HomeMy WebLinkAboutCST-2016-135 026-1084-70-020
c5t-- a(34 - ~ -
Wis. Dept. ofS fRAMYOl4e Mices SOIL EVALUATION RE NHZ-1j) Page I of
Division of Safety and Buildings 3F8M
~I 11U L ~ ~ in accordance with SPS 385, Wis. Adm. Code r
2016
Attach co p)g p~~p g(~,~ Q,n~ot less than 8 1/2 x 11 inches in size. Plan must County 30,
includeco A fb~ b~rt '1 ~rYd horizontal reference point (BM), direction and Parcel I.D. p
percen r M&ORMENTarrow, and location and distance to nearest road.
Please print all information. Rby oZto. /646te dzd
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /Z
Property Owner Property Location A/ Q
Qr G L l2 fQ x Q'1 Govt. Lot JV` 1'4 y1/ S ~ T So N R /v 6(o W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
S79, %3Z n -0 GY U 2 7Z ~O Is p
(P
City - State Zip Code Phone Number ❑ City ❑ Village ®Town Nearest Road
56 ecru 5YOzS (71S)ZY4-3SS'3 IcA Mond 100f4
® New Construction Use: 29 Residential / Number of bedrooms 41 Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain elevation plicable _ ft.
General comments Sr'5-)-e--' 7, 4r f A~
A446
and recommendations:
1 E] Boring
❑ Boring # pit Ground surface elev. /00,
g ft. Depth to limiting factor 7 77 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 ' ff#2
I 0-// /Oy / SL /~i ,rn~~~ c w 2 c 0, V 0, 7
2//-2 V 7, P&A s 2 mss . Aje~, C C.--, Z M 0, G , 8
3 2$-Yy /0M ~6 NA th S OJ AL C Cc, /177 o, 7 1,4
Y Yy 9 /a yap -i 4 M f DS
~t
1 3-61
Boring # F-1 Boring /
❑ ® pit Ground surface elev. 0% ft. Depth to limiting factor > Qb in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
1 0-7 16M 3/L A/A _ SG /rh MtrCw zc Q, 0,7
2 7/ q 7, s1'/? /y /f/4 S/'G 2 n►fbk M -Pi a. w 2 C- 0-6 0 8
6
M& c e.- / 0.7 1,
l9- S'6 Al YR rZ AIA M t ()I
1114 ms QS-ML 7 116
~Z
T
Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 < 30 mg/L and TSS < 300,/mg/L
CST Name (Please Print) Signature be~
S /rat rc'L/Ae /n Z 3S/ N „m/
Address Date Evaluation Conducted Telephone Number
19.2 71S Y~ 3 Z
Property Owner 7nCA1Y v eQ e-% Parcel ID# 6 4
Page 2- of
F3-1 Boring # ❑ Boring
g ® pit Ground surface elev. /L)/* O ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Descripti9siz- Texture Structure onsistence Boundary Roots GPD/ft s
in. Munsell Qu. Sz. Cont. CoGr. Sz. Sh. ff#1 * ff#2
a, V 6 7
Z Z 7s Yj6 /6 ZASbk. G C- 2 6 0,8
3 7- Y9 /6t? s~~ In r os 7n e- c w , M 4.7 6
I
444
❑ Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft I
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2
Boring
Boring #
Pit Ground surface elev. ft. Depth to limiting factor in.
❑
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft s
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
* Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD e < 30 mg/L and TSS < 30 mg/L
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 608-266-3151 or TTY through Relay.
SBD-6330 RI;/1 1)
i
OWNS Page 3 of 3
Name / ede-I Brian Parnell
Address S q- 9,, ar CST 231314
Date
®Benchmark 1 VG , P;.e X
i Benchmark 2 T~
Soil Boring
Suitable Area
l 40' cale
(
i~ e I i it I
i I I: I ( t
1,71
to
i l 4 I i i j l ~ 1 i t
N, 1 ►
i ,
r i I s
r- ~
I '
411,
I
i
.n 411 , , .
10,
i. ; S"`
! {
a
LLJ
- ~•s
I ra-tL:
e
4r
~ e
~ x
4r k ; s}. x ~m *a.'+Rlrr.. 'a~w as < -
LLJ¢i,
4 R"'-ykc aft w ° • °
34 7
,::t°•~ r ~ ~ .a y~~.A fir}. , ~~,4. ! 't
t g, °S 4,
b=~R
W 4*1
J t o
fi o. 0 o W
N
a