HomeMy WebLinkAbout032-2167-37-000 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ! of J
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 �
include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. �/4
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. pZ f�a 7-3 7—(��
Please print all information. Rev wed by Date
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poses(Privacy Law,s.15.04(1)(m)). N OZ
Personal information you provide may be used for seconds -Rur
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Prope Owner d sy t rope Location
I e C �/M /�� er h y Govt. of s (�!J 1/4�G 1/4 S T N R i(or)(9
Property ner's Mailing Address r_ Lot# Block# Subd.Name or CSM#
City State Zip Code Ph ne tuber C'-' ❑ ty ❑Village ®Town Nearest Road
New Construction Use:0 Residential/Number of bedrooms�_ Code derived design flow rate 960 GPD
❑Replacement �J ❑ Public or c+�)mme cial-Describe:
Parent material ��G+ 2 �� e� � fi 'Pj' /S Flood Plain elevation if applicable lvk ft.
General comments She ML 9�. a
and recommendations: j� n
O-A-1�,
F,I Boring# ❑ Boring //��
® Pit Ground surface elev. 0 ft. Depth to limiting factor> 96 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description jTexture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2
l o-lI /OY� �2 4- 2 m o h���r c w 2 rn 0,5 0,7
2 1l-71 75- e s/ Y�r6k Mel— c w z O.S 0. q
.7 31 76 -7frR MS dS — L4 Qe7 !
9� f3/ S/3
g/36 WS-,2-
Boring# ❑ Boring
® pit Ground surface elev. 160.9 3 ft. Depth to limiting factor '7 /G
S 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 b-/o OjR% 77 2Mjs -t r-,%L'-' Cw Z-, 0 ,S a .9
Z 10-I o r/� �k s " t-L v�' C (.- 2'h 0' .5- , 9
3
19- 37- 7.5-rrr s IL m142 qs O' s 0 . 9
32- 9s 7, mf s fn /, D 7 1 . 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
CST N e(Please Print Si lure CST Number
i^i�� 'Ya ,Ae /I �. i3 1Y'
Address Date Evaluation Conducted Telephone Number
3 /�Z �zct2 Sal^, Gas �e�- �c,Z {j-- ZO- Z 7j�- 2(17- 03
SBD-8330(R07/00)
Property Owner r'1CG�� cco�.�eiSh,� Parcel ID# Page of
❑
Boring# Boring �� 6
® Pit Ground surface elev. i y2• 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
IVA L 2�yl na�, CU- 2M Q' S 0 , 9
2 q� 2� /�r� / �« s 2 ri" � � �, ��, 2,., p s 0 . 9
V 33- y 7,�-rYf 614 N 4 0-5y 1 r 14- ,%7 I t 2
�r`hs4l nluFl V ` ( � Z
F-1 Boring#
❑ Boring 8 8V
❑ 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
F-1 Boring# E] 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/1`12
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
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'Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=ROD,<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(R07/00)
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_ Page 3 of 3
Brian Parnell
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Address.. 7��J v 231
Date
enchmark 1 -Toe 6 O
enchmark 2 /'�
L-J Soil Boring
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I--I i Suitable Area
F = 40' Scale
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