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HomeMy WebLinkAbout032-2150-20-000 t(;E1VED csr- Zoos- olot Wis. Dept of Safety and Profe%Vi iX CoUN~OIL EVALUATI" SPORT yU7~S Page - of S Division of Safety and Bni jii~ ~ }3AA,44~~~~rr in accordancewRtt~P5~385, Wis. Adm. Code County J Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must J C` ' include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD. r J: I percent slope, scale or dimensions, north arrow, and location and distance to nearest road. L ZW ! R t! K`~ Please print all information. Revi by Date Personal information you provide may be used tar secondary purposes (Pnvacy Law, s. 15.04 (1) (m)). Z Property ner , / Property Location G~ C- , J , s- Govt Lot S 6 V 114 S U414 2- T N R / * (or) N J Prope ers Mailing Address Lot # Block # Subd. Name or CSM# v i City State Zip Code Phone Number / ❑ City _ ❑ Village [3Town Nearest Road f G/1 ~ `~G}~-~ 5 ~ L - ~-s ' SC Yt~ e ~ , c ✓ 1 Z 2~ GPO New Construction Use: ~ Residential !Number of bedrooms Code derived design lbw rate ❑ Replacement y❑ Public or commercial - Describe: Parent material J °?s I "Plain elevation if applicable 14 ft. General comments and recommendations: J J zee P ❑ ❑ Boring # Boring I S / y J ® Pit Ground surface elev. ft. Depth to limiting factor ~ in. Soo lication Rate Horizon Depth Dominant Color Redox Description Texture Structure [onsistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. TO '11W2 D-Y 16v'141 SL lthsAlc s Zc_. G-, 6.7 Z -29 S%~ S,L NA >,"C zr►• ix 3 9-53 7Y 4 'y/ 111A YES OS ~ c c~ I f i I~ y 5 3 !yc ~0, 61 A/ A MIS CAS' 7 -A- -2 el It ❑ Boring _ c Boring # ® Pit Ground surface elev. Depth to limiting factor 4 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure nsistence oundary Roots GPD/ft z in. Munsell Qu. Sz- Cont. Color Gr. Sz. Sh. ff#1 02 IT - 3Z- 66 7 Effluent #1 = DOD , > 30 < 220 mg1L and SS 30 < 150 mgfL ` Ef9uen- #2 - SOD < 30 mg11 and TSS 30 rac1L CST 3)31 Y Address Date Evaluation Co Oed Telephone Number Q Parcel ID # ✓3C Zis 2GOL} Pa e 2 of Property Owner ~-~~✓r S 'lfizn`~M U g Boring # 3 Bonng / 7/ 7 1A2 1-7-'] © Pit Ground surface elev. / ft Depth to limiting factor - in. Soli Appbmtion Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roofs GPD/ft 2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh, f#ptt tF#2 0-3c 4 S~ it r= v y o: 7 Z Ll._~6 SiR z by Z /11 -,-1 le /Pt t' ` C.<. 3 se -7y 7 5-7.,e % ZA_ t~s C _ Yh .1 4~' iJ 1 @ l r 6 4 i ,~J fl i t i i 1 i t I I 1 i n Boling # '--I •.y q pit Ground surface elev. ft 1Oepth to limiting factor in. S , r. octe I ~R..-.:-..-_ f i - Y .t_._1C.11LC Ll.'IJ11CI~ l JL:S V Jl~tt,•v . :4i'S~.^. J: ::raut c •..ullviDr L~ % /Y SL y't frr /Zt u~~ 1.. S ! 2,"n 2 ff / z o. P'1 i & Y EGr./yoi (C%~ 3/ j &A ! t t E 1 I i 1 1 i l I 1 I I i i i i, 1 1 i ~ , ~ f 1 t 1 1 1 1 I 3onng # ` _ r Fit Ground su^sice e.s W . aii-.g ;actor .7.'i-'nn Dnc"• HoG:S CVL)ri • - f - i i I i ~ + 1 I E f 3 E 1 1 . c - .c.':r t.•i~ C i<;'. u n_~v c:»iiiEli~C° iii ~l: iii t'I ~.Sl Crl and C"'L:! Or u ' .s sent ices or need material in an alternate tnrmat. contact the department ai 6ON-166,31 1 or TTY thrOU2h Relal. OINNER Page 3 of 3 ` Ime L ~ 011`s Brian Parnell Aldress 3~~ %Yf5 4~~ CST231314 I~:41 t~ wr S~O~'~ Date /S A Renchmark 1 e,,), A Benchmark ? op = ~ T~ I~J Soil Borincy Sultable Area I 4W Scale r r ~ '_-~_r r-r i I I ~ i I ! I ! ~ I i I t ~ I i ! ! i i - ~ ~ I~~-~~ ~ I I I I I I i all i _ i { - - - i -i- - l---~-~ _ ~ I I I ! i I ~ I► f I ~ I ~ I l I r l ~ , ~ --1--r-- I ! I i ! i _ _ f \ 00 _ N X69 00 I N2 X06 X ! ~994 0 ~.'C \ . ao I 19A - 2 _ \ 1\r Cc) 016 co lei 926 icir) os _ ' Sl 1 Q? X 0 n ~79Q i' l <1 ao cy \ 932' i + r9~• i \ o . \ o. am 46~~F6 1 1 "D 10 ~'Vl~ - ` \ \ \ X06 4i ilk X u)X C) cp Q i .S~ \ / % y~ ` 1 "I ` `'906' O\\~ pe) 'GD L4_ ~ QY\ Xm J(`/1/ X ~I i I ull 7,D ~d r) /4 \ Nt e-l 1.0 x L kr6 A~l IJ C) O 1\ cp 01 01 cV ~'.N \ 5 6 Cn6 ~6` ~l~ l vas ,unit i 5 Ln~ et,