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HomeMy WebLinkAbout040-1303-00-061 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT page of 3 Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code County 57-- GA&I)(-- 'V Aftach not i include,W EROSION CONTROL PLAN must be Parcel I.D. L°7- /N H percent slope.f completed before sanitary permit issuance rd. Re wu�by P� D�� 6-- � Perso"kNorrnaSon You Provide may be used for secondary purposes(lacy Low.s.15.04(f)(m))• W�7 t , a Property Owner �, r RO Property Location o T-O PD Z3ERS TTefP T— �o /�#M GovL Lot X11 49 S"-1/4 S' T ZB N R �9 E(or)W Property Owners Mailing Address Lot# I Block# I Subd.Name or CSM# In 0 t S Ca W i L' AV-e- • 6/ U/AL w t>T- Kill FA RAF � � City SAIMR State Zp Cade Phone Number ❑City ❑Village CA Town Nearest Road 6*0C H /4N 5S07(P ( CSI) 19f. of f -rRoy so. erlovER New C tst uction Use: Residential/Number of bedrooms Code dived design flow rate Y50 Oa GPD ❑Replacement ❑ Public or commercial-Describe: --— -- ft A Parent material /DES S 006-k D�.VSLC 7'i'/� Flood Plain elevation if applicable �ti«,s: •hRE,¢ TeST�D S U%TIO/F. {die -4- /410 U.vD 5 Y5T. a Borfg# ❑ 100.15 ss.s• � r ® Pit Ground surface elev. ft. Depth to limiting factor in. Sod Rate Horizon Depth Dominant Color Redox Description Texture Strudure Consistence Boundary Roots GPQff in. Munsell Qu.Sz. Court.Color Gr.Sz Sh. 'Eff#1 *Eff#2 o�v .10Y)e 313, 2 Q- 1"1 / -S/L S I . Z . 3 l7' A9 VAP P cS / . 5 t c Z h 0 TS C G (�,cwt /0 Yie l!`L o S � ❑ Boring D a r 2-2- Pit Ground surface elev. ' ft. Depth to limiting factor lo. Rate Horizon Depth Dominant Color Redox Description Texture 5truc lure Consistence Boundary Roots GPD/fF In. Mumsell Qu.Sz Corti.Color Gr.Sz Sh. 'Eff#1 'Efr#2 o• /o 2z 2,4,S h J •Z /o S/L a CS / Ili • -S /0Y'2 Z s � /zs •Effk*m t#1=SOD >30<220 mg&and TSS:1,30:5 150 not 'Effluent#2=BOD 130 nnv&and TSS_<30 nVL CST Name(Please Print] •,� i c�1_.__ Signature 22 6 3- rnber Address Ulbricht &Assgciates e d Telephone Number Private ir� � 715- 73 y Z- 2812 10th Ave. Spring Valley, WI 54767 -- oyo • �o�s • so • � a 0,Y0 . io�� . �o • oaa dyo • oyo • /o'SCr - �D • � oyo ' /0*6 70 - oM 0 ,Y0 i0,?(p • Ito • Mo Proper€yOwner Parcel ID# �O t Ul/ g Z 3 33 yg.56 s.ss I Groundsurfaceetev. t!_ Depth to limiting factor-2- 6 in. Sod APOIcation Rate Horizon Depth Don*mt Redox Description Texture Strucwm Consistence Boundary Roots GPDI(f u. Munseft Qu.Sz. Cont.Color Gr.Sz.Sh. `1211#1 '12111#2 Z- a S he 3 f . s b O C2 eo- '401-5 �byie �lZ i S Yj2 i Swing# tang Q Pit Ground surface elev. ft. Depth to Biting factor irr. Sod icah tl Rate Horizcx► Depth Dominant colm Redox Description Texture Structure Consistence Boundary hoofs GPDff Mtrsell Qu.Sz_ Cant.Color Gr.Sz Sh. `Efl#1 `3` 92 # Swing t-i pit Ground stnface elev. 1t.. to vmfty factor in. Std Rate Halzon Depth Dominant Redox Desaiption_ Te Structure Consistence Baettxfary Roots GPM in. Mu nseil Qu.Sz Cont.Color G1--Sz Sh. 'owl `Ett#2 t a F-I # � - Pit Ground surface elev. fl. Depth to 8 faqir &r. SWA ipplication Rate Hottzon Depth Dominant Cdor Redox ptiat. Texhee Structure Consistence sour4ary tzaots GPON in. Munsell Qu.SZ Color Gr.Sz Sh. `Elt#1 *Effi#2 Effkwd#1=BODIF>30:S 2ZO mg&and TSS>30<150 mg!!. `Effluent#2=SM,130 nx tL and TSS<30 rng(L i The Department of Commerce is an equal opportunity service provider and employer. If your need assistance to access services or need material in an alternate format,please contact the department at 608-266-3159 or TTY 608-264-8777. 586l330(R6+TWJ PLOT PLAN WALNUT HILLS FARM. LOT # `�' / Pg. 3 of 3 I Contour elevation lines. • = Backhoe Soil pits. O = Benchmarks set, maRKED WITH FLAGGED lathes. 1/2" steel conduit pipes. SCALE: 1 " Ulbricht &Associates private Sewage Consultants 2812 10th Ave. Spring Valley, Wl 54767 �s ro r Lo f Gz } l p � 13M Wz �o � 0,2S ' Go ° � '(o ' f sv�' s - x �►��-Utz Sys .