HomeMy WebLinkAbout032-2174-17-000 RECEIVED L E ALUATION REPORT Pa
Wisconsin Department of Commerce Page I of
Division of Safety and Buildings
in@Ecerdalic8 witt 63mm 8 ,Wis. Adm. Code /
County 3-7/. c/0 /
Attach complete site plan on paper of le,.. 8 1/2 x 11 inches i size.Plan must
include,but not limited to:vertical - d ho n•r r 14te hint(B ),direction and Parcel I.D.
percent slope,scale or dimensions, - .et,I -41CiticrzitibB and di tance to nearest road. 0 30l /7 y-/1-"OO b
Please print all information. Re '-wed ,, Date �S
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). I /� (/�
Property Owner Property Location
70 pi ge4,f/P Govt.Lot 5 - 1/4 /J/41/4 S 2 7T 3/ N R /9 II W
(or)�
Property Owner's Mailing Address Lot# Block# SubName Name or CSM#
V.g ' /9Zau6 /7 (ler Nal.-/XC Cite
City. State Zip Code Phone Number ❑City ❑Village [2]Town Nearest Road
$arneril lam. i 5YOZ$ (7/5 ) z- '7 j2- 50m "- 1 57 ft
ig New Construction Use:13 Residential/Number of bedrooms V Code derived design flow rate CO K GPD
❑Replacement ❑ Public or commercial-Describe:
or 4
Parent material Flood Plain elevation if applica• .
General comments &,,i) .��:J v+tid d'e-
and recommendations: S�"� E" r.0 SEd �.� ou.e � Jz- /� / i . d— �e--� h,
d who �s%s �C l/ -,k - ' /-
I Boring# ❑ Boring / /
® pit Ground surface elev. / ft. Depth to limiting factor <30 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
I 0- ? /0;1 3/z /1/A- 54 2 /c in v.4% c‘, lam. 0. S 0.
2 q- 22. /4 (y/2 4/A. S4 2./1/5 ,t p2 v-r, C /,C 0. S C. ?
3 22-30 ,7,5-1 /� SG 2pc-6/r is, c c.- /ti 005- 0. 7
Li a �7 7,S -, 6 c 2 p s �8�,z S _ /ms1/Z F' u 5 /all 0. 7 I .
S V7-55- 5 Y 6/ c 2 s V-tt" Si`Z 6cm /-7,0/ -- — 0. 0 0.a
2 Boring# ❑ Boring 7
v` ® Pit Ground surface elev. /(2). 2 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
1 6-/2 /0 3iz /l/4 / SZ .2rns6•t Aver C (e-- /pi 0-s 04
2 /2-27 / Y 4'A 54 2m.s-6ie int4'/ a.5 l, 0, -r O. 9
3 27- Y6 /OM '4' m 3p sri 3£57/� J' l/iiSM /17,4'r c w l ur 0.2 O a 3
1/ V6-62 Sid' Y4 Pi 3P rrioi s, 'f S 7 2 of'erz IVs — Q. d O. 2
'Effluent#1 =BOD,>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) ;.natu a CST Number
5r
A
4.,, t - c // IA' �3/3)V
Address Date Evaluation Conducted Telephone Number
378- /72 a_,-pc 5°,7 e!fe7--i,7- 12-/3- 0 3 7/5-2 V7^3203
SBD-8330(R07/00)
O. t7
Property Owner TO /9ehr e Parcel ID# Page 2 of 3
3 Boring# ❑ Boring
® pit Ground surface elev. /c2. `' ft. Depth to limiting factor < 27 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
O-/2 /6143/2. 4/,4 sz rn a�'f /,2, 0, s
_ ,2 /-( a. y
Z -.27 / Y/1 _ s/. 2 16 )" 6--r c Or 9
3 27-37 lOYi 4%' C2, si/ cif wiz S' /m p-14/- 0, -2 0 m 3
1/ /37 e 2 /07164/ in 311 SY� �/� �. / s 01%n m4)i res O. y 0 0 6
t2- m3 f S YAP -iB 5" - 0(2m O. 0. 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
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=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.
SBD-8330(R.07/00)
>°3
OWNER
pare 3 ��e!!
