HomeMy WebLinkAbout018-2011-60-000 (2) 5
Wi,consin Department ap Cornl I ~ 'SOIL EVALUATION REPORT Paso of Division of Safety and B Ings ° 4
in accordanto Y~ t)i Comm 05, Wis. Adm. Cale
County
Attach complete site plan on i4&i ~ldf k ss than O 112x ) 1 n,c1re3 I! size. Plot) nIURt J ' L - Y i )
Include, 11-1t not Mulled to: vertical and honzontai refemnrr'a point (BM), dlection and 11011A I.U. - - - -
petcent r rope, scale o d(rnogsluryy~~,,r}}orU, rnuw, and luctlou and dlslance to noarest road. j~ -~j t) -6iJ~
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PIeM"(900FII(W01111 a tun. 119, mved Dale
Fmwmo InrotareUort you provide mny be ueed rw 90-1dary putposus (Privacy Lnw, s. 15-04 (1) (m)). l/(N ~"V_ \ O
Property Owner Piopoity Locallou
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~ iin4t~C~ L~ Govt. Lot 114J"tC111 S 1 ~ N I? E (otW,
Property
Owner's Melling Aftuss L t # Bl ock #-I S- N -1meurCSM11
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City State Zfp Galo Phone Number -
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{ } New Construction Use:q -Residential 1 IJunlber of bedrooms _ - - Cale dorived design flow rale 4 GPD
L ] Replacement ❑ Public or commercial - Describe:
Parrot material f 1 _ Flood Plain elevation if appli(;ablo
Goneral comments u /y! V ;j
and iecornmeudat(ars: r 7~ 7
Boling # 11 Bonny
it C
Ground surface elev 3-
'P It- Depth to Ilndliny factor
( in.
_ Suit Aylicalon Rate
Horizon Depth Dominant Cut()[ Redox Description 1 extol E) Sbucture Consistence, Bound:IIy flootS GPD/IP _
in. Munsell au, Sz. Coal- Color Gr. Sz- Sh. 'Eff#1 'Eff#2
-
[2]- Boring # ~ Boling it Ground surface elev. it. Depth to lilniliny factor
- Sold Application Rate
llolizorl Depth Daninalrt Color Redox Description -1 exlure Sbuctute Consistence Boundary Routs . GPD11F
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eir# 1 'Elf#2
~l1 L►f~.J Ili) ~~4 ~
J _ I r - - -
Hkient M1 = BOD > 30 < 220 utg/L and ISS >30 < 150 ing/L ' Effluent #2 = BOD < 30 mg/L and ISS < 30 mg/L
CS( Name (Please Print) ~~Signature CST Nunlher
)1T~I!(~I/(~! 1-7 '
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Address Date Evaluation Conducted I
alephoar. Number
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~ JJ Paye Df
Parcel IU 11 _ _._I_
f
[J Boring in.
Boring # L ll. Depth to fimitirly facaor - SoB n Iplk foi, Rafit Ground surface elev.1 i ~A- Horizon Deplll UominanlColor RedoxDescrgltiun Texture
tructure Consistenc TIM
e Boundary Roots GP(all. Sz. C0111. Color Sz. Sit.
-
in. r J ,
> 1?
❑
l~ Boling # Boling Ueplh to limiliny [acto[ L] npplicalion Rate
l pit Ground surfar:e elev.
T
Ilorizora DepU1 Dominant Color Redox Desmiplion exture SUudure Consistence Boundary Roots GPUIft~
Gr. Sz. Sh. •Elf#1 'Eff#2
in. Munsell Qu. Sz. Cont. Color
Boling
E] _ in.
E] ~ Boring # IL Depth to limiliny factor
❑ fit t'rou"d surface elev. Soil Application Rale
Horizon Depth DorninantColor Redox Description lexlure Structure Consistence Boundary Roots •Ef(#GPD/(PEff#2
in. fdunsell Qu. Sz. Cent- Cok3r Gr. S7_ Sit.
Effluent #1 = BODS> 30 < 220 11 1yIL and TSS >3U < 150 myll_ ' Ellluent 112 = BOUS < 30 iny1L and TSS < 30 mpfL
'flee Department of Commetce is an equal opportunity scivice provider and cmployci. if you aced assistance to access services or
need malerial in an alternate format, please contact the depaitumit at 609-266-31-51 of TFY 608-264-8777.
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