HomeMy WebLinkAbout040-1306-14-000 (2) Wisconsin Departure '�IVVD SOIL EVALUATION REPORT
Division of Safety d Bui Page \ of �
' corda ce with Comm 85,Wis. Adm. Code
Attach complete si plan R���pe�n25t less than 8 1 x 11 inches in size.Plan must County
include,but not limi d to:Vertical and�i�a,n cpTi�31 refe ence point(BM),direction and >�
percent slope,scale r dim s" NrrIrYYY, Parcel I.D.
S� � C,( P�� cation and distance to nearest road. 7
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rnt all information. Rev' wed by "Date
Personal information you provide may be used for secondary purposes(Privacy Law,s,15.04(1)(m)).
Property Owner
Property Z -
Location
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Property Owner's Mailing Address Vt 1/4-S �• T N R
Lot# Block# Subd.Name or CSM#
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City State Zip Code Phone Number
❑City ❑village Town Nearest Road
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New Construction
Use:®. Residential/Number of bedrooms
E]Replacement flow rate
Code derived design S Q – C1U GPD
Replacement Public or commercial-Describe:
Parent material G (_
Flood Plain elevation if applicable 1�1 F
General comments ft.
and recommendations: 12EC�j��� � �k11�JE ��S /^•��NFL �
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Boring# ❑ Boring p r Cep F� �� � •
® Pit Ground surface elev. S• ft Depth to limiting factor ?
q 8 in. Z
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Toundar, Soil Application Rate
in. Munsell Qu.Sz. Cont.Color Boundary GPD/ft
Gr.Sz.Sh. 'Eff#1 'Eff#2
►o��Z3t.z — 511 Z. sbk �n`f4- .S .�
•S .�
E Boring# ❑ Boring
® Pit Ground surface elev. 9 g ft. Depth to limiting factor '2� 9
in.
Horizon Depth Dominant Color Redox Description Soil Application Rate
P Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz. Cont.Color
Gr.Sz.Sh. 'Eff#1 - 'Eff#2
10`1 St Z`f-s b k �1'ft C t v Z`� S -9
Z 1l_y� tp�� 316 A4
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'Effluent#1 =BOD,>30<220 mg/L and TSS>30<150 m
CST Name(Please Print) – Effluent#2=SOD,:!30 mg/L and TSS<30 mg/L
Arthur L Wegerer p sign lure CST Number
�G _ 03 Z1S — )q 220254
Address Wegerer Soil Testing & Design Service phone Number
421 X. Bain St. River Falls , (�I 54022 Date;vaZluatiZcZonduO3 Telephone
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Property Owner `- w�v��(�Nl `p— Parcel ID# Page ;of
r
3 Boring# ❑ Boring
® Pit Ground surface elev. C)C Z fl. Depth to limiting factor 7 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 •0_�3 loyrz3lz sj ) z`Fsb w1`� ew Z� �S . �
�- ►3-�[Z I�`1 316 s i I Z s b k m.. �s °S
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
F-1'Boring# ❑ Boring
El 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 I 'Eff#2
"Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD,<30 mg/L and TSS<30 mg/L
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CST Signature Date Telephone No . CST No . Job No .