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HomeMy WebLinkAbout040-1306-31-000 (2) Wisconsin De artment o[on ECEIVED • Division of safety and B SOIL EVALUATION REPORT Page of AR �' �ance SOIL Comm 85,Wis. Adm. Code Attach complete site pi per not less than 8 1/2 x 11 inches in size.Plan must County 5` �include,but not limited al(�dth)b6f�d TAefere e point(BM),direction and percent slope,scale o@�tt t�tF6W lion and distance to nearest road. Parcel I.D. t Please print 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 Location A"ZZ 5 A-yuJ O 7�v Address �J� �� 1/4S(S 1/4'S �• T Z8 N R �� (ot�y1/ Property Owner s Mailing Address E Lot# Block# Subd.Name or CSM# P o. Sox 3 3 3 ( - Survs City State Zip Code Phone Number V(�) �`� ❑City ❑Village gJ Town Nearest Road ►3R ►�i 1R�E vvI 5�� $lOi (�1S )�8S_33S i TtZ—D`1' I New Construction Use:® Residential/Number of bedrooms — Code derived design flow rate S tJ — (3(D_ GPD ❑Replacement ❑ Public or commercial-Describe: Parent material G L_HC) };L j7,v }; Flood Plain elevation if applicable General comments ft. and recommendations: '�C�O7"lY�l��� 3 r!vt w/ /aj �S � a� (�O;D L ---� curt�� C,e�•ou�!>j �� Boring# ❑ Boring Co&.tZ F*9. ?4z ® Pit Ground surface elev. cl q 'q ft. Depth to limiting factor ? v in. Sail A n 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 7 `Fsb�c 3 Sc-q6 �0,-l2g16 t. Z i a Boring# ❑ Boring ® pit Ground surface elev. Depth to limiting factor -7 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 Loy-tFL Z 1 Z Z 1Z-3 Z it`-iIL 316 sg z 'Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=SOD <30 m CST Name(Please Print) — s_ 9/L and TSS<30 mg/L Signa ure CST Number Arthur L: Wegener O3 Z1S —31 220254 Address V e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. %lain St, river Falls , WI 54022 \Z _ t°l -03 715-425-0165 y Property Owner ` yN�.U��N1L v J— Parcel ID# Nom`/`t`�))�/ Page ;of D ❑ Boring# Boring ® pit Ground surface elev. 1061 C� ft. Depth to limiting factor qB 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 0- to-a- ZCZ — si 1 ►Z wi`Fi-- w Z-� •s -i3 Z 1Z-S 10`2�Z3/� — s) zwtsbk Wl a 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 r 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/ft2 In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 •Effluent#1 =BOD,>30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOD,<30 mg/L and TSS<30 mg/L The 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 PLAIN Page of 3 Scale 1 ' = SCE ' r-- OV Lu i 3 1 lG I, I LuT 3 i iva �� z \B' S N /s 3 r�tom{ #1 - Lr . )Up.O .i B CL � 3l �bIPr. PGC PIPC w/CR-`�}F_ l 715-425-0165 220254 . o3 - Z.1S _3 J CST Signature Date Telephone No . CST No . Job NO.