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HomeMy WebLinkAbout040-1303-00-034 (2) Wisconsin Department of Commerce SOIL EVUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85 Colle' County /, Attach complete site plan on paper not less than 8112 x 11 inches in size.Plan must 011 �� `rOr include,but not limited to:vertical and horizontal reference point(BM), C - Parcel I.D. d percent slope,scale or dimensions,north arrow,and location and disten rietr rroad. Please print all Jnfornllatlon. by Date Personal information you provide maybe used for secondary purposes(Privacy law,s.15.04(1)(m)). Z—A (p �� .,Property Owner Property Location �7`% -s S7`¢ �Q esaesrec 1/41-1 1/4 ,Z•Z T�(J N R I / *4w � �Ph l�aa fropwAOwner's Mailing Address UIf Block# Subd.Name sPQVA# City State Zip Code Phone Number ❑City ❑Village ZTown Nearest Road[ p 17,( �.Z S4ofa5 ( s)3v�t�'�GtSD Teo Vl/a/nk�'f1; /il New Construction Use:❑ Residential/Number of bedrooM i�—erode derived design flaw rate oL ,6 t m GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Flood Plain elevation if applicable ft. General comments T� .l y�y Q s psi e q-7' 75(,= G e y��s C>7` O 76-o"17 Be and recommendations- Ali 7'! 4 ���c ss a f' th,-< l07` .s' 3 ,L e� cty ❑ . Cau•- ' I - FBoring# 19 Pit Ground surface elev. l• ft. Depth to limiting factor in. yll� Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Shxture Consistence Boundary Roots GPDAF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'E1f#2 zss pt S4 S-rcL -7 PQflk ZT 0-3 70,e-r S-rQ -z > q`k rii f'r — 0-o Qs p c,-, 4 L Fa-1Boring# ❑ Boring g Pit Ground surface elev. -Oft. Depth to knifing factor in. Sod Application Rate FHorizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsed Qu.Sz. Cont Color Gr.Sz.Sh. •Eff#1 'Eff#2 a-8 /a 3/3 ,% C W -Sr e ate Effluent#1 =BOD >30<220 mg/L and TSS>30 1150 mg/L 'Effluent#2=BOD <30 mg&and TSS<30 mg/L CST Name(Please Print) CST NumbW Address ate E Conducted Telephone Number JySh�/S" 77,0 S'7`- swd Y uw g/��d� 7�-�73-- 43o J P11 nTn�Mn �`/9ti do-s,°t@ r/o c t,rti ..v el$ d�h e by �y a n `/Qr, j n �`o �-c> ve�,'!�'y't4� `csu its s e on ¢�`// 6- /3 Property owner , cze�.s Sra Parcel ro# d l 300 Page ot 3 ® Bor�ng# E] Boring , Pit Ground surface elev. �b• C� ft. Depth to l nOV factor in. Sol ApAcation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF in. Munsell Qu.Sz. Cont Color I Gr.Sz.Sh. -Ef#1 I *Eff#2 IS= 7.5'�4� �1 '7.� 3' SAC !y 2 e f J / ` JC4Sf ,ceti rct j� (1ci e P P� � y f 4,t Boring# ❑ Boring lti of h 4�- /71 C, //;i7 Sh off✓ ❑ pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu.Sz. Card.Color Gr.Sz.Sh. *Eti#1 *Eff#2 Boring# ❑ Boring i ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate .Horizon Depth Dominant Color Redox DescriptOn Texture Structure Consistence Boundary Roots GPDNF in. Mu nsell Qu.Sz. Cont.color Gr.Sz.Sh. `Etf#1 *002 * Effluent#1 =BOD,>30<220 nVL and TSS>30<150 mgt *Efluerd#2 800,<30 mg1L and TSS<30 mgll. 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.07 100) Hers tQ EPA S I Y7t ` It v d 1- Xj : 0k � s r` ol% Y oil- -'t�P�= J'�j►o p� rig�eP��1he�ed�'��� �_ /mss ` cl~t- 7f IOA k At ai.+�s �►� ` ir , 3 4 A-CA J4 - c *� } °r3 SIL 4f f ts`3,'. 4 f"°S3.sk-rv' It os-1.5-gs' W 9Z ° 39.i �,�C1 � 91.x. ' 3' � '�.i1`� ► �1e3�6f/ � ��g391.6�3'� �s °3 � C.