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HomeMy WebLinkAbout032-2167-34-000 (2) 1 'Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code - 1 K Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County Cro 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. o 3.2—a./ 3 tj Please print all information. R d Date Personal information you provide may be used for s gy,�Law,s.15.04(1)(m)). r(� Property Owner / is Pro erty Location �/ f C� �h C C /. fH�s A Go t.Lot S jl! 1/4/► 1/4 SZ 6 T �/ N R / f(or)(D Property Owner's Mailing Address A 2 Z Lo # Block# Subd.Name or CSM# City State Zip Code PrX (7,7771 City E]Village ®Town Nearest Road New Construction Use:® Residential/Number of bedrooms�_ Code derived design flow rate 660 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material_�1}f J RAe'Ii ���r�f 9f, /� Flood Plain elevation if applicable /U,(- ft. General comments S ysf P,� ICY, q�,D �i'i.�•��j. �.e and recommendations: a Boring# E][3 p ® pit Ground surface elev. 9O i 7 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 )—/D /lp���/ L- j Yh S><iiE y'r Fi C w Z.-t //D**��, Y ©, F(�, -sg% L �J ^,S r, f� c 1 O 6 y 9T- 63 7,f�,° 61. L S 'b-,s ds; r-1 v4,- G D, 7 S t3-9 Y ?sy,e% .t%/,t(� mJ c-1 Ds' --1 L e w O. 7 1 . 2- �o ❑ Boring `f`t` BAR 4 O. �p Z 6 Q Boring# p �/ Q� at , pit Gr ce elev. /, / ft. Depth to limiting factor 7 �6 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 I *Eff#2 C9-12- v y 3i A L C �,�F. cw Z V a. 6 3 3ff-Y? lO Yf 3 SZ- 2 fir j",,F, G w r ti 101-5- 61 9 y Y?- ?( 7 j-4�-' o, ,7 1, 2- X2.16 &Z,4 , *Effluent#1 =BODS>30<220 S>30<150 mg/L 'Effluent#2=BODS<30 mg/L and TSS<30 mg/L CST Name(Please Print) Signature CST Number /ir,,. a,-,,e 231.3W Address Date Evaluation Conducted Telephone Number .31 r, 20- 02- 71r 2-W--32 0Y SBD-8330(R07/00) 1 Property Owner �i �� G/' fIr`�J��.� Parcel ID# Page Z of ® Boring Boring#. ❑ p I, pit a Ground surface elev. v,� 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 a-/o 0�l 3iy / G /rns- k t-2,r, C� Z 0,�( C), 6 2 /0-��( D % ,� %L 2>L'�6� eX7FY ccx 2n 0.3— 0 . 8 y 3s-60 7,fy,� % //VA wslc a6 C;-'y �� c� ��� 1, Z F-1 Boring# ❑ Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit all 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 'E ❑ 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=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.07/00) Page 3 of 3 • Name Brian Parnell Address CST 231314 Date i',,e 20 ox Benchmark 1 76 74 e e 1,oe 1&96 enchmark 2 /00 t �-�Soil Boring :--J' Suitable Area F = 40' Scale T- ----------- ac ------------ --7 —------------- 4-13 - icb ..............--------------T- ------------- --------- 0 —7—