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HomeMy WebLinkAbout018-1087-83-000 (3) f -<T c ' ECEIVED C- 'r Wisconsin Department ofCommer SOIL EVALUATION REPORT Page 1 of Division of safety and Buildings r~~11 55 77 A~7aa'cc~VtllmCe'with Comm 85, Wis. Adm. Code County Attach complete site plan on paper TptjVWt kA>UN 1 inches in size. Plan must include, but not limited to: vertu rll~~ (BM), direction and Parcel I.D. percent slope, scale or dimen01 9, ort arrow, and location anc dista ce t eare4- ad. 0/ a Y, ~ by Date Please print all information. V08pp ' eb Personal Information you provide may be used for secondary pur^-- QOR~ Z2. Property Owner_ _ / ~R Nroperty Location J C E'~ l i Lti l: t Govt. Lot -S E j j4 W114 46 T N R E (or CW Property Owners Mailing Address Lot # BIocK # Subd. Na CS v l 5 " ~ ct 5 ~ /J~c`t { T(e' 6.3 © { u ~ 331 - fern PW U A City State Zip Code Phone Number ❑ City ❑ Village . (Town Nearest Road New Construction Use: FffResidential / Number of bedrooms Code derived design flow rate GPD: . ❑ Replacement ❑ Public or commercial II- Describe: w ft. Parent material ~,Pe- Flood Plain elevation if applicable lv r-S ,c C General comments &L h ejer LArJ~~ and recommendations: 17 /A-~C'~(l ,~tl Boring i / Boring # Ground surface elev. V, 5 ft. Depth to limiting factor 3 ,4 in. ( 0 Plt Soil A lication Rate Horizon Depth Dominant Color. Redox Description Texture Structure Consistence Boundary Roots PDT` in. Munsell ©u. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Etf#2 I.- 3 a Y E 7, • ~r o S C Boring Boring i s k ❑ 3 r # Ground surface Q!Pv. Depth to limiting factor 3 y in. Soil A plication Rate l_` I U Psi - t, i Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - GPD/ff: in. Munsell Qu. Sz. Cont. Color Gr. sz. Sh. 'Eff#1 'Eft#2 S 1~~` OF /l i©V2 bkk L H I/ 10 VK 1 3 -SS 'oil y' ~ 7 sY91, /c Y, .2 L, -f _ - C, s " ' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 mg/L ' Effluent #2 = BOD 30 mg(- and TSS < 30 mg1L . gnature CST-Number CST Name (Please Print) Si C'G1 rt e? Address Date Ev uation Conducted Telephone Number Q 7- / 3-/ (7/ s) 7,7,'* G~ ' z Property Owner I,^l K j Parcel ID # C~ l d 7 - 0 3 Page of _ ng # ❑ Boring Bori [37~ Q pit Ground surface elev. Y-y ~ ft, Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure consistence .6oundarr, Roots C~pD/fg in. Munsell Qu. Sz. Cont. Color Gr..Sz. Sh. •Eff#1 "Eff#2 C) 0 56 C~ 2- t~/v Inik - z i~ Boring # ❑ Boring ❑ Pit Ground surface elev. h. Depth to limiting factor in, - Soil Application Rate I Horizon Depth Dominant Color Redox Description Texture Structure ' Consistence Boundary Roots GPD1fP in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. •Eff#1 'Eff#2 i i l F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In, Soil A IlEI& Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GA /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. •Eff#l `Eff#2 I t i i Effluent #1 = BODE > 30 < 220 mg/L and TSS >30:5 150 mg/L Effluent.#2 = BOQ6,5 30 mg/l- and TSS 30 mg/L The Department o:fCommerce 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: .BD-8330 (R.07/00) I . C 5 C e A4 .sbu n't /n U41 ct VL~.h!~ COLA-IJI t'1G-VY\ m n v. 5 C o f d t~,~ y Sec. )o r,;-74 R 17 c~ ra, r MU- LO FkJ, B3 ~ ~ fy1~, e ~ sio~ Lv~~~-off' 141J. Y5 e, Mm. qq. 4o All fG