HomeMy WebLinkAbout032-2093-20-000 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ! of
Division of Safety and Buildings
in accordance with Comm 85,Ws. Adm. Code
County �I
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must
include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D.
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 0*3 a_ Ci -a -b O d 0
Please print all in ®cc ®-{(-��_wa- Rev' d b Date(o
Personal information you de may be used for s pupEs"LVE t..,9 5.04(1 (m)).
Property Owner TPh -N, Property ovation
JUL 12 2 04vt.Lo" SE 1145E 1/4 S aY T 31 N R ( g E(or
Property Owner's Mailing Address Lot# Bloc # Subd.Name or CSM# t
2kSt5 CA �p-r� 5� .;,UX u a A0.N s u.�Ne k,,ka ; I f - A n.
City State Zip Code ❑vil lage [59 Town Nearest Road c_
66MC-l' e-} I W 5 qP iS 1015 )a 7-4 A) NO. Sb►N Crs e 0"
New Construction Use:® Residential/Number of bedrooms 3 Code derived design flow rate l 5 y GPD
❑Replacement ❑ jPublic or commercial-Describe:
Parent material�j � l / Flood Plain elevation if applicable ft.
General comments = 3 --r-e *C .t5 (. y 1`ra - c-e
and recommendations:
r. I [lao.��' T. `I (9 6.av �
�r.-4 4gS.$i') s a1, -r,5 CgS .oa') JG�v:rG.
Boring Un V-
❑ Boring# b.Z. ta ft. Depth to limiting factor in.
® Pit Grounds ce elev. t' p g /0�0
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
I -1 / iVi SL .1 C5 6 W- t-15 k aw a a L 1, D
"5 a cA L 1cw iF j J, 16
7wsvol - Ncav-f w_ {: k C IV1- 1. 0
F Boring# El Boring
I O I ® Pit Ground surface elev. I t>'3.99 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 I *Eff#2
00/a L a F5b It
3 174-1 7.S-I A,"ll"t, �5L aMsbk Zow I VE 4, 60
FS bw- w --.
if Y l_ ---
*Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD <30 mg/L and TSS<30 mg/L ��-
CST Name(Please Printer Signature CST Number
. ' a..r ... to
A �s� Date Evaluation Conducted Telephone Number
- -a y s-aYgr 35Y8
1'Yla,�vlr� a f
Property Owner &r A." i Parcel ID# Page o
Boring# ❑ Boring
Pit Ground surface elev./D010 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
0- nMR3 a. L 01 FS b vL ods Giw a� ►. D
5L
j
Boring# ❑ Boring 97 ,R3 pit Ground surface elev. 7 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 I *Eff#2
v- 1 oy 3/a SL
6-I 1 NRY1 t, ,IFS V4 ► F i.V
3�it) Slay/
F—I Boring# E] Boring
El 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 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)
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