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HomeMy WebLinkAbout032-2167-32-000 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of - Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code S Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County C 1 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. 03)- Please print all information. R iewed by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 3 PropV Owner �r- �s`�N Pro erty Location )4?/ �� OS s� a =oD c / l"J C / T7 � . a Go .Lot G 1/4 NY1/4 S 2 O T 3 J N R !(or )o Owner's Mailing Address Lot Block# Subd.Name or CSM# fbf c)� 7-7/ i f c00 3 C'/` o)-" Ald City State Zip Code P one�I,art�der i Villa a Town Nearest Road 'c C�, ❑ ty ❑ 9 t7 ��/S� F "K .SCS e�s-c l- 6Z 5� a New Construction Use: Residential/Number of bedrooms�_ Code derived design flow rate cs 6 O GPD ❑Replacement ❑ Public or commercial-Describe: d, Parent material -.!;yAY p-4-/- w*.r b P/a d eJ 45, /k Flood Plain elevation if applicable General comments ��l t��►-, L, �/Z, 2 �,,r,. y and recommendations: 1-11 Boring# ❑ Boring ® Pit Ground surface elev..9z- 7 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 'EMIQ ce j 01 ? 21-31 7r��iy /�� s� 2 s�� �� r� 0 5 , 6117 Y !- d O 7,,4-xx � S� t-7 : C e-, 0.7 T ii 02 `?2•Z0/ gv F-21 Boring# ❑ Boring cab © pit Ground surface elev. .16-ft. Depth to limiting factor,_in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in/.p / Munss�elll Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1/ *Eff#2 1 0^(d /©�/` �J � L J 'It-LJA- v . CC✓ ZX11 Dr / / . Z 2 1�"2 7�Y� * -TL 2,�Jl� r- c w z �, �, q IVA *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 Name(Please Prin!j Signature CST Number Addr� „� / Date Evaluation Conducted Telephone Number (`�J l9Zccve S®/ ��re� 6^2C�- C) ZY7--?Z03 SBD-8330(R07/00) L 60 Property Owner 1 /'11eC/1�/ / ��ex-S y/ Parcel ID# Page Zof✓ F-3-1 Boring# Boring ❑ D ® pit Ground surface elev. // / ft. Depth to limiting factov 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 d-� o 111A AS /2"" c 6-- -z M O Of 9 /Ow %'/ At SL 2,,'-SJ4 L-le. as 2r►. O,S O, Q 1`3 7,srf y LS t-6 fASh t IVA ms/o4 Os mL a.5 (v"a, O 1 -7,12�f/ /vim • x-92-� ❑ Boring# ❑ Boring 2• �/ Y b�• `� 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/112 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 F-1 Boring# ❑❑ Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/112 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(x.07100) Cjf,NER Page 3 of 3 Name 14 e C/( f* Brian Parnell Address /9 �Jz72 -;F— CST 231314 Date Benchmark I 'TO, Z Benchmark 2 b Soil Borinc, I-_j Suitable Area 1 40' Scale C �-7 --7 7— e jeq�\ i —T- LO ---------- oil —7-7 T- -T ----------- —T