HomeMy WebLinkAbout032-2174-10-000 (2) r k V )e
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Wisconsin Department of C. mere-r_CROik w■_NP( S• L EVALUATION REPORT Page / of ,3
Division of Safety and Buildi .s ZON •
• , �•. ., • m 85,Wis. Adm. Code
—51 arrl 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. 0 q oil 7��/�`��
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 42
Please print all information. eviewed Date
Personal information you provide may be used for secondary purposes(Privacy Law.s.15.04(1)(m)). ' a./ 4;1.1 I W/ /d
Property Owner Property Location
/G;/J', �`sA Govt.Lot AV 1/44 1/4 S�7T,3/ N R J9 or�
Property Owner's Mailing Address Lot# BI # Subd. or
T 4'9 /i Stale Z► Code Phone Number //, Jv/t �� t �
City p ❑city ❑Village .®Town Nearest Road
szi/1,eS.<f I lrli, 1.5 7 Q1 ( ) i<.P_Srf I .5-7"2-r-524-
a. New Construction Use:Pr Residential/Number of bedrooms 7-1 Code derived design flow rate 157-- 11L GPD
❑Replacement ❑ Public or commercial-Describe:
Parent material Flood Plain elevation if applicable /YI ___. ft
General comments 6., .�� ,.5% et,,, v�''l. d-C� Una- , /
and recommendations: r� l( " pa_ied� ox S S�/"K_—e—�c/.
/ Boring# .4..�ryry B°ring
,_la Pit Ground surface elev. 1p/9,s' ft. Depth to limiting factor l in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe
in. Munsell Qu.Sz. Co nt.Color Gr.Sz.Sh. •Eff#1 •Eff#2
/ p-/i„ )& 3L ,x/‘ s- / --„sI)i- /rrft.- i.,N, 41 A s` . 9
/. - ' //y 4 s/ s / .- .3 6,E /.,,,,,• AI Jr , . 9
.s' „i----sio i 6Y"-sd. ,rile is /,,,,,s-il n,„),,C n„„ A,/ , 7 /
-. 4a-r,6' 7s-5c'c . Ai% s eJs it ,n / As — , 7 /..
-5- / -37 /e, K'/lam A-d-.r,,7l I /111, ,� u s , ,J
Boring#❑ Boring .
Pit Ground surface elev. 99.5 ft. Depth to limiting factor .5 2 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. nt.Color Gr.Sz.Sh. *Eff#1 •Eff#2
11 e- 2 /e)(1.3/2.3/2 A S/ i 4rts L 7i4117'r// /?A I trp-, J....< /
,-�.2 .2,J y' im v</�Sl /ti�// s/ 4 s i k sh-' �, /in 9
3 )9-30 /pr`/� /, is 1_,s Z1 ,n,4 a.: /-r , 7
- 3d 7T 1 L —
,_5 - ,7-/.S /p �/
e�� S4"vl/-1->e›-7 �;./ ( -1-,.,, Vii,C ,r5 — C ,.-2
6 Z 5- `rsta�l
•Effluent#1=BOD,>30<220 mg/L.and TSS>30<150 mg/L •Effluent#2=BOD.<30 mg&and TSS<30 rrg/L
1 CST Name(Please Print) ��.-���� ����— 2 CST�i�/
Address (' _ Date Evaluation Conducted Telephone Number
i y /9Z Ct 'e ,J G/�t c �C.i- G,fi 1 Z- /v-03 7/S Z 5/7-??63
Property Owner /r�� ,x/' E Parcel ID# Page of 3
Ong# ❑ Bonng
i pit Ground surface elev. 99, 9 ft. Depth to limiting factor S' in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munseil Qu.Sz. Cont Color Gr.Sz.Sh. •Eff#1 •Effff2
39 Innall=11 .1.ffile = • 40
7 � f/_� AB Gig
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 Mansell 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. Munsefl Qu.Sz. Cont Color Gr.Sz.Sh. •Eff#1 •Eff#2
•
•
•Effluent#1 =BOD,>30<220 mglL and TSS>30<150 mg/L •Effluent#2=BOD,<30 ng/L and TSS<30 mg/L
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SBD433 (R.6/00)
• . '
OWNER Page 3 of 3
Name ---7;;,: 4,-/.5-1-- Brian Parnell
Address CST 231314 , ,
Date I Z - /7 -L25
..:..,' Benchmark 1 , --./ /0 0 7bp A/L- Z0 e
74- ceni ,-
r ig---- 4.-7--"----'
.LA. Benchmark 2 ""--/, /03, / Ha;I --/i po.s,i-gy W271-c-a-4e--
I Soil Boring.
1- , .... -
1_2 Suitable Area
1" = 40' Scale
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