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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 6 of
Division of Safety and Buildings
in accordance with Comm 85; Wis Adrr. Code
ounty1
Attach complete site plan on paper not less than 8 1/2 x 11 inches rn size.IRfaar~Js'tl; 7
include, but not limited to: vertical and horizontal reference pomf(BM), direction and P cel I.D.
percent slope, scale or dimensions, north arrow, and locatiop and dista ce,to nearest road. ;
iU 7c Re iew d by print all information---. y Date
S T Cr~IX
Personal information you provide may be used for secondary purpos6s (Privacy Law,1 35 4-0) (m)). ZS-'
Property Owner L at
L fsvt ~t 1/4 1/4 S ' T( N R ' E (off) W
O ~M
Pro erty Owner's Mailing Address
(P,;Nrir~ ,cE Lj) ) Y I I / - U ock # Subd Name or CSM# -La _ Car GC1
City State Zip Code Phone Number ❑ City ❑ Village ?Town Nearest Road
0 ( 51 )^1. a ;:°r? 11 S~
L New Construction Use: CS~,Residential / Number of bedrooms Code derived design flow rate 50 GPD
❑ Replacement ` ❑ Public or commercial - Describe:
Parent material 10,6Q Flood Plain elevation if applicable ft.
v
General comments f . i
11
and recommendations:
r, V
Boring # ❑ Boring
T Vj*Pit Ground surface elev. L)3 lad ft. Depth to limiting factor as _ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr- SZ- Sh
0--8 /o Vie -3/A SL
3) -q7 -7 ' L S The soil test report for lot 3 was discovered to be
inaccurate during the septic inspection on Nov 2,
-11!7-/IR5 15 q4 -C 14 2001. The soil horizon reported as single grain
loamy sand was actually massive loamy sand with
Boring # ❑ Boring occasional pockets of sandy loam. Therefore the
['Pit Ground surface elev. d $ ft. loading rate must be .5/.7 and not .7/1.2. If this
error is discovered on any other lot, additional
Horizon Depth Dominant Color Redox Description Texture borings/soil investigations will need to be performed
I in. Munsell Qu. Sz. Cont. Color for the rest of the subdivision. The plumber should
I U- Qy S L make note of the potential for error and prepare for I~
the possibility of increasing the size of the drainfield. r
y
~ 2 gp.Z
a
' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L
CAST Name (Please Print) Signatur
Address
-y , -L. /
PW
) i
Property Owner L4 K fra s % Parcel ID # Page of
1-3-1 V Boring # ❑ Boring G~ Q
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/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
c~ -o1 A ~ Ljjq Navy 3 x1 rt r 1 (2 W } P '
1-/ qj 1,
® Boring # ❑ Boring
Pit Ground surface elev. ` 0 • / ft. Depth to limiting factor / b in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munselll Qu. Sz. Cont. Color J Gr. Sz. Sh. *Eff#1 *Eff#2
J 0_2 }ow Ili as
3 ij- 15
i :
]+7~ i./) c~~r i/~ ,V1R uv4TiLV".z.'-sY f'Wxw+~~:6%!d'1+•M'x, { s~ fiJ l ~r-'• 1
L
* J
F1 Boring 7*
F-1 Boring # El 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/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2
* Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 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)