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HomeMy WebLinkAbout040-1152-90-000 (3) Property Owner Jo Parcel ID# Page of Boring# Boring \\ jjq n a E] pit Ground surface elev. ak d ft. Depth to limiting fac 7 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 l 0- z s '/ sir 0 3v v 2 2 -17 5d 5 hk Af 0 rr Ca 7 /. -A 1 5 A4 r 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' •Eff#2 Boring# E) Boring F-1 El 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 'Eff#2 �I `Effluent#1 =BOD6>30<220 mg/L and TSS>30:5 150 mg/L `Effluent#2=BOD6<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) Wisconsin Department of 11p SOIL EVALUATION REPORT Page of 3 Division of Safety an in accord nce with Comm 85,Wis. Adm. Code County C r Attach complete site cal p per 8 1/2 x 11 inches in size.Plan must include,but not limited t erti ontal reference point(BM),direction and Parcel I.D. percent slope,scale or dim rth arrow,and location and distance to nearest road. 5 se print all information. (!+,+ Reviewed b Date Personal information ytp rovide may be used for secondary purposes(44 Law,s.15.04(1)(m)). L-7 % Property Owner Property Location JOA ki Govt.Lot 1/4 1/4 S,,?.3 T ,� N R;? VV Property Owner's Mailing Address Lot# Block# Subd. Name or CSM#, 1-I U I S . vJ ecA-w o0 D l Iz ->! C---o i City State Zip Code Phone Number ❑City ❑Village Town Nearest Road Mir t I MN 55-16to (1U )a5t 57q j I i IL -v ❑ New Construction Use 'Residential/Number of bedrooms c:2- Code derived design flow rate U L16 GPD ( Replacement ❑ Public or commercial-Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: L y� ���,�., C S( YYi lv-e �� fZ a Boring# 9 Boring pit Ground surface elev. 764.7 ft. Depth to limiting factor W in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GOD/fl? in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 �a o "93 s o2 A 5,6K A4Lr , CW 3yfl /,n 02 -ao IQ 5 M ca uJ ® Boring# Boring ❑ Pit Ground surface elev.AN.3 ft. Depth to limiting factor>(o in. Soil ApplicaUon 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 p 'Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L `Efflue t# =BOD <30 mg/L and TSS<30 mg/L—t� CST Name f4ease Print) Signatur CST Number Pac k.[ C c'�r F -V3/ Address D Evaluation Conducted Telephone Number lls W I \ \ \ g e 2 � Jo� 9)0 m ;§ #+ 22k� oo \ �COMM= cli k o § MA £ G = f) ( § a 0 # 0)-"am $ r- C, ; E3 } �e \/ M U.a 5 M § « �7 §\# § � ° a�£E = Ga$ < aek$ § $ a ! o � 2 / E k E ] z' 2 � R / \ © � § B 2 . � U) / 7 ) $ @ } o Z z z k � � ) § ) , M 2 § E § $ ) 2 . f f m U) U) _§ - £ = 2 o E § & / 0 C ° ? \ k \ a § \ % 0 3 G ( _ & § « 2 r a § § k J z f ■ \ $ ; ] ] ) ) § R § $ = E t w o / / / ° 2 § 0 . § § § ` _ Q Q e k k e ` 2 D ( § } / 3 § { 2 \ 2 « t a ¢ a R e L 0 2 / k ) ) M C E $ k k a IL f / J a 2 3 3 L v m W v m m ° LAKE ST. 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