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HomeMy WebLinkAbout008-1082-95-100 (2) Wisconsin Department of Commerce ' V • SOIL EVALUATION REPORT Page l of Division of Safety and Buildings A~~ 2 U I ' in accord" Comm 85, Wis. Adm. Code C~ptX C~ County C / X Attach complete site plan onpaper nd QR09h1s in size. Pla ,.vst include, but not limited to: verti;; tal reference point (BM'), gectio;-- Parcel I.D. percent slope, scale or dimensions, north arrow, and locations and tan~° p►Q CJ Please print all tnforrnatl6j* ©F'O~.15.04 Revi d by Date Personal information you provide may be used for secondai O w, (1) (m)). Ti~ I Property Owner / ' Q Property Location G (n -J a M i I Si.-c: , r~ r1t( Govt. Lot = 1 /4 ,!V 01 / S T ' N R E E (o W~ Property Owner's Maaiiling Address j Lot # Block # Subd. Name or CSM# -e J 7-1 Ci State Zip Code Phone Number " ❑ City ❑ Village 21own Nearest Road 11-7 ~'~._r~~c..~r'i l,l.)~ .j'~'2`~i✓?~ (jlS~~ -~~13;5' ~-~t~~~-e'er c~ ~ n<.,~ %f, ❑ New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate op 00-Replacement ❑ Public or commercial - Describe: Parent material 7 Flood Plain elevation if applicable AZ I General comments n 1 and recommendations: A Dpi oar i UZr Boring I J Boring # Ej t Ground surface elev. ✓ _ It. Depth to limiting factor - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `Eff#2 . 3 S `f dZ 7, SYR r/0 Yl 6 GZ 5 " v f j. (c o L, 1 yt3Q 7. 5- YfL ''rte iC~ i 0 ~v E3 Boring cn Boring # ept~.h mkng,ac._. In. ..I:_ ,....oZ.o U Gr'pit N H j for Ground surface eiev. v Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Gitii lM (c o (C' pK P „ 5 blt v ft i f D . ` Effluent #1 = ROD > 30:5 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD 5_30 mg/L and TSS < 30 mg/L CST Name (Please Pri Signature CST Number Address Date Evaluation Conducted Telephone Number 71 -5) ~7 ' nKK nnln /n n1 Mn\ Property Owner Irt ► f Parcel ID # ~75--/e) Page of -3 Boring Boring # 9-0- 'it Ground surface elev. - ft. Depth to limiting factory In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary- ;Roots Gp He In. Munsell Qu. Sz. Cont. Color Gr-Sz. Sh. 'Eff#1 "Eff#2 0 Boring # ❑ Boring ❑ pit Ground surface elev. ft. 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 h ❑ Boring F-1 pit Boring # ❑ o Ground surface elev. ft. Depth to limiting factor in. Soil -AIlcation Rate: Horizon Depth Dominant Color Redox Description Texture Structure ppnsistence Boundary Roots GP /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff,#1 •Eff#2 i t- j i ' I Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD, < 30 mg/L and TSS s $0 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: S 13 D•8330 (R.07/00) ' y AcRL=S ~Dr tz`~'b1 -C,5, ff7-° ~j <0~li c?SCL/J~ ~xce SGIo~ ~ Woot° r73 140191,11Y 7o i k $h-e-CL i I ~o~" 6,3