HomeMy WebLinkAbout040-1306-18-000 Wisconsin Depa Ed SOIL EVALUATION REPORT
Division of Safe and s Page \ of
2p iik acco ance with Comm 85,Wis. Adm. Code
Attach complete site pl �IRp e not less than 1/2 x 11 inches in size. Plan must County
include,but not I ited tf3.vertical a06f q�bntal Terence point(BM),direction and
percent slope,s le or dim , Parcel I.D.
S �` G O �rro d location and distance to nearest road.
rint all information. Revi wed by ''Date
Personal information you provide may be used for secondary purposes(Privacy Law,s,15.04(1)(m)). \ -.. ��AI n
Property Owner Property Location IM &u 2MS-r—
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Property Owner s Mailing Address ! E(or)W
!Lot:�# J�:7CI4 Subd.Name or CSM#
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city State Zip Code Phone Number
❑City ❑Village ®Town Nearest Road
t3f��)`�1 SRI-c.� k,► s�l 8'10 (�I S )�$S_33 s I TZ-O`-i'
New Construction Use:® Residential/Number of bedrooms —L1
Code derived design flow rate GPD
❑Replacement ❑ Public or commercial-Describe:
Parent material � j 4'j Y) Flood Plain elevation if applicable 1�J'1
General comments ft•
and recommendations: `L�`
Boring# ❑ Boringt_ ��. co
® Pit Ground surface elev. �� s ft Depth to limiting factor -2 R �' in• •�-
Soil Application Rate
Horizon Depth HnIor iRedox, scription Texture Structure Consistence Bcundary Roots GPD/ftz
in. nt.Color Gr.Sz.Sh.
'Eff#1 'Eff#2
Z .5 s i ! z S O
i
i
c
❑
E Boring
Boring# r
® Pit Ground surface elev. 6'—7 ft, Depth to limiting factor y in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh.
'Eff#1 'Eff#2
1 o-ls lo��z3cZ -� s; 1 z�s►�k wr;->r cw
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Effluent#1 =BODs>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 m
CST Name(Please Print) — s_ g/-and TSS<30 mg/L
Signature CST Number
Arthur L We-erer OWL — �� 220254
Address ti e g e r e r S O i l Testing & Design Service Date Evaluation Conducted Telephone Number
421 i1. Iiain St . River
rolls , [dI 54022 1Z- 1 `l _ `03 715-425-0165
Property Owner ` �^�(�l✓1 /�— Parcel ID# �t�1./171`L G Page ; of
Boring# ❑ Boring
® Pit Ground surface elev. C)a-O ft. Depth to limiting factor 8 in.
Soil Application Rate
Horizon or zon D
e th Dominant Color Redox Description
P Texture Structure Consistence Boundary Roots GPD/ft'
In. Munsell Qu.Sz. Cont.Color Gr.Sz. Sh. •Eff#1 •Eff#2
I o-�S ►k�h 3 Vvi 4,- cw
L0-1 fz--�l6 — S D s wl I . Z .�
F-1 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
❑ # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to Ilmiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2
T--7 I
•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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SBD4330(R.6/00)
PLOT PLAIT Page of
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C �'�✓ «� 12 .3 -o 715-425-0165
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CST Signature Date Telephone I-To . CST No .
Job I`T0.