HomeMy WebLinkAbout032-2188-53-000
CS01 -aol
Wis. Dept of Safety and Profe LSsq SOI EVALUATION REPO T,Page I of
Division of Safety and BuildinI E, V) Yiit p~S 85, Wis. Adm. Code p~ pn. County 1 Attach complete site plan ox 11 inches in size. Plan must t
include, but not limited to: val reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O -F3Z-21 U I -1 b - bZS
Please print all information. Revie d y Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
-r 27 Ad . ° H '9 Govt. Lot N V j 1 14 t 4 1 /4 S ( ? T N R I C E (or)N
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# N tD
71 RYAI-l i-nz I0Z Vj PI N E r c~
City State Zip Code Phone Number ❑ City ❑ Village ®Town Nearest Road
P 14 O SD W-T /gl L. ( ) 37)-Isvs 0 rf) R -r ~~c^,,~~aG Z
iM New Construction Use:® Residential / Number of bedrooms ' Code derived design flow rate SIIA -a GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if applicable ft.
General comments
and recommendations: on F-I I Boring # n Boring OS
® 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 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2
b- I n 3 L '(`t1 1 C 'S 2 M D
2 S-5 S lov I? at? S 2 M K rn~
S U
5S- s
6&23 . F - oms ► - -
F-4- El Boring # Boring Q
pit Ground surface elevi to, 14-5 ft. Depth to limiting factor 792. in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2
1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2
2 vrs \
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
Gr,rv StOcne.( CA-- 2ZL3ya
Address Date Evaluation Conducted Telephone Number
1Z5 / IC,l,ea A SI 0SCe-014, wt 715 41 U -S)YU
SBD-8330 (R1l/11)
CS01 -aol
Wis. Dept of Safety and Profe LSsq SOI EVALUATION REPO T,Page I of
Division of Safety and BuildinI E, V) Yiit p~S 85, Wis. Adm. Code p~ pn. County 1 Attach complete site plan ox 11 inches in size. Plan must t
include, but not limited to: val reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O -F3Z-21 U I -1 b - bZS
Please print all information. Revie d y Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
-r 27 Ad . ° H '9 Govt. Lot N V j 1 14 t 4 1 /4 S ( ? T N R I C E (or)N
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# N tD
71 RYAI-l i-nz I0Z Vj PI N E r c~
City State Zip Code Phone Number ❑ City ❑ Village ®Town Nearest Road
P 14 O SD W-T /gl L. ( ) 37)-Isvs 0 rf) R -r ~~c^,,~~aG Z
iM New Construction Use:® Residential / Number of bedrooms ' Code derived design flow rate SIIA -a GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if applicable ft.
General comments
and recommendations: on F-I I Boring # n Boring OS
® 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 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2
b- I n 3 L '(`t1 1 C 'S 2 M D
2 S-5 S lov I? at? S 2 M K rn~
S U
5S- s
6&23 . F - oms ► - -
F-4- El Boring # Boring Q
pit Ground surface elevi to, 14-5 ft. Depth to limiting factor 792. in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2
1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2
2 vrs \
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
Gr,rv StOcne.( CA-- 2ZL3ya
Address Date Evaluation Conducted Telephone Number
1Z5 / IC,l,ea A SI 0SCe-014, wt 715 41 U -S)YU
SBD-8330 (R1l/11)
e
r
Property Owner P 1 (u L 1 Parcel ID # 3 Page of
Boring # ❑ Boring
31 Pit Ground surface elev. 102, ft. Depth to limiting factor 7 ~5 in.
F
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
2. O M 5 V-A t - 7
❑ 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 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 *f#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 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 *f#2
* Effluent #1 = BOD , > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 5 < 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-8330 (RI 1/11)
e
r
Property Owner P 1 (u L 1 Parcel ID # 3 Page of
Boring # ❑ Boring
31 Pit Ground surface elev. 102, ft. Depth to limiting factor 7 ~5 in.
F
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
2. O M 5 V-A t - 7
❑ 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 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 *f#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 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 *f#2
* Effluent #1 = BOD , > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 5 < 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-8330 (RI 1/11)
S
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PART OF THE NORTHWEST-QUARTER OF THE NORTHWEST QUARTER OF PREPARED FOR:
SECTION 26, TOWNSHIP 31 NORTH, RANGE 19 WEST, TOWN OF SOMERSET, . PINECLIFF eseuP
RNE D
Sr. CRODI COUNTY, WISCONSIN; OUTLOT I OF THE PLAT OF PINE CLIFF. 744 RYAN DRIVE
HUDSON, VA 54016
SHARED DRNEWAY SCALE: 150
Mile 150 3U0
PLAT CONTAINS 18.25 ACRES OF LAND
SINGLE DRIVEWAY
L6T 53
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LOT 1 CS.M.
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4 PiNECUFF PARTNERSHIP
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PART OF THE NORTHWEST-QUARTER OF THE NORTHWEST QUARTER OF PREPARED FOR:
SECTION 26, TOWNSHIP 31 NORTH, RANGE 19 WEST, TOWN OF SOMERSET, . PINECLIFF eseuP
RNE D
Sr. CRODI COUNTY, WISCONSIN; OUTLOT I OF THE PLAT OF PINE CLIFF. 744 RYAN DRIVE
HUDSON, VA 54016
SHARED DRNEWAY SCALE: 150
Mile 150 3U0
PLAT CONTAINS 18.25 ACRES OF LAND
SINGLE DRIVEWAY
L6T 53
VOL 10 rr. 2772 ~ M 10 vr;. zr3~
CL. i~T 3'~ d
w r LOT 4
LOT 1 CS.M.
ACM
r s I~ PLAT OF RIVER HAWK RRX+E LOT 50 VOL.I1sPG 3035 I 0 I
~j 3AMACRES
to =aa~AO~ '
I L, I I ~
wax,30t.w LOT 22
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21W 21V C-A -ZJMACM
42W LOT
~IUAMES
LOT 20 LCE2L4
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\ B f 3H7DACRES -
CST. \ _ _ \
3~(6 Lorzs
Lor 54
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3AMACWS
~ ~ ~ ~ PLAT ~ PINE CUFF / ~ \ ` a~G~j' l0T 8
S Loll i
4 PiNECUFF PARTNERSHIP
.
PINECUFF THIRD ADDITION • +
® c
r TOWN 0FS0MBW.5t CR=C011N1•. wrsme~
NCEPT PLAN 0 lmi
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