HomeMy WebLinkAbout040-1306-05-000 (2) Wisconsin Department of Comm SOIL EVALUATION REPORT Page of
Division of Safety and Etc:v ECEIVED
in accordan with Comm 85,Wis. Adm. Code
� County '
Attach complete site aper Ar}pt s X44 8 1/2 x 11 inches in size.Plan must
include,but not limite 1@RariH! n ontal refer ce poi nt(BM),direction and
percent slope,scale ions,north arr hand I tion and distance to nearest road. Parcel I.D.RUX ql tion. R dewed by Date '7 ,Personal information ymay be used for secondary purposes(Privacy Law,s.15.04(1)(m)). C�O�
Property Owner Property Location
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1/4. 1/4- T �i N R �p ✓-
Property Owner's Mailing Address - ' ` E(or)W
ox 3
Lot! Block# Subd.Name or CSM#
o, f 3 S - ISurvS v�
Clh' State Zip Code Phone Number �N -T�
El City Village Town Nearest Road
New Construction Use:3 Residential/Number of bedrooms -4 Code derived design flow rate 'j S C)
❑Replacement - no GPD
Public or commercial-Describe:
Parent material C� L_�el }� �-y I,v ,�
Flood Plain elevation if applicable
General comments
and recommendations: Z��}✓ly„1 � 3 ,�L
m aj S " ► ►^-t�k. 6 6 4 b �
� c�•i Ce+�:I� �
0] Boring# ❑ Boring
® pit Ground surface elev. 1 b Lft. Depth to limiting factor �� in. --------
Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary oots Sod Application at
in. Munsell GPD/ft
Qu.Sz. Cont.Color Gr.Sz.Sh.
'Effl •Eff#2
C O-1Z )0'�(? 31 Z �' I SZ � �'�S�� �`�� CW Z'� I •� • 8 to
Z �z _qZ 1 0-j(Z 316 s� ? s b�T m�F►- c� - �,
3 �1Z-Ip� 10`22 �j� ._. •� •�°
S os I _ ' � )' Z ' •�
Boring# ❑ Boring
® Pit Ground surface elev. y ft, Depth to limiting factor'2 LOS in.
Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate
fn. Munsell Qu.Sz. Cont.Color
Gr.Sz.Sh.
o-� 'Eff#1 'E2
I y ���23�z ff#sl J z�sb>z
i Ztin S� - h2
(/A
Effluent#1=BODS>30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOD <30 m
CST Name(Please Print) - s_ 9/L and TSS<30 mg/L
Sign re CST Number
Arthur L, Wegerer 03 Z1S _ S
'`mod 4degerer Soil Testin; & Design Service 220254
4 21 N. Main S t . River Falls W I 5 4 0 2 2 Date Evaluation Conducted Telephone Number
' ZZ-C�3 715-425-0165
Property Owner ` f q1U(�1✓1 Parcel ID# V 1 /1]1 Q C Page ' of
Boring# ❑ Boring /
® Pit Ground surface elev. Z ' S ft. Depth to limiting factor O b in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft=
In. Munsell Qu. Sz. Cont.Color Gr.Sz. Sh. •Eff#1 I 'Eft#2
1 b-ZZ rL Z _ sIJ ZmSb� m4-, Cw :iT
z zz-�(8 1D�t2 3�6 s>
3 R u�6 — S s9 - •-7
EF ,
F-1 Boring# ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil 1pplication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. MunseJI, - Qu.Sz. Cont.Color Gr.Sz. Sh. 'Eff#1 •Eff#2
❑ 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/ft'
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2
T--r
Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODS<30 mg/L and TSS<30 mg/L
T'lte 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 6/00)
PLOT PLAN Page of -
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1Z_2Z_p3 715-425-0165 220254
CST Signature Date Telephone No. CST No .
Job No.