HomeMy WebLinkAbout040-1152-40-000 (3) t
Property Owner_ 12 Ift ff Parcel ID# Page 021 of 3
Boring# jo Boring t
El pit Ground surface elev. 5 o 7 ft. Depth to limiting factor in.
Sol 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
:3 A Yd No n -P 3d aA or y r S 3,,f �
3- 3 6
-,22 / X y
Y ds C
I
Boring# [�Boring ��
❑ Pit Ground surface elev. ft. Depth to limiting factor 36 in. Soil ADolication 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
h-e S ' -Zm 25 r Mvfr C w1 3 -fS .G ,
.2 M V�e ej VT-r
v sbk , !� a
�' •3 0 � S a s -- � . 3
M 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. I `Eff#1 `Eff#2
O -3 6 rR 2 Joao�° S "l 4 rr v-f & e?
- 8 YRJ si� n� rhh r s / f . �
V3 9 -/ ID !t' Y 6 s i l
Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L `Effluent#2=BOD5<30 mg/L and TSS<30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330(R.07/00)
PA I ECEIVE�IL EVALUATION REPORT
Wisconsin D " men o ommerc Page of
Division of Sa e
ty and Buildim.9
SEr T5 Tith Comm 85,Wis. Adm. Code
L County -1 Ciro Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must J
include,but not limited to:vertical OIL ICOMM130WNW point(BM),direction and Parcel I.D. _
percent slope,scale or dimerretq(jgyr(q6fi-9LMIjqf*)MRd distance to nearest road.
Please print all information. Reviewed / Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). -�! �.L L�y�ji 0 7
Property Owner Property Locatio n—
Do x .f CkSer Govt.Lot 1/4 ��0/4 S,,,c�7
T ,?g N R,?t) EeG
Property Owner's Mailing Address Lot# I Block# Subd.Name or CSM#,
J�o �`ree 31.E , P 7-13 51- C vo t Bec?nk
City State Zip Code Phone Number ❑city
ty Village g •Town Nearest Road
❑ New Construction Use:0 Residential/Number of bedrooms_� Code derived design flow rate 11 0b GPD
R Replacement ❑ Public or commercial-Describe:
Parent material Flood Plain elevation if applicable ft.
General comments /
and recommendations: �yS 'th P✓ ( �_1 i' �f v"` CU4 << c' (� l j3C �U11� 6' �� � `rl
7/ 1 Boring# X Boring
El pit Ground surface elev.7/).• ft. Depth to limiting factor 3 7
in.
Soil Applicati on Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GOWN
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 -Eff#2
1
/l.7Y & Yd ab r c -S ►7, D
/-.A e s .s �wt a
a Boring# ❑ Boring 7
❑ Pit Ground surface elev.7a 6. 7 ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 "Eff#2
-32 D s — /. D
"Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/ 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L
CST Name (Please Print) Si a �� C N��bar
Pat,( GJ slem� , s
Address to Evaluation Conducted Telephone Number
Z? t(lev
C p (n
� I
4 o I
�O
N C,
b N N d
O w € O
O O)
w.
oa
o 5- o8
N 0—
C
CL
C.X O
aa)i nyZ
ow
z o.0)m c�
C c c � c
ti c a)— m c
0)o
� Ec, ca
a NT:5E
(D ° I
o � Z y I
E
= o
� o am
N F- C7
O Z a c
N 2 a o c
(n F- c E
N
L N
O
V N
U1 N N
• d L
O y Z Z Z
NLL C
U > .. d
..
o an d m 3
U N O O d °c
� fn N (n
N FL
I +d (n (j 5 a
•AV L a a a
CL >
o (�n ° o 0
W J U co rn rn z
Lo V O N
_ 0 O O O
~� O\ C Q N N
0 0 0 m C d `Z N
cn n
Z .o � ¢ zin m I
Q 19
to -p I
Ir C .� O N N 7 OO N U')
OC w O N a)
V
N� p M C O O O N_ (N O
d CO �. N`6 N a) a 'O C N h
O O f
N F- LL O .Z .21 Z Z + (n
�.+
e
m £ a
5 a a
r`1�i w E 'c c
r A U a z O vii U
r
m \..
m
W `
�° FO
. c
rT"- O
0-3
0 9�cG`rT s's�r
N O `
J
y� \
A ;u
w CA •a+9 y
n n rn
m \'
m `
r \
N `\ .
O `
J \ \
M.
•''�eQl
o
OD
�r�0 `\ F SE
-i O T
N 1 tnm \ B-
rn Z 0 o 9 - +
Ca O
Z D S
t w I
N -k o
I • m-
00 A-i A- rn t O �Om \
'
° t f \.� ---------\
Z 11 I I Z N 02 OD 7C `b
N O N NOS An Om — . �-- �'1�
-+�$ mpC�pp 0 �x N �O D
m-+ -I z �\ Y►G ,1
w O m r rN° �j n mo rn Z
�'C7 Dr npzv► r-" VJm O a� GC --- - -- a Z`
°
mm m cn -� m o o z - — , c� _ _ - -999
m 0, m m m .b ` . _rPI N -
(D m - - - i,- - tit
- - -- - '
-4 a m O t 0' but to.
�7 - n Go
' — concrete -_ concrete c '
occ 0
589 2
fn z v
~ 40
_ � n -700-
m A2
y
r.
� n Q
i Q c'q ,�-b
Z � 1 ° 4'
p C .0��
� N �y ' N �
Al - a 705 e oN
Cb '
;a O I �. -
O�I ' ---
nz
10 C1 N - -_
�' N.
? x X to D
C D AN D O ! 1 /° k
° at
--I m m O• Y-
M - , _ 1 1 `- - 710
P122—
y -p ��-- - / �' - -
n Vm-1 ---07 _ - ------- / 0#
° r oxg? ° ---o- - - --- ---------
'^ M m-1 - -0 c- ------
Rai -- --- --------- -y ------
Dp-jD ------ --'o __ ---' _ �'`
U) - ----- ------ _-
�p i'/ — — ------ - — — —
= O my aA� 715J //.\,\ -- - - - _------ Building -
m W AMA �',� -- =
z _ OUTHOdS "--
Zc �mtn ,;,------ 50' 50' — — — — —
p r D-zI ---
m O �tn< - C -•
�p A < m �
D m -< 720 - _ 7'20
.,, o o ; -`' N- SAINT CROIX ROAD
a1 m
0 --- _p�
(NOT CONSTRUCTED)
W
t IV m