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HomeMy WebLinkAbout032-2174-13-000 V RECEIVED Wisconsin Department of Comme - DEC 1 8 20)IL VALUATION REPORT Page / of S Division of Safety and Buildings r� Sr�rSUIX COUP 85,Wis. Adm. Code J Attach complete site plan on p-•- -• r-a t• ®t ixrt1 inche-in size.Plan must - " ©� include but not limited to:vertical and horizonta r=_ - -- M direction and • )� percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D. 0 3a--�.(�• y43--cab Please print all information. Date/ Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). /�f C,.A � I d7a d/Q j/ Property Owner Property Location /';'"' 4,264.- -- Govt.Lot AL 1/4 1/4 , 7 T 3/ N R r 9 49 Property Owner's Mailing Addre Lot# BI # Subd. or °2 Q 424119 .E /.-5 ,/lam Mk' X:i:).'F City Ste Zip Code Phone Number ❑City 0 Village f Town Nearest Road rhir '_`s-y?l• I .l I .57751 ( ) — Q"rti e-,e.5'rr'f- I 57 ',F' aNew Construction Use `Residential/Number of bedrooms .2°3/ Code derived design flow rate -5/5 iLP.f GPD ❑Replacement ❑ Public or commercial-Describe: r-_ Parent material Flood Plain elevation if applicable /l/ '.. ft. General comments and recommendations: .S '" •_ •-..Cfi� r3 ,,,,,I� L"jr ) 2(2 54.e Z sk�ece 3 � v ❑ Boring 991/— P. z/ ' / Boring# mm11 / 1�1 Pit Ground surface elev. , ft. Depth to limiting factor 4, in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cons Boundary Roots GPD/ffr in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 / N =PM ; .. 111110=111111MEMMIIIIMI. .111.111/111=1 MI_ _ JM ME� illiP 7 Boring# 0 Boring x .0 Pit Ground surface elev. 9i,9 ft. Depth to limiting factor 4 9 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#2 111.1.1119111L7�f/'.77Ti1 PRIERI !%E JIMETAIIIW MINS MIlMI - M IIIIIIMPM s'. i.' - -- it • E t#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L E - :s =BOD <30 mg/L and TSS<30 mg/L CST '}i 7ov, )7V Signature r Address to uatwn Conducted T � Telephone Number J i' = _IlLIr �_ `L 2 J 4 Property Owner � /e/'�S/0` � �Parcel ID# Page �_of 3 Boring# ID IN pit Ground surface elev. ft. Depth to limiting factor 72 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 �►- - v. 3(o /7d ti Boring# ❑ ins ❑ 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 # 1:1 Boring Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal 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/_ •Effluent#2=BOD5<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. s8D4330 DEMO) • OWNER • Name ei,7 //�s' S/,E Address Date .o.L Benchmark 1 rz /00.0 TQp SE/07/-- co,, e/ i' t: Benchmark 2 CZ !'On / ,'%,/ /1 Pe-f?.- gY5e/0 it-co.n e../- 2,2C [ __S I 1 Soil Boring• , J S LIirahle Area 1- - 40' Scale 1 1 1 1 1 1 1 I ` { i ( i i 1 . i 1 I 1 ! 1 1 ; 1 1 i ' 1 1 1 1 1 i I i 1 j I j .III i ' I I I ■ ,: I T -i--j-, 1 I I 1 i ( i I 1 I I ^ l I ■ I i I I 1 � ;; ; i i p d- i 4 i ; ; , 1 1 1 1 , { ! 1 i t 1 I 1 i 1 T ' ! 1 1 { 1 I I { ! 1 T t I 1 i i I . -- --- .---- ----— I . • i �� i ; _ , 1 } I { i -�- I I I 1 ; i I 1 1 ; rI I S I I I 1 i • I I l I I 1 L 71 1 Y 1 I I I I t ! 1 i / ; -T- r-T---r- i 1 _ � I i 1 - I, I i , I 164' , , I 1 ' I I 1 I I I r� I ! 1 I I -I I 1 I i I I -1� • �ff� �/ I ; E I � 1 I 1 T _; �_. ; I i j 1 i I 1 1 1 1 ,, r i ' ; 1 I I r 1 l 1 1 --.- _- •- i i I I I I I I 1 1 •; I 1 ; . — -T--;----1- I I i ( 1 + 1 ; _ 1 -! I I i i I i i -t ----- — — I ! j I ! i I I I 1 I - i , 1 ; - - - - - ' 1 I 1 1 1 1 I 1 I ! i i I 1 • 1 1 1 1 , I 1 --1--T—,--1 1 i I I I I I ; ; — 1 f I 1 1 , 1 ' 1 1 1 1 1 � ! 1 i 1 1 I ` r 1 1 I 1 - — - -;--- ; i I_ I I 1 1 1 I i 1 i { ■ 1 + I 1 I I i 1 7 -1 i 1 1 1 ', 1 1 ( —1-1 1 ----- - ! i 1 1 I I I I ! ; i l 1 1 I 1 I i i■ — r ' I -I I— ' I 1 I I I i 1 1 I 1 1 � I , ' 1937; 61 0 L � 4 I ±. 1 I i I ►. 1 I 1 1 I 1 , i { 1 i I 1 ( 1 1 1 1 t i �I i i ( I 1 1 1 1 1 ; I I I I I I I I f i + I i II — I i i 1 ( 1 I 1 1 -' - -IT i 1 I I I 1 I 1-7 i -i i I 1 1 i