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HomeMy WebLinkAbout040-1279-50-000 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of .3 Divi3ion of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code ST• L° lZO 1 X Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. / Please print all infonnation. R46viewed Date Perso information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). joU T Property Owner }� p Property Location P0jZp,--1701.7 Geyt-Lot NE 1/4 1V 1/4 S T N R lcI E(or Owner's Mailing Address Lot# Block# Subd.Name or mat# I 18 Oo � Zpg�„ S� 'T N E , S U t� t 0 3 5 I—PrG I-E S LUF-f City State Zip Code Phone Number ❑City ❑Village ®Town Nearest Road 3` �n►�� � 554Y9 ( -)6I) zs-7--.s6a TRO`f (ZM �o� © New Construction Use: Residential/Number of bedrooms Code derived design flow rate b o GPD ❑Replacement ❑ Public or commercial-Describe: Parent material L(Z) S 0 V '1Z Tt elevation if applicable )�i ft. General comments �1 �. ,:._/,.�/ and recommendations. --C,�Zp�-U� S�,7� lg $v . \ BLS , �C� w� 2vc y _ ri ❑ Boring tf. 7 - 13 ti k f y S/ Boring# _. T - p x Pit Ground surface elev. c'L 30 ,ft,, � jieytimiting S Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture sistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.'Cont Color 6r. 2:Seta.- 'Eff#1 'Eff#2 Z ti�-3� 10`i 1z 312 - sI► 3 36-q' 10'-1 2 VA s i I 1 ca Sl�k �S - Z- -3 4�=6a -�•syrz3iy — 1 s �s9 ems - .o .o S Pi \2.P' 6?Q S -PPm e E n A17- 5Z N 7— F Boring# 11 Boring ® Pit - Ground surface elev. 3 0.0 ft. Depth to limiting factor S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in: Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2 o--kZ Lb`-!�31 Z. si 1 Z ' bit wt C-L-j 31- S �.SyQ3Jy s 1 1 \D\,f m-F�- cs — _6 .S`123ly) vW1 , m Vfi- S ) wrT�l t0lrLV16 .o�, In'A--1s c--LSO crv,,rj- -S Wef-r�LLJ cam-1 s ) Effluent#1 =BODs>30<220 mg/L and TSS>30_<150 mg/L 'Effluent#2=BODS<30 mg/L and TSS<30 mg/L CST Name(Please Print) gnatu 0 15 _ 3 S CST Number Art ur L. Wegerer :. 220254 Address e g e r e r Soil Testing & .Design Service r v i c e Date Telephone Number 4 421 N. Main St . River Falls , WI 54022 It-S -O 715-425-0165 l U Property Owner Q�1�1tJ�-?•T1Ptl. ��. �'{Z1�, Parcel ID# pEDQbJAJ4; Page Z of 3 a Boring# ❑I Boring 1 Pit Ground surface eiev.' OL 32• it, Depth to limiting factor 4 Z in, Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 0-1Z 10`1.2 3!z — Sl i Z`Fsbk LQ S .$ 2 L2-29 tO`IR 31 - s)) 3 bk I CS - •5 .8 Y VA S`-l2 5/8 5i1 0N-n. DAl�r1 Cv� - �p •v S U$-63 ro vc')Zil/b N ❑ 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 ❑ 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 =BOD6>30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOD6<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(86/00) PLOT PLAN Page of 3 Scale 1 ' =T) ' nor 3b U.-F s RDfA, w0 D 4Z « L3rt �z. �Iz' X32 •0 � Cho 5� 715-425-0165 220.254 - 1 S Oo 0 3 s 3 s CST Signature Date Telephone No. CST No . Job NO.