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Home My WebLink About040-1306-17-000 (4) Wisconsin Department vEO SOIL EVALUATION REPORT \ Division of Safety g� Page 1 of {r,� ccord nce with Comm 85,Wis. Adm. Code Attach complete s e planapOr At less than 8 2 x 11 inches in size.Plan must County ` C� include,but not lim ed to: ical and r�rXtal ref ence point(BM),direction and Percent slope,scat or diS� )�yO w ovation and distance to nearest road. Parcel I.D. 30(0 _/�—O� P1 NG nt all information. gRevied by "Date Personal information yo provide may be used for seconds "J�'"� secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner Property Location Property Owner's Mailing Address 1{4!�1/4-S �• T Z•8 N R E( )W Lot# Block# I Subd.Name or CSM# � • o. f ox 3 3 ..� City State Zip Code Phone Number ❑City Village Town Nearest Road , � New Construction Use: ` ® Residential/Number of bedrooms _ Code derived design flow rate S — lj UO ❑Replacement Public or commercial-Describe: GPD Parent material G (_ �Cl L S�-U i� }' Flood Plain elevation if applicable fJ t1 General comments ft and recommendations: i El Boring# ❑ Boring ® Pit Ground surface elev. ` OZ)- ft, Depth to limiting factor -2 in , . Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounds Roots Soil Application Rate in. Munsell Qu.Sz. Cont.Color Boundary GPD/ft Gr.Sz.Sh. 'Eff#1 'Eff#2 j ,- Z q-30 rp�2 316 S ) ^ Cn C�v Z�' CS 1 -3 3�_C 6 1D V/b _ 1 4° S bra � 1 — wt- •so i f ' Boring# ❑ Boring ® Pit Ground surface elev. lOb-Z ft Depth to limiting factor R g in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots I Soil Application Rate in. Munsell Qu.Sz. Cont.Color ry' GPD/ft2 Gr.Sz.Sh. 'Eff#1 'Eff#2 -2`� hA T1_ C-kJ z M 5� Z`� � S 3 6-`t$ l rn L V/6 l , s S 'Effluent#1 =BODs>30<220 mg/L and TSS>30<150 mg& •Effluent#2=BOD < CST Name(Please Print) — s_30 m 9/L and TSS<30 mg/L .-Arthur L . -lie, 0 3—Z rer ��. Sig lure CST Number - 1S - 1`1 Address EJ e$e r e r S o i 1 Testing & Design Service Date Evacuation conducted 220254 421 i1. Iiain St. River Falls, WI 54022 1Z_�Z. O � Telephone Number 715-425-0165 r:' y a. Property Owner Parcel ID# J171 ylJ G Page ; of Boring# ❑ Boring //�� ® pit Ground surface elev. I ��' 8 ft. Depth to limiting factor � 9 I p 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. 'Eft#1 Etf#2 o-)o )0-2fZ BIZ st-i Z`F s z blrc 'f� `F S S .b Z l0-33 1��rcZ3l� s1`I Zen sb M l ,S b 3 33-c* 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/ft= in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 F1'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 GPDM2 In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#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 11ie 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 lie department at 608-266-3151 or TTY 608-264-8777. S©D-8330(R.6/o0) PLOT PLAT T Page 3 of 3 Scale 1 ' =sc) ' l 1� 0 a t5 o8 °i 1008 / o �. ` '�-T n a° I \-o 7 l� Lo�- tis _ _ C.U2nI`1� 715-425-0165 220254 03- Z1S- 1 7 CST Signature Date Telephone No . CST No . Job NO .