HomeMy WebLinkAbout040-1312-05-000 (2) RECEIVED
Wisconsin Department of roe 1 SO L EVALUATION REPORT Page / of 3
Division of Safety and Btrildi r_ 0 -
in accordance with JRdm. Code
county:
ST.CRU, C l' TY �� ST. G (Zp t X
Attach complete ske plan paper 11 es in siz .
Include.but not limited to: (BM),di 1,
percent slope,scale or dimensions,north arrow,and location and distance to ne d. Patcel I.D. O 4 O
Please print all information. Revie by Date
Personei information you provide may be used for secondary m> (PdvaW Law.s.15.04(1)(m)). Z
Property Owner Property Location — 100f
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a 8.) nes-r >T Govt Lot W 1/45Yr 1/4 S T Z.8 N R E(or)r�
Property Owners Mailing Address LOP Block# Subd Name or WW
S92- O MAH GT 5 COTT6C-9C- ME41>01^iS
City State Mp Code Phone Number ❑City ❑village 0 Town Nearest Roaci
bS6r1 I w► 5 ll ( I 17)ZOW 1 5 Q 8�i2t� lw
® New Construction use CR Residential/Number of bedrooms 3'S Code derived design flow rate -150 — 750 GPD
❑Replacement ❑ Public or commercial-Describe:
Parent material L D(l rw A5+( Flood Plain elevation if applicable O/A' fL
General comments
' Areal )( Spot Tested suitable for fj
a conventional inground system(P.O.W.T.S.) J6,4 7
® Pit Ground surface elev. 99«4/ fL Depth to Milling factor >95 in.
Sod Awkadon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bouridery Roots GPDtff
in. Munsed Qu.Sz Cont.Color Gr.Sz Sh. •E01 •01#2
0-23 /vf22-12 tL 2 e5bx mfr a4 fo .g
2 23-3`/ 1 n Yk 411 SC l 2 C 5bK M f r ct w 2-,1-(2-,1-( .y-
3 31-95 0 55 C1
# ❑tt eor+ns
2 I�t Pit Ground surface elev. ,Z8 ft. Depth to Gmidis' g factor 7 98 in.
Sod Rate
Horizon Depth Dominant Color Redox Description Teod re Structure C insistence Boundary Roots GPDW
In. Mu used Qu.Sz Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2
I p-9-g lv Yte 2/l - 3 f.sbK m-fr S 3 V4 . to . S
L 48-70IorA4,3 - 5/Cl 2m5bK I M-Fi a - e+ ,!o
.3 70-9 IoYR5, - S 0 55 d I - ,7 1 .(o
•Eftm t#1=BOD >30<220 mg&and rM>30<150 mg1L •Ellluent#2=BOD 130 mg&and TSS<30 mg1L
CST Name(Please Print) — — Signature CST Number
3 E") U L Ike IC-H-T t•[.vc/Y` k599351-
Address Date Evaluation Conducted Teiephome Number
2`312 1o'f dim Sp,ernt" I✓q-is&y� loll ivlrtY /o-zoo.- 671s-) 772--344-2_
For issuance of permits and designing Ulbricht &Associates
Contact: Ulbricht&Associates Private Sewage Consultants.
Registered private wastewater consultant and plwnba Spring Valley,VUI 54767
2812 10th Ave.
Spring Valley,WI 54767
715-772-3442
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