HomeMy WebLinkAbout008-1094-95-000 Property Owner V t �O k Parcel ID# 8�� 9 /s<! C� Page 3 of 3
F-3] Boring# ,❑ Boring
Ly pit Ground surface elev. y R. Depth to Bmitino factor 7 In.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDflf
In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#f *Eff#2
77 7,37
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F-1 Boring# ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 •011#2
Boring# ❑ Boring
Pit Ground surface elev. ft. Depth to limiting factor In.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Efr#1 *Eff#2
'Effluent#1 =BOD5>30 1220 rng/L and TSS>30<150 mg/L •Effluent#2=BOD6<30 mg/L and TSS 130 mg/L
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SBD-9330(x.mroo)
Wi r> ' Rsconsin t'vfc�m�e ce EC9R(gR LUATION REPORT Page /' of 3
Division of S a
Inaccojrip#w1h"45,Wis. Adm. Code
HH�1 L County ,
Attach complete site plain on paper not less than 81/2 x 11 Inc a 88��e.Plan must -
include,but riot limited to:vertical and horizonMr XlfoR direct! nand Parcel I.D.
percent slope,scale or dimensions,nortF��r[g1wA� nearest road. 000 O c/,Y4?
Please print all information. Rev wed Date
Personal information you provide may be.used for secondary purposes{Privacy Law,s,15.04(1)(m)). 4&,4,4 1i✓
Pryoorty Owner dGc ye r Property Location
J - 2 C Oo h C h�Q r �C aTi-e GJ�k Govt.Lot -5 E 1/4 SE 1/4 S,3737 8 N R 1 b E(or W
Property Owners Mailing Address Lot# Block# Subd.Na r CS
LAJ 3611 Fqo tk �, — r��'•:►
City State Zip Code Phone Number 0 City lage own Nearest Road
Salcl� ( 7- S"yoC ��/5-) S'- r :��i � � G«rl� /erKe 7'C►:�+r� R
K NewConstructlon Use:0 Residential/Number of bedrooms Code derived design flow rate -5th jow, Z0 0 _ GPD.
❑Replacement ❑ Public or commercial-Describe: A
Parent material C SS Oue, �;/� Flood Plain elevation if applicable AM ft.
General comments L65 f X015 e C e,l
and recommendations: E " ���• S
V I o U-in cL.eln 151 9el /o�p Z.
F/I Boring# �E]-Boring
I�J Pit Ground surface elev. % ft. Depth to limiting factor_in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munseil Qu.Sz. Cont.Color 11Gr.S�z^.Sh. *Eff//#1 *Eff#2 s6 cuj ift, jr-0
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DBoring# 0 Boring
LJ Pit Ground surface elev. IFA Y ft. Depth to limiting factor �.3_'O in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
q— 0 2 3- ►►,� 6 ��, ;, 8
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s D y 6 3
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*Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD <30 mg/L and TSS<30 mg/L
CST Name(PleaseFrint) - Signature 7 CST Number
Inter c� 17�., 9 no
Address Date Evaluation Conducted Telephone Number
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