HomeMy WebLinkAbout004-1061-95-000 (2) Property Owner �-I'�v1 C fS SC ' Parcel ID# 4D�//D6/9�Dp y 7
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❑ Boring# ❑ Boring //
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Ground surface elev. 7 7 ft. Depth to limiting factor QO in.
Soil Application Rate
Horizon Depth Dominagt Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg
in. Munsell Qu.Sz. Cont.Color 1 Gr.Sz.Sh. *Eff#1 *Eff#�2)
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Boring# 0 Boring
L�J Pit Ground surface elev.9g, ft. Depth to limiting factor in.
Soil A lication Rate
Horizon Depth. 'Dominant Color Redox Description Texture Structure Consistence Boundary 'Roots GPD/fg
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2
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F-1 Boring# F1 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/fg
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
*Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L
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SBD-8330(R.07/00)
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Wisconsin Department of CommeeRECEIVECSOIL EVALUATION R�POW- - Page / of —3
Division of Safety and Buildings
J in Ic�q�tr With Comm 85,Wis. Adm. Code County
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Attach complete site plan on paper no ess than 8 1/2 x 11 inches in size.Plan must
include,but not limited to:vertica�it. 11�0M�gfgr"ce point(BM),direction and Parcel I.D. 0006�t��00
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percent slope,scale or dirne�fr i Cahn j Rand distance to nearest road.
Please print all information. viewed y _ Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)).
Property Owner f Property Location
E - ( & f,( � tt fi sc k U—\l Z Govt.Lot S Cj 114,S 1E 1/4 S T.2 g N R 1:5 E(or)(0
Property Owner's Mailing Address Lot# Block# Subd. Name or CS
/8/yD —24NE Sr N c39 7 3S-� J12�
City State Zip Code Phone Number ❑City ❑Village aTown Nearest Road
Elk RivL—KimAl 5336❑ New Construction User"Residential/Number of bedrooms Code derived design flow rate 600 GPD
eplaceme ❑ Public or commercial-Describe:
Par material nP SS LQU�Ir �.�� Flood Plain elevation if applicable /Uftl ft•
General comments a5,-,' 133 11
and recommendations:
/ "10(��1 7• Y3
Boring# Boring
M Lg r�/
� pit Ground surface elev. 7 o ft. Depth to limiting factor A0 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
0-8 toy12 Sly C (, )U
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3 Lo.X4 ID Y2 3D 75-YR f10 Y (f C s n� bj
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Boring# Boring
pit Ground surface elev. %y, d 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 *Eff#2
C) lby�Z 3 L � � �- CW �U
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*Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD <30 mg/L and TSS<30 mg/L
CST Name (Ple se Print) Si ature CST Number
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Address UOL e Evaluation Conducted Telephone Number
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