HomeMy WebLinkAbout040-1152-50-000 (3) Pr
Property Owner / Parcel ID# q/, C/ Page ^� of
Boring# Boring /
❑ Pit Ground surface elev. ft. Depth to limiting factor> 6 • in.
p g Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF I i in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. I I 'Eff#1 'Eff#2
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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' 'Eff#2
F-1 Boring# E] 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/tF
in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2
'Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOD6<30 mg&and TSS<30 mgA-
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SBD-8330(R.07/00)
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Wisconsin Department of commerce SOIL EVALUATION REPORT Page of 2T
Division of Safety and Buildings
® in accordance with Comm 85,Wis. Adm. Code
� County
Attach comp) n paper not Tess than 8 1/2 x 11 inches in size.Plan must
include d to:ve I and horizontal reference point(BM),direction and Parcel I.D.
percent scale or i np ns,north arrow,and location and distil t eamsift d. V0
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S�Q 2 PIO����all information. 1 Date
Personal information ��r abe used for secondary purposes(Privacy j`j c f
Property Owner g �Nx Propertyci,?cation
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Govt.Lot j S /f/-4 L:1/4 S 2 3 T 2$ N R 2.0'E,(or)
Property Owner's Wiling Address L"', Block# ubd N�or CSM#
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City State Zip Code Phone Number ❑City ❑Village Town Nearest Road
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❑ New Construction Use:❑ Residential/Number of bedrooms Code derived design flow rate GPD
Replacement ❑ Public or commercial-Describe: J
Parent material Flood Plain elevation if��) applicable ft
General comments _ .,
and recommendations: �yS--k� {'y'�'� ��- -�'!/LY`rr
F-i Boring
Boring#
u Pit Ground surface elev.� ft. Depth to limiting factor,..��7 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
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Boring# Boring pp
❑ 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/fe
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. I 'Eff#1 'Eff#2
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'Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg! *Effl ent#2=BOD <30 mg/L and TSS<30 mgA-
CST Name (P P Print) ° Sign u CST Number
Address DO Evaluation Conducted Telephone Number
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