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HomeMy WebLinkAbout040-1284-00-000 (3) FIECEIVED MAR 18 21)11;j Wisconsin Depq" fa4r�xn �, SOIL EVALUATION REPORT Page r of 3 Division ofyRl ✓ LUPM accordance with Comm 85,Wis. Adm. Code �+ ` �@. Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County X include,but not limited 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. O o...0274-oo- O pQ Please print all information. Reviewed by Date Personai information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner /� Property Location D ct e l, 4tkct",/.t -5o� e k, T6`tcj-f- gov 1!be! JVW 19 tV W1/4 S 7 T B N R 1 9t(or)W Ap Pro rty Owner's Mailing Address -fir- Lot# Block# Name # CSM T/.Z. Cort.��2? ( Z'' / C? — -r e ©i-C a,4( City State Zip Code Phone Number ❑city ❑Village MITom Nearest Road$�Sj? HU-q/so� w.Z 1,'40/i�i (7/T)34- ?e'/ r k-&Y I C7;^C4-rfc/bHijie New Construction Use:❑ Residential/Number of bedrooms Code derived design flow rate 7s-0 GPD ❑Replacement ❑ Public or commercial-Describe:/�Y Parent material j a r... a / �-t7`w [S/� Flood Plain elevation if applicable N7'� ft. General comments Y SF;7 e A d d A-C s'l s s St 7 d r e tia r d and recommendations: Lo t, ;j• A Q V .� 6C h q /I /1 �1 J 1nr72`� 2 coNtie.r7�or� t ! Jyr'�C a7r' 4 0n�`Gfr' ``i •JL 7o r.0 7 P I Boring# Boring + Pit Ground surface elev. 1 1,93 ft. Depth to limiting factor 1/0 in. Soil Appkation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu.Sz. Cbnt.Color Gr.Sz.Sh. 'Efr#1 'Eff#2 0-/1 SL lc a s 2n, c. 6 1. 0 O-7 /. Boring# Boring Q Pit Ground surface elev. 00.0a ft. Depth to grtuting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Elfin 'Eff#r2 c� -3c o S� — .S 05-97- c u. f' 0•. 3 30- lo° S as -9- 7 . 6 'Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 ng&and TSS<30 rrg/L CST Name Please print) Signature CST NMIW � � Address Date Evaluation Conducted Telephone Number © Property Owner a�•E 4 Parcel ID# © Z�i — —��Page aof F3_1 Boring# ❑ Boring JR Pit Ground surface eiev. 107. / ft. Depth to limiting factor > / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture SMx*ue Consistence Boundary Roots GPD/M in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2 2 a6K A-,VA' 1,eA- Zs" 0--9!� I+ O Mir S o s s 07 ❑ Boring# ❑ Boring ❑ Pit Ground surface eiev. ft. Depth to limiting factor in. Sod don 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 'EfW F-1 E] Boring Boring# E] pit Ground surface elev. ft. Depth to limiting factor in. Soil Appkation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM in. Munsell Qu.Sz. Cord.Color Gr.Sz:Sh. 'Eff#1 "EfW2 Effluent#1 =BODS>30<220 mg/L and TSS>30:E 150 mg/L 'Effluent#2=BOD,<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) P 3 n� 3 Pu u 1-or �O Sf -7 CL meat f w/e r c n •�- --� 1 T _ et s or a yr IL S ® : 5 3 �i kC 470-me-ft" 0.!C ra C N)T -- p, ' oZ -OLt the ;KSAS e t Oa /9 /C /-i h r C,'Ocic- . T A e e/e* on *° 0,4 ..,E-4e 46-aaftts _ .. IF .Z - lV 4f°53:944ss,g3� �'° 5:9q�f�: ff 1. 72 41 t/. 7-1 SOIL PROFILE DESCRIPTION Owner: 5 o L ��� T2u CST: G A ES W C- S System Elev. Proposed: ft Syst. Range ft to ft Ld Rate: D•7 # Elevation: 3 # Z Elevation: 100.2 # 3 Elevation: 11V-7 o Boring o Boring o Boring o Pit o Pit o Pit ---- ----------- --- �� ----- ----- ----- ----- ---- ----- - - SL too --- ----- ----- -- ----- - - - ----- ----- �S ----- ----------- ----- 9� 9(v ---- ----------- - ---- ----- ----- ----- ----- ----- ----- ----- ----- ----------- -----