HomeMy WebLinkAbout010-1082-90-050 (2)
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,AN 2 9 2018
Wis. Dept, of $a(e t}(3rtdrftfessionl Services S IL A TION REPORT Page of .3
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Attach complete site plan on paper not le: 1 5 M EAAW 17 XAM M County
include, but not limited to: vertical and hot _ Noun (estw), atrection and Parcel 1.D. p a J
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Revieti by Date
Personai information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Z ZL -7 1
Properly Owner Y Property Location
,4,1 / y Le t Govt Lot 114 ,S, Ir4 s 3 ly ,30 N R ~G W (or (D
K -1
Property Owner's Mailing Address Lot # Block # Subd. Name or CS(
ay~G ea.lZo. DD
City State Zip Code Phone Number [}lHBegc ®Tovm Nearest Road
wZ- ,5"Y4013 ( ) 10
New Construction Use.- 19 Residential I Number of bedrooms 3 Code derived design flow rate y50 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material _ z4ESs 4001 41A4144 tjt 4 Flood Plain elevation it applicable ,1114 ft.
4,4 A
j
General comments nJ'S S / S,/N4 t/fy~o oAEJ G W
^44.00 lol " SL6oEv Firc
and recommendati~o/ns /
p< iFG, Y.f. E4, `/O/, 5 o.~ 140, a CoA 71004- x 75' /a/sTR. C6L6/
Boring
Boring K
t 1 ® pit Ground surface elev. ~QV. Q ft. Depth to limiting factor as in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots GPDIft '
in. Munseil Qu. Sz Cont. Color Gr. Sz. Sh. .6#1 fft'2
/ a - 8 a Y.t 313 wo
o re. s/ - d, / a >F -f 4k 3 s-a sit %4K. s~ l ,r .M ek
as-aa sin. s/G c ~a/ dsrc ~ ~ / .t s I
Boring # Boring
pit Ground surface elev. 99 r (l. Depth to limiting factor d / to Soil Application Rate
Horizon I Depth dominant Color Redox Description Texture Structure onsistence oundary Roots GPD/ft '
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
/ O - 4 Y.c - / l /y ~n R rf~ G 8
Y" S Sr l /l N L /r T 8
l 4/ .7rr bk r~~
3 rA /G
y ai- z -AL s14 C gw s l 6k - , y
Effluent #1 = BOD , > 30 < 220 mg/L and TSS >30 < 15D mg1L ~auent #2 = BOD ~ < 30 mg/L and TSS < 30 moil.
CST Name (Please Print) Michael J. Hass ett Signature CST Number
Address Date E At at~9f~pnducted Telephone Number
Eau Claire, WI 54701 4 `
S13D-8330 (R) 1111)
CST, MP-16-224974, D-1152 -
Property Owner_ itlC ~YL'6/L Parcel ID # Page o2 of 3
3 Boring ~ Boring
✓
Pit Grouna4i face elev. 9 d ft. Depth to limiting factor A? in.
Soil A ptication Rate
Horizon Depth Dominant Color Redox Description Texture Structure nsistence oundary Roots GPD/ft 2
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. ff#1 °'tff#2
5-8 /a Ya 313 - d M ~Z ro q s u G S
S -oYL f-3 _ Srl l -P k re 06, cS /w'g G
3 - Y/L //6 - / d -P 6 k 4.s - G /0
y /s sYA 5,16 /
1
❑ Boring # C! Boring
Pit Ground surface elev. it Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture structure onsistence oundary Roots GPDlft z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 `t~7
i ~
Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
D Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence lBoundary Roots GPDift 2
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. ° ff#1 t ftr#2
I
Effluent #1 = BOO = > 30 < 220 mglL and TSS >30 < 150 mglL t Effluent #2 = BOD 5 < 30 mglL and TSS < 30 mgA-
The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format contact the department at 605-266-3151 or TTY through Relay.
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