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040-1303-00-054 (2)
w�.,00nsin Department of commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings in accordance with Comm 85.%Ms. Adm. Code y 5T• G�O/ Attach complete sit include,but not tirw EROSION CONTROL PLAN must be Patel I.D. c v7- percent slope.scar' completed before sanitary permit issuance R by P� Ofd Cr– b t/ �L Date PersoW kdoff aWn you provide fray be uwd for secondwy purpmes(Pmvcy Low,s.la.Va(1)t—w // Property Owner ToDO /, Property Location j p T•OI�D B3ER5 T_a7fl T— �0 fj/A�JYM Govt.Lot lt Am $ 1/4 S T N R'/?/ tr(or)W 11 Property Owners.Mauling Address Lot# Block# Subd.Name or CSW (D o 15' CA Ili LL AV-e- . IVAL"O r Kill >FARAf l --rN wQ State Zip code ' Phone Number O aty D�tlage (.@ Town Nearest � POC H Ts MN 5SOWe ( &Sl) 199• t O f �Qy 0. Move:R New Gorxtrtuctian Use: Residential/Number of bedrooms 3 Code derived design flow rate © Da GPD ❑Replacement ❑ Publec or ai-Describe: — 9 Parent material /D ESS 0 U� ! S I /S Flood Plain elevation if applicable N fL General comments o and necornrnandations: � �t,�,A- T�S7-� S�•'Ti9-/3/�e poi? �i - /'1ovu[� sysr� �� `' . tic ,�•�/ F7] sorkv# ❑ Boring /00, /0 Z -S S• S r ® Pit Ground surface elev. ft. Depth to limiting factor in. Sall Application Rate Horizon Depth Dominant Color Redox Description Texture Structure re Consistence Boundary Roots GPDW b in. Murnsell Qu Sz. Cont.color Gr.Sz-Sh. 'Efl#1 'Eff#2 o• /oP3 13 L z- SiK- -F- 2- 1 29 io Si l✓ hk d ti 6S / • �- • 3 � 3 o -7•SYRy 2 .�v 5L / � ' • y - « > 5 �o 0 Boring# ems l d D, /a �� S s• s'. ,�.. ® Pit Ground surface elev. n. Depth to limiting factor lo• sot Application Rate (� Horizon Depth Dominant Color Redox Description Texture Strucdre Consistence Boundary Roots GPD/fff (� in. Murrell Qu.Sz. Cont.Color Gr.Sz Sh. 'Eff#1 'Eff#2 (� o. W /oYX 3 L 2-F,S K w 3 f • � N Z l •30 �o i` --- YI L z•-F S G� • s N 3 ® R s fl6e •Effluent#1=BM,>W<220 mg&and TSS>30:5 150 mglL 'Effluent#2=BOD <30 and TSS_<30 mglL csT Name(Please Print) •-A l6 I2 i C I'T— Signature zZ Address Uibricht & Assgciates Date Eamon C;ofxJucW Telephone Nurmber Private S– 02 oa3 71 f• 77A• 3 yy Z 2812 10th Ave. Spring Valley, WI 54767 °0 40RO X . yo Ue.s . °yC • /off s • so • o� oyo ro��, • /o • out dy0 • log(. • zd • 6v*0 oyo • /o81� - �D • � oy0 • i0*( - 70 001 o yo . ���( �jp • Ofio prop"Owner Parcel ID# vo `' 2 of ° BornV 5. yO S. s- t Ground surface etev_ fl. Depth to lim"factor Ffortiotr €1eGtf►rD,=Zk=t Rector Desaq�#on Texture Structure Consistence SounGary Roots GPDI(f In. unwff Gu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 '£ff#2 o•l z /oyR 3l L Zfs K d51, /L Zfd e /o fl IL /ffvFi' •z . I -SD 7•S y V, cZ MoTS 5L e, 1,1 n.4 U /a VA X12 F—] Bdg# Oac-ing ❑ Pit Ground surface elev. . R Depth to limiting factor irr. Sol Nyspoon Rate Horizon Depth Dominant Redox Description Texture Skvckwe Canistenee Boundary Roots G irX Munsell Qe.Sz. Cont Color Gr.Sz.Sh. -EWI •� , FEE I - z E .1 Bonne# ❑ Bvrmg ' ❑ Pit Ground surface elev. ft. to limiting factor In. SON ApOcation Rate Horizon Depth Dm*wmcokw Redox Description- Texture Structure Consistence Boundary Roots in. Munsell Ouu.Sz. Conk Color Gr.Sz.Sir. -EMI -Eff#2 F-I f s Bodng# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to lsrutir►g factor In. Soil AApOkadm Rate horizon Depth Do9r kmM Color Redox Texture Structure Consistence aoundery Roots GPON im Munsell C L Sz.• Wor tar.SZ Sh. 'Etf#t 'Eff#2 °"luent#1=BODS>30 t 22x1 mgA.arrd TSS>30 C 150 nigh. Efpuent#2=BM,:S<30 mgtL and TSS<30 rnWL 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 608-266-3158 or TTY 608-264-8777, SBDt334(R&Tlo3 PLOT PLAN WALNUT HILLS FARM. LOT # Pg. 3 of 3 = Contour elevation lines. • = Backhoe Soil pits. p = Benchmarks set, maRKED WITH FLAGGED lathes. 1/2" steel conduit pipes. SCALE: 1 " _ 2-O F Z-b 5Y s�ys �� uti, ole^, bof 55 1 s 133 4 5, qo yo 1 1° �y o C�2 loojo Z� V QL0 . Lo r I- N�?� � O,;N D , 5`r OV+ LOT Nom, � arw.. Gore