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040-1303-00-052 (2)
Wisconsin Departrnent Of Commerce SOIL EVALUATION REPORT Page - of Division of Safety and Buildings in accordance with Comm 85.Wis. Adm. Code county 5T Attach com;* L v7" /N vCi nt EROSION CONTROL PLAN must be Parcel I.D. completed before sanitary permit issuance Reviewed by Date PersaW infamoWn ym Provide may be used for secondary fames(lacy Law,s.15.04(1)(m))- property owner -r--� TOPA9 anyA Q p 'r'o aD B3 ERS T_e7fl ! C/!� ����^' �/y Get Lot All Dy4 51 114 S 1L T 2,6 N R�/ �(or)W " property owner's Mailing Address Lot# Block# subd-Name a(:.Slutla' (PolS CA MLL eve 5Z IVALNOT" Rill FA-)e'4-t � CRY --CMWR State zip Code Phone Number ❑City ❑Village (,Town Nearest Road t) R bk#0P H7'; N1N 5SOWo ( &5t),Zy�• t�`�� 7Ro;Y 0 P-New Construction Use(9 Residential/Number of bedrooms Code derived design flow rate � r PD GPD tA ❑Replacement ❑ Public or commercial-Describe: -- - Parent material /D uF S S 01/.Gt, 4 7--eof_ Flood Plain elevation if applicable #- General comrnerds and recorrurrendations: ES 5 sV�'T ��C fd2 A z ss5 . r &oratg# ° loo•Y 30 ® Pit Ground surface elev. ft Depth to ti nOV factor �+. Sod AppOcation Rate HXizon Depth Dominant Color Redox Description Texture Structure Consistence Bouindary Roots GPQff in. Munsell Qu.Sz. ConL Color Gr.Sz.Sh. •Eff#1 'Eff#2 o. ,nyie3 rfshK sGl as 3 • Y 3 zo •30 p . 70 y' Ir/Z S 1 s N y v h S • 3 7.5 s -�)-� Ik° CC"'tc. r 2 e«kv# ❑ &Xing pD KZ Z S•S,S , ® pit Ground surface elev. ft. Depth to faulting factor in. Soil Rate Horizon Depth Dominant Redgx Description Texture Structure consistence Boundary Roots GPDitt: in. Hansel Qu.Sz. Cont Color �-Sz.�. 'Efflfl -Etf#2 L �� err UT S T- /Q " �P it• 7.$ (3��f�5 pr 2} 19,4-t V CL S $' OT-5 / io R s� •Effluent#1=BOD >30<22D mg&and TSS>30<150 mglL 'Effluent#2=BOD _<30 mglL and TSS_<30 nglL csT Name(Pleasa Print)R•-A1-6 R i G1,Tr s�naa,<e � al'G 3-5 Address Date Evaluation Conducted Telephone Number Uibricht &Ass9ciates J7 _ �3 715. 77a• 3 Yq Z-- Privat 2812 1 Oth Ave. Spring Valley, WI 54767 ._ FOR 4PORO X . 2 yo 4 6ttS �yo ' jog s • ®y© /o F(P . �o • ono dyp • log6 " zo • Oar o yv • /081 &0 ' Mr o yo • /o*l - 70 • oZ70 0 ,Y0 - /08(p 0*6 • Mo To.PV T✓11E!�STEDT- P'roparty Oyer wE) Bomv page—of "OdWn Depth I Ground surface elm 16. �G # �7 S . to�g factor Z Dominant Redox Deso"on Texture strtrcturg Sail Rate In. Muni Car�sisterwe Boundary Roots GPDAY . Z Cunt C,otor 0- 9 �oy/z 3/3 � Ste.Sh. , . 3 • fS SIL 2n+, At aQ vG� .52 5 F] Boring ti Boring Pit Graund surface elev. R Depth to Omiting factor " Horizon Depth Dominant Redox Descxiptiarr Tie rc on Rate j t4[unsetf C Qu.Sz. Cont.Color Gr.S2 Sh. onsistence Boundary Roots GPDff `Eff#1 Bon" Bonng Q pit Ground surface elev. ft. Depth to fadcx Horizon Dortdnant Color Redox oesor"on. Texture Rate In. MunseB Qu Si Cunt Color Consistence Roots G Of. Sh. Tal 'Eff#2 { t Baring# t � Boring t._f pit Ground surface elev. ff. Depth to Cxr+&V factor in. Sofa Appketion,Rate tioftzatr f3epUt Domkmnt Cola Redox Description-/ Texture Structure ConsWence Soundery Roots t3t'DN in. Mum Q U Sz Ow t.Color Gr.Sz.Sh. -Eff#1 VFW Effluent#1=BOD.>30<220 nrg& TSS>30<1.50 mgil.. °Efttuent#2=BOD6 130 rrKA and TSS<3tl mWL The Department of Commerce is an equal op ortunity service provider and employer. If you creed assistance to access services or creed material in an alternate font,please contact the department at 6o8-266-3151 or TTY 608-264-8777. xeuaa�o(ftNno) ' PLOT PLAN WALNUT HILLS FARM. LOT # r Pg. 3 of 3 ,[1 = Contour elevation lines. = Backhoe Soil pits. p = Benchmarks set, maRKED WITH FLAGGED lathes. 1/2" steel conduit pipes. SCALE: 1 " = y F d ' M � {FPM G/N�li e O i .2- /32- T3, boo. yz �lqqo ly DoT s � 5G GAS 7ep �Io vw S YS-77, I �� SAAJO