#�' � i �.Wasoonsh Department of Commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code County s;-r. G)'D/�— V Attach cx�mplete si • not ra' EROSION CONTROL PLAN must be Panxl LD. percent slope.sum completed before sanitary permit issuance L aT' Reviewed by Q 6 b 3 Persona+kwlbr ion rou Provide mar be used for secondary P KPOSOS(�aCY LOW.S.15.04(1)(m)). y Property Owner TODD Property Location of p 1 T'0,7D B3 ERS TC 0 T� %v J410 I/A Govt.tot �i l yq Jr 114 S ZL T ZB N R / &(or)W �{ Property Owners Mailing Address Lot# Block# Subd. Name or CSM# A� oo1S CA i}iLL Ave • 3 w Lnv ' �t i � �t city SN State Z.ap Code Phone Number ❑City ❑Village (,a Town Nearest Road t�R .6l' 06 HT3 MA) SS#Wo ( i'.Sl) zy8• tog f T,rzoy so. Movek 0 New Caw udion Use:[9 Residential/Number of bedrooms 3 code derived design flow rate r O a GPD Replacement ❑ Public or commercial- cribe: ti tA :V R Parent matu�iai E'S 00 9C SE" %/ Flood Plain elevation if cable �^ v S >� S General F # ® pit Ground surface elev. y Depth to rurdting fader 1 V in. R Horbw Depth Dominant Color Redox Descr"on Texture Structure Consistence Boundary Roots GPQW b in. Mu nsed Qu.Sz Cont color Gr.Sz Sh. 'Ef#1 'Ef#2 o- s /o Y P s w 3Ic . s . z s 10 o 11 CS • y v, 3 D •� io s� ��s �s c / • s • � � ./ C z 3 czA 14 0 t-S /GL v • Z • 3 0 io Vie l Z n �. o � ® Pit Ground surface elev. �ft. Depth to laniting factor v� in. Sod Application Rate Horizon Depth Dominant Color Redgx Description Texture Structure Consistence Boundary Roots GPM In. Mu nseii am Sz Court.color Gr.Sz Sh. •Eff#1 'EfW o •C� /o 2,4,,s w 3 • s N L c / • � N 3 J1 l o iL �S / • 2- 3 /19 1 t •Effluent#1=BOD >30:S 220 aglL and TSS>30:5 150 mg& •Effluent#2=BOD <30 mg&and TSS 130 mglL CST Name(Please Prim .-u`B R t G Signature 22 T 5 Address Uibricht &Assipciates 5 Conducted 7�S Telephone 3 yy Z Private 2812 10th Ave. 2 0 it-,, Z-o O3 Spring Valley, WI 54767 PiNs ' fob ,g-polo x . � yo �4 PtiCs • °ya • /off s • so • � o yv . /O k(p • �o • ooa dyo • /ogG • �.D • oao o yo • 10Z �aJ • � ao yD - io�� g'D • ?OVA 1.31E PropertyOwner, Parcel ID#If, Z 3 r ✓ t t Ground surface efev. 100 fl- Depth to 9 factor ,� � .S's . florizQtt Depth Dominant tg Sal i4ate Texture Sbucture Consistence Boundary Roots GPDAF in. Munself Qu.Sz Cont.Color Gr.Sz.Sh. .�1 °t�tt#2 l o•& io L � S •Z . 7•S cZ� ho �s ScL / � Z 3 F-I 60,im# Cl going ---- El Pit Ground surface elev. ft. Depth to limiting factor �. Sod Rate horizon Depth Dominatrt Redox Description Texture Stn Idwe Consistence Boundary Roots GPDff kr Muns� Qu.Sz. Cont Color Gr,Sz.Sh. .� ❑ pit Ground surface elev. ft. IDepth to factor kt Sdf Rate Horizon Dorrenant Color Redox Description- Texture- Conststenae Boundary Roots GPQM fn. Munsetf Qu.Sz. Cont Color rr Sh. °EPfrtt °Eff#2 Boni f>g# Boring Pit Ground surface etev. ft. Depth to f rrftQ factor In. Sod Rate Horizon Depth DomInant Color Redox Descd Textwe structure conswence Boundary Rootts OPON ins. Murseil Qu.Sz Color Gr.Sz Sh. 'Eff#1 •Eff#2 Effluent#1=BOD,>30 1220 mg&and TSS>30<150 mg1L °Effluent#2=Bt3Ds<30 nx A.and TSS<3t!mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Breed material in an alternate format, please contact the department at 608-266-3 151 or TTY 608-264-9777. 58Dl330(rt6�i0} 4 • PLOT PLAN WALNUT HILLS FARM. LOT # 3 Pg. 3 of 3 [� = Contour elevation lines. = Backhoe Soil pits. 1 01 Q = Benchmarks set, maRKED WITH FLAGGED .lathes. 1/2" steel conduit pipes. SCALE: 1 " = Z �of39� 4 . pD, O , 51A #- 1 ! o� o ,a i t OVA) Cp..A)�V R Ye S05 S Lof 37) PLOT- PLAN WALNUT HILLS FARM. LOT # /// Pg. 3 of 3 A // Contour elevation lines. Nt1 . = Backhoe Soil pits. T `Q N - / .T7 O = Benchmarks set, maRRED WITH FLAGGED lathes. 1/2" steel conduit pipes. 35)p� U SCALE: 1 " - Lo /vo• .GOT I���-�-''`' 0 131A A�. p ' Z_ w 3 �—,,•' 100 �JD z 4/ a Ltv© S ST , '2 ff - I i a