HomeMy WebLinkAbout038-1069-10-110 (2) RECEIVED
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Wis. Dept of Safety and Professic".te" COUNTY SOIL EVAL~~ATIOIAR_F_P(~RT Page / of
Division of Safety andBuildiMMMUNJ~ ' ~n~ 3 L 79I 3
I'n ~fxo~ance $~S 385, Wis. Adm. Code
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Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County r o
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Re nby Dat
Persona} information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 2 Z2
Property Owner Property Location /
S c rr 1,-t C /'r'( "'h- GovL Lot IV F- 1145 F,!FU4 s// 7T ! N R E (or)(W)
Property Owner's Mailing Address Lot # Block # Subd. Name r CSM#
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City State caZip Code _Phone Number ❑ City ❑ Village ®Town Nearest Road
S01/-R- l (b:5~,o') 2 ,6 -b6 j- 3 -1-6v" e- fG%r% th -.I/-
New Construction Use: [l Residential / Number of bedrooms Code derived design flow rate 6(56 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material ~C2 C 1 _G r- t Flood Plain elevation if applicable fL
General comments u S ` S Y Sr e • t co,2 /D v. C'> ZL C t- 2 c z
and recommendations: {nnp (Y,~~ 1 ~ O '-I
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F Boring # Boring Pit Ground surface elev. 1U 2 fl, Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. ff#1 02
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F2-1 Boring # 0 Boring
® Pit Ground surface elev. fL Depth to limiting factor < in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure nsistence Boundary Roots GPD/ft Z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 02
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Effluent #1 = BOD _ > 30 < 220 mg/L and TSS >30 < 150 mg/L * Ef 9uent #2 = BOD 5 < 30 mglL and TSS 33 ma/L
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I Address Data Evaluation Conducted Telephone Number
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Property Owner SC ' I C la , x Parcel iD # Page ? of S
Boring
M Boring #
Q pit Ground surface elev. 15-3 5-3 ft. Depth to iim'ding factor CZ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure nslstence Boundary Roots GPD/ft 2
in. Munsell /Qu. Sz. Con. Color Gr. Sz. Sh. ~f 1 ff
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} S^i! plication Rate }
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Effluent
The Dept. of Safety and Professional Services is an equal opportunity sen--ice provider and employer. If You need assistance to
access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay.
SBIM334 (P) VI 1)
OWNER Page 3 of 3
Name .SC v f Brian Parnell
Address 5-23- 1 S~7 a CST 231314
y S7` la_~l ~I?,1! SSv~3- Date
-e-/ y~. :oafs . 06a
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A Benchmark 1
A Benchmark 2
_ Soil Boring
Suitable Area
1" = 40' Scale
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