Loading...
HomeMy WebLinkAbout008-1059-90-000 (2) a sCX LS T -.~Ui7' C'60 Wisconsin (SOIL EV ALUATION REPORT Page of Division of in accordance with Comm 85, Wis. Adm. Code . County Attach compl*_Qe aah d i`4er not less than 8 1/2 x 11 inches in size. Plan must S % c,QG/k include, but not limited to v %rnd horizontal reference point (13M), direction and Parcel I.D. percent slos; 4"" L arrow, and location and distance to nearest road. f0 u N{T`(~ Reviewed Date '{J1MU ease print all inform Personal Information you provide may be used for secondary r G / PropertyOwner 7 c-c- Govt. Lot 5 Uv 1/4 -0 1/4 S~ T d N R E( W - 14 r ^ti I~C" c Seoiczi L,'C.. ` 5cc C(r5 f'< Property Owner's Mailing Address 'Lot # Block # Subd. Name or CV# ^ City State Zip Code Phone Number Y , , ❑ City ❑ Village own Nearest Road C=~ 11_aa5;1 «c •E~,~, It fw 1 S4~f (7r.S`"i C, -r4i)7 ~j ❑ Ze Construction Use: ❑ Residential / Number of bedrooms ^ 3 Code derived design flow rate I Syy GPD A ac ement ❑ Public or commercial -Describe: Parent material L 0~s ©uew 7L11 Flood Plain elevation if applicable w -I' General comments f J r c and recommendations: ~JQ G 7- Ill Boring Boring # Ground surface elev. ft. Dep h to limiting factor in. Soil A lication Ra#e Horizon Depth Dominant Color. Redox Description Texture Structure Consistence Boundary Roots G DM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2' 1 r ) 9-40 h) L( y rz - L' VL S i- r f ) Boring #t Boring ti t Ground surface elev. L) L' ft. Depth to limiting factor. In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 - v Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS : 30 mg/L CST Name (Plea, Print) P Signatu ~ CST NuYn* Address Date Evaluation Conducted Telephone Number n...-v n~~n mn~/nm Property Owner t-/du,- Lcty'QC) Parcel ID # Page D of Boring # ❑/Boring 9 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/fP in. Munsell Qu. Sz. Cont. Color Gr..Sz. Sh. . , _ Eff#1 gff#2 e i > 3 fir, > L u c 5 r ~x Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I Horizon Depth Dominant Color Soil A lication Rate Redox Description Texture Structure ' Consistence Boundary in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Roots GPD1fP .E l •Eff#2 i i i Boring # ❑ Boring ❑ Pit Ground surface elev, ft. Depth to limiting factor in. Soil A Beaton Rate:. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Roots GP /ff •Eff#2 i I f Effluent #1 = BOD6 > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD 30 m - e < _ g/I, and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. Ifyou need assistanctr to access services or need material in an altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. S ii D-8330 (R.07/00) DcoJ1 ::7-S 7- COCIA) l ;v C~ CI e (c~ ~s~ _ y o F S C S< ~ 0 7-D S' A-) P\ 3 L9 (y JIA5 V J 40 ~IyJ. ~IY,J. ~ FsILJ. 191'7 y7~ i a ' M1 M ICo.co 3 3e~~ c i(Ij CCU i r ~c< T~