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HomeMy WebLinkAbout032-2167-31-000 Wisconsin Department ofCommerce SOIL EVALUATION REPORT Page_L_of 3 Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County i x� include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel ILeewed D. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Please print all information. by Date Personal information you provide may be used for seoondar�pY- 0 ((?' s.15.04(1)(m)). Property �', p rty Owner s �E ip",, Property Location �✓I e C// �r7— L 7Ls� �-r h. Govt.Lot 114*,(ZA/4 S2 6 T N R (or� Pro rty Owners Mailing Add es " �� r 1 Lot# Block# Subd.Name or CSM# M, 120'.v, ��i /.Y;, ., �.,J_ .7l ;tee C J116e �hc/ � City State Zip Code Ph nff',Nt�6 �'rUiJ _i_ ❑City ❑Village RTown Nearest Road l� s� 5 o/� So m ems e G z�t [;4-'New Construction Use:[ Residential/Number of bedrooms�— Code derived design flow rate O O GPD ❑Replacement ❑ Public or commercial-Describe: Parent material �1419 4-&x4 /p is,°�f �,� /d Flood Plain elevation if applicable /r/A ft. General comments �� f 7 ✓� ,�a�j, a r c and recommendations: . 7 1 Boring# ❑ Boring O 2 ❑ ® Pit Ground surface elev. 67113 ft. Depth to limiting factor_in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 I *Eff#2 1 D-9 0Ytf-3/ A- Z 2ms6t- 1 -i. a1 01S- O,,9 /9 2.7 7.Sy�'/ I�Sco� O Sy ^-` c c-- / 10,-7 1,2 27-1oZ 7-S716,/ ,!�/� fns/C,6 OS ` — !�� dr 7 C) Boring F2--] Boring# ❑ Boring [� pit Ground surface elev. Os 6 ft. Depth to limiting factor /d z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 I &-/ o 3i, s Z- Zri ri*- a, S a, 2 /y 27 SG 0, -5-1 Or SL sy 7>W% /VA- L.S 'kn 4,� � 7 1, z s y/oz 7,T &i &) -Cob 0 sv- r-► — 0, 7 /, Z 3' �9•Z� o, d1 Z �' *Effluent#1 =BODS>--30--<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L CST Name(Please rint) Signature CST Number Address Date Evaluation Conducted Telephone Number / � V��/ Z e Sol-ie-lie r L✓1, "� -d z– 71S '` SBD-8330(R07/00) t � w Property Owner / /j�L L 1 �f `fit^�f�y� Parcel ID# Page of FTI Boring# ❑ Boring © pit Ground surface elev. >• ft. Depth to limiting factor ll V in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. I Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I 'Eff#2 2 12- 22 /oyt yA- Ck S IM- (�,5� ©, Y 3 22-39 7r�l� AIX C-c---, 14 Do 7 MS 37'11 Z) Cv,t- l � 0.7 . 1. 2- 8�•a � F-1 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 F-1 Boring# Ground surface elev. ft. Depth to limiting factor in. ❑ pit 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 'Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODS<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.09/00) - Page 3 of 3 Name Brian Parnell Address CST 231314 Date 6-ZD -Ilz- Benchmark I A90,0 A Benchmark 2 ❑ Soil Boring r--1 ,--i Suitable Area 1" =40' Scale 7-1 CO, 11!19 -Z! ........... rAH. -lop, 1 VA ttie