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HomeMy WebLinkAbout040-1312-03-000 (2) 3 Wisconsin Department of JUG= � SOI TION REPORT Page of Division of Safety and Build 2005 ST C"F rdance with m 85, CvU ��, Attach complete site plan on pa Z / z�11' in size.Plan S-T C R D/X include.tut not limited to:vertical and h po' (BM),dmdion and Parcel I.D. percent slope,scale or dimensions,north arrow.and loco nil distance to nearest road. Please print all information. Date Persona!&rtonnatron You Provide may be used for seoondary purposes(Privacy Law.s.15.04(1)(m)). 16 (Q D Property owner Q Property location D 3 TCAp 81 rRs-rer>7- Gaut Lot NV— 1/4 SVd1/4 S � N' R /9 E(or) Property Owner's Milling Address Lqf 81odc# Subd.Name or 2 O M A N A- L 1 9 Ct7 T-r'9 Cxv ME,tAow S City State Zip Code Phone Number 0 City Q Village [$Town Nearest Road 14L,4>so^) k/1 5�0/ ( ) 'P ROY So�gz✓i4c�"rLA [3 New Construction Use. Residentie!/Number of bedrooms Code derived design flow rate 450-' 750 GPD ❑Replacement ❑ Public or gal-Describe: _ Parent material 6 ut w A S/4 (Flood Plain elevation if applicable h-(* }t General commends 5 5�2 PST`, r�- �j(� , p(p Area x Spot Tested suitable for FT] Boring# Boring © Pit Ground surface elev. -7Q-% Depth to Cxniling factor >9 9 in. Soif Application Rabe Horizon Depth Dominant Color Redox Description Tod me Structure Consistence Boundary Roots GPD/fF in. Murnsell Qu.Sz. Cont.Color Gr.Sz Sh. •091 'Eff#2 o-lo i vYR 312- - 3 -F r m 44 a 5 3✓� b . 8 2 10-23 vYx �/� - 5C1 2c sbx Mf-I a W 24- Li- 3 23-99 /b - 5 o d 1 - — .7 1 c� O Boring L # ® Pit Ground surface elev.16/Aa ft. Depth to knifing facto >cl 6 h. Soft Application Rate Horbm Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rods GPDfft In. Munsefl Qu.Sz. Cont Color Gr.Sz.Sh. i •Eif#1 'Eff#2 / 0-15 1 vYR z/2- — .Q 2 r f77fr s 3vf g 2 i 5-31 IV rrR 4/1 — C/ 2MSbk M f-; la W 2-of I v YR 5/4 -7 1-(6 n Effluent#1=BCC >30:S 220 mg&aid TSS>30 1150 nV& •Effluent#2 30 nV&and TSS 130 mgit. CST NNW Please print) Signature CST Number c- x3 L_F21>cz I H -r Address V Date Evahiation Conducted Telephone Number 2f312 V 6 SP�'lnl� 1/Ac 1_C-,r W 1 M+tY /o-2avf (7i5-) 772- 3442 For issuance of permits and designing Contact: Ulbricht&Associates Ulbricht & Associates Registered private wastewater consultant and plumbers Private Sewage Consultants 2812 10th Ave. 2812 10th Ave. Spring Valley, Spring Valley,WI 54767 �lVI 54767 715-772-3442 ORIGINAL � r =mom= mm _ mm mm� mm mm f'3J'�2 s•t'Er�-r Co?TAerrtr mcm zxW-s Pr iE 3 *F3 Lo-r 3 Uibricht' &- Associates Pr,,V&,-te S,-.wage Consultants ® = Fj enit* MkRK 2W,'2 .i C`a Av . ® g;ra �k y es 1g 7. t3CR 1NC- ' b = Co N'ToV R S4 A try `ur^ issuance at permits and designing Contact:Ulbricht&Associates Registered private wastewater consultant and pi .:. 2812 10th Ave. LL © Spring Valley,Wl 54767 715-772-3442 A O o 13M f jaO.pU V2, F' s ET F- gq.go ZN '4i30�1� 100.03 � 8 2 ; �G/•o� E d ie 0 ® Cot.& ram 2 101.3(® OL a B lc�� •a3 OV-F C-rRov D � � It}1 •bti, 1, 4th S 0 Vo E:\300-399\310-002\F1,,1 p1at\310-002_FINAI P1AT.Ewg,6/14/2005 4:23:04 PM,1:200 gig I rf Re I y En d 5 ° - s R co z 4 b 2' O1 0 tt n UNPLATTED LANDS I $$ 0 CAI y�y A4 gpp S 02'41'23"W 737.68 UNPLATTED LANDS x Fyy �$ �yp0 q t$ 11 206.86' J22.08' ——�i $ , f— 208.74' ! $ mil > I ;e O u ro / r——� 0 ini N� ^" � , —�ggH /w� goo // g Z o t #g � tJ c \"\ •P/e S Pfipo�� u��l z 21.\ p. Y a / :PPP i H " �$ ■�egy��l�y .� g $gyp � > � ��gY?.f / a yy pig �mr" a IRA ED I I a\\ ,\® � sN O g V 9se ^��Igo o2'ai'z3.01,w a16.99 ——/ L£ \�` .£0'LiZt 151.58' 01 N \ M . u �] OULOT 3"Be? \\ I £ ORN AOE g 0\• 40130 Ac-.�"rre.we�o',;T0o9 \ I 50�y,00N GEEMERT .6 __ ,BL£9l I I1 0.92 Ac- .q,nanui 65,h' Mg0' LS'S--- ,L£'4L£M I ILA N N 01'28'44"E 480,03 L9 C) '66Z M "49,bZ.40 < D o w w p ROAD _— S 01'29'24"W N 'u Ild a- -128.92'__ ______306.83'____- 6800 77.41 $09'37'29"w 04. F F IN N 1 _ z 38' S 00'07'20"W 367.38' m 'I mm r pe � g 2 O I N 0'."'29"E o —_____283.67'__--___83.71 W D uai 9 N e a Eg— PPP _m� U�i o I�ic u 302.92' w l II Ci m \ .O-7�\'•��„ggdR ",-�iO zImN� 1 `r Iv N " 1 r•] ID V \`R3 Y>7y.�"J 20. / 2;T4'4J' J06.66' 0+0 i4 pp; PPP g P \ p I j i 4s• J669:1g\ dRd >m O I S31bb'/\ /tiatiy4 ®tT g0 \ — w _J oI co Is /` y� C'��' N� H ICI g Ar g° i IRV o '$ S 4 I "^rn y 9Zt 6 ��M .9I9 I 3 4Z 5£f 0l N N 5E S 02'74'43"W 274.25 M aZy O- Z A o O° �- yy N m50' C yyY�W V H 80 A till aw O g5!¢ ^ I E c- DiIT°o Af $ - oq°m y -- — --- —� I / / -- L— N Im a — 50 mz OS ` � ° u o u ,919 1 Odom Lrn.J _ I 1 ---___—______ —__--_—____84.62' _—____283.90'____— In N 02'1312 E 312.89 _--- ---cia N 02'13'12"E 368.52' ————' g a\ 2 Fn _ —D _ o L A A OLD HIGHWAY 35 0) — z co O Nzmo ,— c �� UNPLATTED LANDS LOT 1 CERTIFIED SURVEY MAP rt' N __ UNPLA'RED LANDS I — VOL_TFG�. CCA) I �O OX EA T O c c=o m m CD � I