HomeMy WebLinkAbout004-1048-95-000 (2)
Wisconsin Dep Q , ~I ervices L. YT o
7
Division of Inducts Page of C
JAN 12 2018 SOIL EVALUATION REPORT
In ac ordance with SPS 385, Wis. Adm. Code County /nl Attach complete site plan on paper not less than 8 112 j 11 inches in size. Plan must include, Lx
but not limited to: vertical and horizontal reference
pefrtf (BM), direction d p ent Parcel I.D.
scale or dimensions, north arrow, and location and distance to st d.
dof-/0J/T -aoa
Please print all Information Revie by
Personal information you provide may be used forseo C6BMNKXHV8V8R Dat
Property Owner
Q. ~ ► \ ~ Property Location
r cj- .
Property Owners Mailing Address Govt. Lot(~~ % (QL~ Y, S a FN R E (or) W
q,-02- ( Lot # Block # Subd. Name or CSIVt#
i AG ~2 S
City State Zip Code Phone Number
5 0~ ❑ City 0 Vi lage 7STown Nearest Road
to,
c v ~ ~ a a`s~~
New Construction Use: &Residential/Numberofbedrooms 3 Code derived design flow rate 5"V GPQ
0 Replacement 0 Public or commercial - Describe: Z~
Parent material
General comments and recommendations: Flood Plan elevation if applicable ft.
Boring # Boring
Pit Ground surface elev.gk~
t-- ~ ..fl• Depth to limiting factor in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil A lication Rate
In. Munsell -Qu. Az. Cont. Color n' GPD/Ftz
Gr. Sz. Sh.
*Eff#1 *Eff#2
Boring # 0 Boring Q
pit Ground surface elev. I ?-t) ft. Depth to limiting factor in.
Horizon Depth Dominant Color Redox Description ' Texture Structure Consistence Boundary Roots Soil A lication Rate
In. Munsell Qu. Az. Cont. Color GPD/Fiz
Gr: Sz. Sh.
f5`l° y .3 *Eff#1 *Eff#2
* Effluent #1 = BOD > .30:5 220 m /L and TSS > 3o 5150 m /L * Effluent #2 = BOD > 30:9 220 m /L and TSS > 30 5 150 m L
CST Name (Please Print) ign us
• / ~ , _ 4. CST Number
Address Y ~ _ ~ l'
%d350 ~`{Ollii Date
• ; ; 1- alu~a~ tionConductedsQ/ ~ Telephone Numb~
.7 15 F-, SBD-8330 (R04/15)
Boring # ❑ Boring
Pit Ground surface elev/ee"5ft. Depth to limiting &'S in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Fe
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh.
*Eff#1 *Eff#2
Olt? # Boring
❑ Pit Ground surface elete~- ft. Depth to limiting factor 4 In.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Fe
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh.
*Eff#1 *Eff#2
O-t D N 4 b rJ
tH li, 1 6
❑ 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/Ftz
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh.
*Eff#1 *Eff#2
* Effluent #1 = BOD, > 305 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD, > 30:9 220 mg/L and TSS > 305 150 mg/L
v
Gl c~
C L
I p W v
3 C/)
v cc~ ci ~ . ~
oD 0) „ - UV o I
Ul p i S l
I ~
t~
O
~ N
~ ~1 W
w C
G -
r
J C
CS v
ok,
4
r'
N NFU ~ G
ilk
c~~ o
C~ + `gip O
'C'