HomeMy WebLinkAbout040-1303-00-068 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page � of 3
Division of Safety and Buildings
in accordance with Comm 85,Wis. Adm. Code q�4007- 'V
Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must
indude,but not limited to:vertical r
percent slope,scale or dimension' EROSION CONTROL PLAN must be p�NOi� Cr-
b
�Y Date
Please completed before sanitary permit issuance y�
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Property Owners Mailing Address Lot# Block# Subd.Nam�®r CSKW roc 5 c� tt�e g WAWA r �t�tI �,�e�-t
SN 1 2 State Zp Code Phone Number ❑city ❑Vdiage R Town Nearest Road
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P New Construction Use:IA Residential I Number of bedrooms Code derived design flow rate � r O� GPD
❑Replacement ❑ Public or commercial-Describe: - tA
Parent metww /d ES S D U.jjL� Oft SQ �"%l/S Flood Plain elevation if applicable �i/( �— fL t
General tions: SO/' 96 46�- JEOiQ i4-
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syV;11-7 s�P ' /
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Boring S•.S. S' N
BOr"'g# ® Pit Ground surface elev. R Depth tD rarirtutg factor in. soy
Awli
Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
fn. Murnsell 11u.Sz. Cont.Color Gr.Sz Sh. 'Etf#1 'Eff#2 b
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® pit Ground surface elev. ft. Depth tD ling factor in. soy ADolication Rate
Horizon Depth Dominant Color Redgx Description Texture StMKAwe Consistence Boundary Roots GPD1fP
In. Munsell Uu.Sz. Cont.Color Gr.Sz Sh. "'Eff#1
v•r 16 �P 3 L 2*"��X ds • s N
z �.� • o Sit. a �S / 'L • s N
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'Effluent#1=BOD >30 1220 rrrgll.and TSS>30 1150 mg& 'Effluent#2=BOD <30 m%&and TSS 130 n#L.
csT Name(Please Prix"R•Zl LB l G�� Signature 22
Address Date Evaluation Conducted Telephone Number
Uibricht &Assgciates -5 T _ 2200 715. -77A. 3yy Z
Private
2812 10th Ave.
Spring Valley, WI 54767 P
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PmpertyOwner Parcel 3
t-� Parcel t0
E) Boring Page of
F31 t Ground surface elev. •" " ft- 7i Z-. .5��•S'.
P 9 factor qy
ttzo<t Depth Dw*=tCokx Redox Sad Rate
Description Texture Shvctute Consistence Bourxt ry Roots
in. M unsefl Qu.Sz Cont Color
Gr_Sz.Sh. G
/ d, Ef#1
'Ef#2
y
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5
u Pit Ground surface elev ft. Depth to limiting factor irr
Soft iralian late
MHmwnDwthDominant Redox Desaiptinrr Texture a Consistence Borundary Roots GPfN
Mtunsell CkL Sz. Court.color Gr.Sz.Sh. 1 .E
etxrrrg# ❑ ,
❑ Pit Grourxl surface diev. ft. to tr.
Sol Application Rate
Horizon Donanant Color Redox Destsiptiort- Texture Consistence Boundary Roots G
in. Mrunself QtA Sz Court.Color Gf: Sh. •Eff#f1 TIM
-ar
r
c
F-I Boring# � Boling
❑ Pit Ground surface I ft. Depth to WrOV factor &r.
Sod Appikation Rate'
hortton Depth Dominant Color R Description_ Texture swetre Consistence, 8oumiary Pwo s Cipom
in Munsett QWSz Cont Color Gr.Sz Sh. °Eff#1 °Eff#2
Efltuent#1-BCD >30 z 220 mWL and TSS>30,c 150 mgJL °Effluent#2=BOD,<30 mgA.and TSS<30 n-#L
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need material in an alternate format,please contact the department at 608-266-3151 or TTY 609-264-9777.
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PLOT PLAN WALNUT HILLS FARM. LOT # Pg. 3 of 3
I
= Contour elevation lines.
= Backhoe Soil pits.
Q = Benchmarks set, maRKED WITH FLAGGED
lathes. 1/2" steel conduit pipes.
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