HomeMy WebLinkAbout040-1303-00-016 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of
Division of Safety and Buildings
in accordance with Comm 85.Wis. Adm. code County ST. G,Q 0f 1 L— 'i�'
Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must C
include,but not limited to:vertical and horizontal reference pant(BM).direction and Parcel I.D. L G" d bid percent slope,scale or dimensions,north arrow,and location and distance to nearest road. P
Please print all information. evrewed b �� � �.
Personal kNotmstion You proms nM be used for secondary purposes(lacy Law.s.15.04(1)(111 1,1L3 of
Property owner 7'OPJ9, IJ Property
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property owner's Marlling Address Lot# Block# Subd Name or CSM#
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City TN WR State Zip Code Phone Number ❑city ❑Village R Town Nearest Road
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Use[9 Residential!Number of bedrooms Code derived design flow rate D a GPD
❑Replacement ❑ Public or commercial-Describe: — tA
Parent material�/n�:S S O U:ZL. S,4AJA) > GD�Gt��}f'Li_ Flood Plain elevation it applicable h `—IF
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and recommendations: • _
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Ug pit Ground surface elev. � ft. Depth to lirratatg factor Sol Application Rate `
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
In. Mtnsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Etr#1 *Eft#2
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® Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate
Horizon Depth Dominant Color Red quc t3esaiption Textirre Structure Corsisterx a Boundary Roofs GPDt'fP
In. Munsell Qu.Sz. Cont.color Gr.Sz.Sh. 'EM
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Effluent#1=BOD >30<220 mg&and TSS>30:5 150 mgfL 'Effluent#2=BOD <30 mgll and TSS_30 ffiI
csT Name(Please Pfit)P'•-u LB R i c i� Signature 2Z 5
Address Ulbricht &Assgciates oats E'�l"�10"conduced Telephone Number
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2812 1 Oth Ave.
Spring Valley, WI 54767
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Depth Doiration Rate
minam Redox Descxip M Texture Structure Corrsi�ence $ochry Roots
ih Munsett Qu.Sz. Cont.Color Gr.Sz&h. .Eff#1 .� r
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Hmizon Soo Appkadon Rate
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Fit Ground surtaco elev. - tt. Depth to�g tactrrr in.
Sort Rate
tiolt2Qtt Depot �t colof R6 i Desu"M- Texture Sirudure conswenm Boundary Roots GPDM
in. Munsell .SL Cori.Color Gr.Sz.Sh. TOM 'Eft#2
Effluent#1=BOO,>30:S 220 mg&and 7SS>30<150 nV& °Effluent#2=13005<30 rrKA and TSS<30 mgiL
The Departrrrent of Commerce is an equal opportunity service provider and employer. If you creed assistance to access services or
need material in an alternate format, please contact the department at 608-266-3159 or TTY 608-264-8777.
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PLOT PLAN WALNUT HILLS FARM. LOT # 169 Pg. 3 of 3
= Contour elevation lines.
• = Backhoe Soil pits.
O = Benchmarks set, maRKED WITH FLAGGED
lathes. 1/2" steel conduit pipes.
SCALE.
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