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HomeMy WebLinkAbout032-2174-11-000 (2) RFC7 /F .--,, , S LUUJ Wisconsin Department of Corn erce ST.CROix CuuN i?SO! EVALUATION REPORT Page / of 3 Division of Safety and Building ZONING 0 Fl m 85,Wis. Adm. Code / Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County - ('• include,but not limited to:vertical and horizontal reference point(BM),direction and percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.0 f el/.../v....// coz) Please print all information. R__1 D'aateiy� Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 1 r/�� Property Owner /// Property Lo/ca�tion �/� Property/Owner'/Address Govt.t#Lot J S 4 1/4 S� T�' / N R ), Fiord 1,/ 9 / 7J g // /0 ,i�lt.� , O/o� City State Zip Code Phone Number ❑C j ❑Village Town Nearest Road /i.GS.c - i tJr t Z 1 ( ) - -t9'i.",,, 7 '' I :5`7k. New Construction Use J Residential/Number of bedrooms '3' " Code derived design flow rate ' //Y�BZ© - e,e, GPD ❑Replacement ❑ Public or commercial-Describe: __ _ — Parent material Flood Plain elevation if applicable "VI ft. General comments [� / p pp,{) � ii and recommendations: ,S .iYr, ,F-•� / ���'-l" // Boring# �(U Boring N Pit Ground surface elev. jQ/,6 ft. Depth to limiting factor ce 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 / O-- 7 /D K-3k /f/`; �/ ,, i„,, /14d , ,..y 731 /,,,, may/ A/A/ A 44a ,,,,, ' ,s / ' , 7 3 ,W-,57 ii -_-. fr% Ju.0 d . :;-2,1,41 Azd t /7s / , ,i'” , 9 ..3-'z7„/ , -> -/$' _5-xep-t`9( ,r/.ti4,1 4,sx1-,4," 2,,A,C 4< --- .,Q . / vt6 TAA/, � Boring# ❑ Boring ^ �X ® Pit Ground surface elev. /OZ 1) ft. Depth to limiting factor in. 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 INEMEMILIMPTAIIMPTAIIIIIIIIIMM— IMIII'd " IIMII/EA111111.104 11111011, 1E1 27. _NMI ERNIIt/i7F11T—f IIIIIMIME= •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 (Please Print) - - gn re CST Number i et �-4-c it -23/3/V Address 91m Date Evaluation Conducted Telephone Number :5 76 /92 Ge;�c S0rhers.z -l-t,k /a— (y-0,j 7(S= 240-72o3 Property Owner lam, „,r-.s/ Parcel ID# Page of & ? Boring# ❑ Boring Pit Ground surface elev. )(J / ft. Depth to limiting factor 4 4 in. Sod 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 •Eif#2 /Q y.// i1/ /�S /-7m 5.4' /7j it 7r L�S J , / /i�,� , 4-5 �' i,5 7 y Boring# ❑ Boring ❑ it Ground surface elev. ft. Depth to limiting factor in. i Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff'- in. Mussed Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 •Eff#2 g# ❑ Boring Borin ❑ 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. Munsell 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=BOD,<30 mg/L and TSS<30 mglL 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. S8D4330(8.600) 0 VVINT R Page 3 of 3 Name ---- tofr, , --,..,,€,-/s-1- Brian Parnell Address CST 231314 -) Date / Z-/V- Os b..Z „ 0 71?)a. J p Se 1■0 74- C o e /A '-- -,...1,. 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