HomeMy WebLinkAbout004-1060-10-000
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Wins nsin Department of Safety and Professional Services r I y Page of
Division of Indus" Services c
(1 l SOIL EVALUATION REPORT
In accordance With SPS 385, Wis. Adm. Code County J [J l V
Attach complete site plan on paper not Ip5 than 8 112 x 11 inches in size. Plan must include. S , but not limited to vertical and horizontal reference point (BM), direction and
percent slope. Parcel I.D. c
scale or drrnensions, north arrrnv, and location and distance In nearest road.
Please print all information. Rerl by Da
Personal info2mE2 o you provide may be used for secondary purposes (Privary taw, s. 15.04 1 m_)}
rPropert yOwner Property I.ncaton
Gent.-Let 1,J r- S T N R / E (or)
roperly Owner's Mailing Address c l.M # - Block # I Srnd. Name or CSM#
City State Zrp Code Phone Number ❑ City ❑ Village B Town Nearest Road
IfI ["ew Construction Use: Q Residential! Number of bedrooms Code derived design flow rate GPD
❑Replacement ❑ Public or commercial - Describe:
Parent material Flood! Plan elevation if applicable it. General comments and recommendations ' - -
- - ❑ Boring
/ I Boring # U it Ground surface elev. ft. Depth to limiting factor
-1
_ Soil tcation Rate_
Horizon Depth l Dominant Color Redox Description I Texture Structure Consistence Boundary Rants GPD/Ft'
In. Mansell Do. Az. Cord. Color C' f. Sz. Sh. •EfT#1 •Eft#2
❑ Boring V
L c"`% 1 Boring # B-Pt Ground surface elev.?q.1, 8. Depth to limiting farts in.
Appliraton Rala
Texture Structure Consistence Boundary Roots GPD/Ft' _ _
Horizon Depth Dominant Color Redox Description
II`r Inunsell (]u. Ac. Cont. Color Gr. Sz. Sir. •Eff#1 •Eff#2
A: -4
I FIF_
4-E
' Effluent #1 = BOD, >30 5 2.20 mg/L and TSS > 30:5 150 mdL • Effluent #2 = BOD, > 30 s 220 nW/L and TSS > 30 s 150 mgfL
CST Name (Please P~pq Signature ' CST Number
C '4
titi~~ P j{
Atldmss Date Evaluation Conducted / Telephone Number
L71 5
SBD-8330(R04115)
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❑ B
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Boring # it t Ground surface elev. 'Q,_ j R. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDfFt' _
In. Munsell Ou. Az. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
L k C3o 7 sy r C L a c_
-
Boring # ❑ Boring -
❑ PR Ground surface elev. R Depth to limiting factor _ in.
Solt Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rools _GPD1W
In. Munsell Cu. Az. Cont. Color Gr. Sz. Sh, 'Eff#1 ,E
Boring # ❑ Boring
❑ Pit Ground surface elev. fl. Depth to limiting factor _ in.
Sol Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ GP_ D/Ft°
In. Munsell Ou. Az. Cont. Color Gr. Sr. Sh. •Eff#l 'Eff#2
Fffluent #1 = BOD. > 30< 220 mg/Land I S$ >305 150 mglt- ' FIlluent #2 = BOD, > 30:5 220 mglL and TSS > 30 < 150 mglL
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