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Home My WebLink About032-2156-80-000 (2) .1 • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code County 3}. 01,4. 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 I D. v percent slope,scale or dimensions,north arrow,and location and distance to nearest road. ( 03,01 — a/4j�' O o-- Please print all information. - . -"-° by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). I S/a 3 Property Owner Property Location ( lChaxd &61)1/2 Govt. Lot 55„. 1/4,Q E1/4 S /2. T N R lee E(or)gV Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# (1--3.ce9 1353 A t . Ikce -Tr. E i he 4- . leis City State Zip Code Phone Number City 0 Village 54 Tow Nearest Road 4uA.5bni I LO t I3tioup I f 15 )514q-14`731 560erse-i- 1 flb_ 6-c. 13—New Construction Use:iyq Residential/Number of bedrooms '5- 1 Code derived design flow rate Li by/LO .D GPD ❑Replacement Public or commercial-Describe: / Parent material OU 1�4 sh Flood Plain elevation if applicable rt% IV \ ft. General comments C` ''-- , e Co 4 and recommendations:`SkYY\ —eVe v. 4b �tOwe r q 1•• • .•S'r.r f• 0J4. eeev. 90.06 to ✓ ,d.ciA.E.- CG' "11 -0 a/`.e_ , Sys- ' akeA. (ye- 'w de- - r�.Z 'rte Studs u/ 0>`I `,- ?'v , ❑ Boring '� 0Y1455 clp '�,� ✓Wtz r:OUv;r Boring# nn q� f,OFi✓t{:E i. g ® Pit Ground surface elev. CH•-- 0 ft. Depth to limiting factor l i 3 irr :.,, r; Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda - Roots{ PD/ftz in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 I b-Fs IOyr3I2. --- 5il 2nbk mcr c,s 1v-C . 5 . S 2. 8-Rio »yr-4ly — Sic" Zrnsbk vyn• 'r cS – . '-! . Co 3 L10 11 lb `l/ • _ m5 0S5 rrI1 -- -- (7) /• 2 610,0 /= 546,70 to ZBoring# ❑ Boring // ^ I Pit Ground surface elev.C1Cp iO ft. Depth to limiting factor 1 z0 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 b-10. 115 yr3)2 , Si 1 2rrxa.bk r-rcr c5 1\LC • `� • a Z lo- l 10 yryl1l -- Sic( 2rnsbk r -Pr CS " �_` t • Co 3 1,i2o l0 r4fkcD m5 bS m l `- -) l•Z .-71.b.,_( .57--3—Cli I+ Y 5 *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) Signatur- / CST Number Morn Schtimiker / - G ZS-33d7 Address Date Evaluation Conducted Telephone Number 2-113 gal'Si. Som erne-I-, LJl 34oZO— 10-38- 0 I' (7/5)zip-14668* SBD-8330(R07/00) z M. Property Owner S463\ Parcel ID# Page 2 of 3 3 Boring# ❑ Boring \\ ® n Pit Ground surface elev. Ci4o.1,,U ft. Depth to limiting factor 1/7 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 0-I2 10yr31Z S; 1 2mabk 11,41r Gs I of . 5 . Z I -3�j 10 yr L k — Si c I 211,1561( rr r C.5 — 6 3 7 Ibyr ((/±j c'6.3 m t -- ( I- 2 c1JL( -"z/i of/ Boring# El 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 =BODS>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) Property Owner SA-N.)4 Parcel ID# Page Z of 3 3 Boring# ❑ Boring 12 Pit Ground surface elev. Q(D.[O ft. Depth to limiting factor 1/7 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 ■ 0-12 1Oyr31Z Si I 2r rrrcr c-5 1 v..i . 5 • 8 Z 12-39 10yr ylq Si c1 2m5bk i 4r c5 — . LI , 6 3 x-117 iDyr ctllc mS O55 m I _" ._7 1. Z— Boring# DI 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 =BODS>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BO;<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) ■ PAGE 3 OF 3 NAMES LOT# LEGAL DESCRIPTION SE' �N F_14 / • _a SCALE: I"= 4/0 BM I ELEVATION MO-C' BM 1 DESCRIPTION lap o-c e fog O,'0 -t_� BM 2 ELEVATION 71,50 BM 2 DESCRIPTION OA--- i P�fc i.) sec / • SYSTEM ELEVATION 9'/,o d ALTERNATE ELEVATION fO, O D CONTOUR ELEVATION q/OO d. 9L.a 0 • CVO • O SIGNATURE � � DATE /Z -Z ?--OJ ff. ..1 , j LOT @ r.:i :.i,..i...:,,...:.,.. . oar _: .y ' ,'\ •• _ '.. Arto - '‘ y , / , . :.•:e. -�r #FII. ■ lQ 4 ,V-i' 1 I= AArt Pa ' .39" ..•--- t l* 0 - ' - % 3 1 , 94'.:;::::!...:.,.:.ki. A .:::.. . , .'‘ '''' . 41 .. / ;/'■' ci.'wri•• ' V:. rt ftWin°811:4114°.••••• ' ::::::::::i::::.... ' ' ' ' .4 b. lik litilikttiSillilk4114444\' •''':;:;::i. ktk Nk. - tageNKI44 VAIIM 11,4112,014 4 .,2 ;^:::.2:24(16 ..••. 114174,111*1.414:i4.„ Iblu*rie r...E1,too,0100 "rio.:...- I:1.014s% No. ' ''' ''4''''..:-:°040111)10'*ii,. 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