Name 7d✓y1 Be/,J/E' fa�� �a Gst, .23131V
Address yY7—/9,2avc
S 6 ri-i ers=tom' GvT // - ,�-
Date � �
r .�
v
. Benchmark 1 EL, /l�D, �O� s� Gf�� Co/4 C� d2 ����
Benchmark ? . /43 i\/�11 :Zn P6)5 1-- gj/ sEL fC:o•-,.e"-
I 1 Soil offing
1_ 1 Suitable Ara
1 = 40' Scale
I i I C{
1 t
i
t 1
i 1
1 ,
a
-----_� I 1 -loz, I
,�'
r I o�
i I i / 1 ; 1 i j
I I I i I I I
r
i i
I I i
f I i i I
-------_------ - f I i i j i I I I I I I !7 1 ■ i ; i ----?.- ,:,_ : ' (....4
! 1 ; i : ;t
--_- I Q 111 ,yy'y���yy //� I -'
.-- _.___.__._ I I j
i
6
;0 �� � _ .
jI+ 1{ I + i a. i li., ;,�, i11-i
I ---- --. - - -- I-- i _� y I I j i I i i ilii{ 1 I I I
I • f I 1 i t— �1 I v' I
i
I II , i 1 1 1
i
- ---i I j 1 , i I i I i
i I I I � f 11 i i I 1 I
-� - - - 1 i i , i i I
i
i i id I i
--1 ; 13in �4-2
-- 1 ( i ? 1 1 1 i i 1 1 i ! ? I 11.
r 1 i ;r ; , , i , ' ; 1 i ; + I
- - _ ---' 1 I ' I 1 1 I I I IX'1,5 I I - i 1 1
----- 1 i I • J/ ' I 1 I i l I
i
! I
G 11 i , ! '
j I i i
-r i i I i i i I , I , ! .1 i 1
i
I I I
7 ,. I i i 1
-- --- - --T--i -_'-� I-}- 1 i I I i j i � } 1 1
-* --- -- - ! 1 1 i 1 1 I i i I 1 i
. ; , I
j 1 i I 1 i i I
I ,
1 ' i I i —t—T I i--i— i ,
l 1 11 I i
- 1 1 I I i I i i
11 l
11 I i ; I ; , I I I , T T
1 !
- - I I 1 - - t' i
I I; I 1 i I I ( 1�
--------. -
1 I! ' I I I
1 j-j I I i i I - l
, I I I 1 i I--- — J ---- I
—Y
I I I -1 1 i— ; 1 1 i r ' I , j i
i
I I I 1 !
i—i I I I I--t--7-- ,
1 i 1 I i
Q$�T' /_ x3.01 acres N .- - - \
m' \
,.3.0,
3 ../ 03 .1 � \
\ ? , \ 1 r
o
/ 1 t •• .. 'J I / /
\ �i ' I
/ \ \• / /
/
08 ?2,' M� 3i8' = -/ / // /_
/ \ / POSSIBLE TOWN
\ R,�00, )11' � / ;�
I� / -OAD ETCTEI(IS/ON
r-- — I ..9�'\ I / \ /•1 I / ` — I • ai A
/•
N.B.A./C.B.A.\F ', o 0 0�
124,646 SQ. T. \\/ \ \ , \
--` 2.86 ACRES \ \ �O I / C•N�N. \
\ \ 1 1'69 1 '
gym.
\\ LOT 15 \\ \\ I I I./ `� tee,\\
\ \ \ \ � _ �\ O
136,298 sq. ft.
3. 13 acres ,) \ . 'A•. _rr „ 1-0-, \
Ix N.B.A./C.B.A. O \'' \` _ \ \
�1` 1 Ffi,823 SQ. FT. ryO \ _ — D— -- — —
\ 2.68-eCRES /- _ _ _ i_ J-1. —862,\
LOT 16
\ \ \\ w o k
132,096 sq. ft. \ rn 1 E
\ 3.03 acres \ [ 0 \ 7 / o I
626\ \\ \\ .4F31 IM \
'' \ N.B.A./C.B.A. .�Z N
••\
N ^ / 102,217 SQ. FT.t . In .1 0 O'� ` 07 J \ ' 1 2.35 ACRES \ D itle� f 3 W• [ \ \- ' 1 vl o
" \ 193:' ,�, l�OT17 -� m -n . 0
�_ .- ';59• \\ 131,077 sq. ft. \d >1,,, '•
301 acres �' � v) �
� \`
s�z, _ `_ S 4g/ . 'fL' `i J coo 020
ms's' '
�s� �C `4 `` � 4Vo . LOT 18 CO I
o D> \
N ��\\\s..-**, \'.\ . �i\ \\ 137,345 sq. ft. I o m c
\ 0/ \ �\��1t11_ A �'��``t� � .3 3. 15 oc�es I �`�-1
\ \�� 1 .B.A. CBA. ,.
1 �.5a ' � �k 3,. ,s 47,654 S.Q.• FT. I I
�(� _ 1.09 ACRES I-0 \--1
� � I r— \
F \ 'c , -- . -.. ,\ z .�
0)( 1 r /
ti , f ,1