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HomeMy WebLinkAbout012-1029-50-000 (2) Property Owner Av,5 .� Parcel ID# Page g of� F3—] Boring# F] Boring iA Pit Ground surface elev. 315 ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft Y in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. ff#1 ff#2 0-7 y Rg '- a b1G a ua �m ►y a y 1- 1 L F t2 y- -7.5 yp-Wy SL AF 6 I L l O a•� 75YRy ��75`►Re L W Mir ��,.1 !OF s s• y y 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 onsistence oundary Roots GPD/ft z in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. * ff#1 ff#2 Boring# Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor_in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Roots GPD/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. * ff#1 '$ff#2 Effluent#1 =BOD 5>30<220 mg/L and TSS>30 <150 mg/L *Effluent#2 BOD 5<30 mg/L ar d TSS <30 mg/L The Dept.of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format.contact the department at 608-266-3151 or rTY through Relay. SBD•5330(Rl 1/11) 7I_1 SOiL EVALUATION REPORT Page If Wis.Dept.of Safety an¢� rife`s i2Sna1 Serns Division of Safety and Btfiitaings r.c.�.jj { �✓ �, yv.�,�`jtt i6ic6rdance with SPS 385,Wis. Adm. Code County . •l Attach complete 'C .t1�oh�p per not less than 8 1/2 x 11 inches in size.Plan must �� include,but no$' ted to:vertical and horizontal reference point(BM),direction and Parcel I.D. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 01 a — •' d Reviewed Date Please print all information. // �,/► _ 2 l U67 Personal information you provide may be used for secondary purposes(Privacy Law.s.15.04(1)(m)). C Lam' /�/°2 Property Owner Property Location J` � Govt.Lot 5W 1/4 5Wl/4 S T N R E(or Property Owner's Mailing Adddrgss r# Block# Subd.Na o�CyM# 11, Q 160 City tate Zip Code Phone Number�r, .110 City ❑Village Town Nearest Road h LAS101 1 (,715 ) r® New Construction Use: Residential/Number of bedrooms 3 Code derived design flow rate 1 5 GPD Replacement ❑ Public or commercial-Describe: material riuou Plain elevation ii appii�able ft. Y'areni General comments S 75 ��t�' hn bJ ww� :S e-"+ and recommendations: SS 00 f ,l(,r,, I , r �" Sl/\!'( "Il1/1s( L/l.'�-�'( �v '�� I `��.��YV`ic,� G�`�f' � U�i�� /:!i• ��• f ✓ 7 G ptr6,-ry Boring ! © Boring# g3 ft. Depth to limiting factor r 5L__ in. Pit Ground surface elev. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. ff#1 ff#2 - I P lksly L aFS6W- 7 r I a- .c 01 �" �1�7.5`IP10 L w15 r C `^' 10F • VY C,afl7.5*1 R6 L I Boring# Boring Q Pit Ground surface elev. �•83 ft. Depth to limiting tactor 1 v in Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z in. Munsell Qu,Sz. Cont.Color Gr.Sz.Sh. ff#1 ff#2 sl L a�5 cx� M sy� S L "Effluent#1 =BOD .>30<220 mg/L and TSS>30 <150 mg/L 'Effluent#2=BOD s<30 mg/L an.d TSS <30 mg/L CST Name(Please Print Signature " ' I " CST Number M n ..- ar om +/ Add rpss Ob"t-�t •44, ( ate Evaluation Conducted Telephone Number �, 11 o - V s SBD-8330(Rl 1/11) i r : i I�:410" 4 I I i a N � 1 I v c a i [ i - I : ; _ I i I I I 1 I s � i : ; I L3 5 �. - � R - - ¢v► - -- -- - - ��/ �►�► �.� -Ceram �-- -__ - __ . _ ___ _.__ _.__ _ _._ ___ _-_ ___ _ _. _- •nom aF ���-- ..__ - _ _ _____-_ - . ° ,el _ doc y - _ i r..... e+1 �... ..�. T -.+ ...'. '.•—*' .....air ^... a o d) ° °v 0 evj a' ° � a j O1 p a C op E O O O_ w 42 La 0 01 i C d c O E Fm o m _ a co D � c °� v Z a�2 0 s c �i c o 3 S ZE.p O `y'Op ° li O Z XC9 O I v � I Z y I :. O i � v v Z O a m C Z a c N H r N E N N N I H c N N O Z Z Z N Witt I � °' o _ m N N D O u o C G h w N fn N In = Y WJ E r 5 F, I •N � aaaa IL3 0 0 N J U Z rn 0) ° N :z :z a Oo N o 0 Q O O •� 'O ? N m G a co L N Q ..0. O (D O Q Z U) N O O O 7 •� C 3 cy) ° o v v E LO O Cl 6 -Co H r U c d a N N N ^1 N M a N y N V C f0 O N O O t0 t • o W Y O z N Z Z cl m` € a 3 EL ° • d u m a c E ` c t A 00. 2 � 0U ) U