HomeMy WebLinkAbout032-2174-03-000 (2) tx6:C,i r
Wisconsin Department ofComniirce r.:-,- ,, ,Or,$OI EVALUATION REPORT Page / of .3
Division of Safety and Buildings --
in accordance with C• 85,Wis. Adm. Code
('H: ' County /% ,
Attach complete site plan on •=per not lest,than «�I inch=. in •size.Plan must Q.
include,but not limited to:ve - • 1_i=�-,.,. .,.. t BM),direction and Parcel I.D.
percent slope,scale or dimensions,north arrow,and location a •distance to nearest road. d 3_.)-f-7'f-03--0t,
Please print all information. view y Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). I 02-//,/6 v
Property Owner /� Property Location
�3h7 A''1/S/� Govt.Lot `-� 1/41i4.- 1/4 S ? T 3,/ N R l9 E(orgf
Property Owner's Mailing Address Lot# Block Subd.Name or
City State Zip Code Phone Number ❑City ❑Vllage (.Town Nearest Road
- /i/e7A:e I I air 15l,, c-I ( ) _ a;n 7a�se4 I _<Y
,d New Construction Use:gi Residential/Number of bedrooms 3 / Code derived design flow rate Ste- //7 GPD
❑Replacement ❑ Public or commercial-Describe: __
Parent material Flood Plain elevation if applicable ,1' 4 ft.
General comments - 3
and recommendations: s�'�i� � ✓�3 G�t%'�'k-Ltirn //
1d - 4-u .
Boring# (�p� �
❑ Boring
pi Pit Ground surface elev. , , 9 ft. Depth to limiting factor Z-' in.
Soil .t.ication 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
3 ifiri V1129111111111, IffieePlAIIIINIIIIIIJIIIIMIMIII •
Boring# ❑ Boring
Pit Ground surface elev. //V,j ft. Depth to limiting factor 7Q in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fW
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. `Eff#1 •Eff#2
40` 4
MIIPBM .1 _ ANEW 111MIMMIIIBEIMINIMA S IIMIA
3 i _ 7�i�1MPIA
!r_!!?_ ! J 1� � ., AIM --
IiL,'' 1� !1 t , A - - Mil n
•Effluent#1=BOD5>30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BO;<30 mg/L and TSS<30 mg/L
CST me(Please gignfrre) CST Number
if a., t4e// �. •2 3131
Address Date Evaluation Conducted Telephone Number
?9 ?— /�2 a e 5 6 r i e s t ,--_ 2- 12-0 3 is-z r- os
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Property Owner /din 7)6/St Parcel ID# Page 1- of 3
ng# ❑!1 Boring
Pit Ground surface elev. 9491/ ft. Depth to limiting factor in. Soft 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
C--"C9 RIMIPMITAIMWMINII=111- MN'
-
Boring# ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
l 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
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. Munson Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 *Eff#2
Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOD5<30 rng!L and TSS<30 mg/L
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OWNER Page 3 of 3
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Name .,/ext /DA- -1,- Brian Parnell
Address CST 231314
Date /2- 1Z-3-?
Benchmark 1 Z, /Oa a 7-0 e mofi4,1 1,o * coc,ie,
,
Benchmark 2 a /01, 9 KO ..,, Mil-Me,/- it); /1/6/ h Lc•ic6,.--Ler
1 1 Soil Boring
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Suitable Area
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1" = 40' Scale
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