as bon 0. (-I 0. 6 2 9-17 c a W /4- SL 6 , U g,/ c w ) .1) D a q 3 27 Gy -57X ili c2' Syx sY$ SL4 e ' pi p, /vim 0,j 0 , 5 s, LA c I e,/6,,,., Effluent#1 =BOD5>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) Signature CST Number $46.n at/4cl/ 2 313/4/ Address Date Evaluation Conducted Telephone Number yrg' /f2d-e- SO,"etJe1"L.d y y- Z3-0- 7As 2 V7--3 Zoe SBD-8330(R07/00) off- 3 Property Owner Parcel ID# Page 2 of 3 2 Boring# ❑ Boring 7q ® pit Ground surface elev. /V//��✓•f5ft. Depth to limiting factor < 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 r' o- /r /O,/7 kit Sz movr as IA, o.e( O. 2 //-Z) 75-1 4 /1/4- .5Z Z 1 f 6' —(r c w ) .( y -62 '3 2R C Z ? 5i ry r�c 6/ )` On m- 1''-49- £0 3 Q.S / S/I ic 4/rf,,1J 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/ft2 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 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 'Effluent#1 =BOO,>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. SBD-8330(R.07/00) 9WNBR Page 3 of 3 Name _5-Cc Z e iic 8 e 1,:f/e_ , Brian Pamell Address 692 - /70 Pi a-oe CST 231314 So er.5--e i- (---1-7 Date 1/-27-07 2.L., Benchmark 1 7-0)9 ..5-- -- Z-0.7" Ita/te ..-Z, /00,0 it ,e---. A Benchmark 2 Toe Tee far,- /.3..„4,•,7, 5E Loy 0,,,4 e■ EL, 05/.77 fl Soil Boring ,-----. 1__1 Suitable Area 1" = 40' Scale I T i I i , 1 ,---:-. ; 1 ir I 1 r ! , r , r ' , i ■ ■ 1 i I 1 • -.- 1 -----7---------- — , , ■ ■ -,----,-- , ---t-7-1-1-- . ! , ...._,_ : — t ' , . 7----•-- --'1---•-----r-- . ! , ______. ___ __ _. 4410 . , . 600: ' 102,0 „ , 1; , . 1 , . ' (,-,:o"171'7 ' . i ' ■ , . I I 1 ; ! 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