HomeMy WebLinkAbout17-25Wisconsin Department of Safety & Professional Services
DMsion of Industry Services
SR-W
Page./ of 2.
SOIL EVALUATION REPORT T^X ^./) . S^9^
In accordance with SPS 385, Wis. Adm. Code
Attach complete site plan on paper not tess than 81/2x11 Inches In size. Plan must Include,
but not limited to vertical and horizontal reference point (BM), direction and percent slope,
scale or dimensions, north arrow, and location and distance to nearest road.
Please print •II information.
Personal Information you provide may be used for secondary purposw (Privacy Law,». 15.04(1)(m)).
County B^fie^b
Parcel I.D. a4- - 0/2: - 2-<J - €>'?-/f <?
e>'S. -&0€> - ^Odoeito^UlLL -3.
Date
-<1
Property Location
Govt. Lot A/y/y. ^/ y.s /S T 43 N R 07 )((or;
w^-Property Owner
^s> f C^Fsrft/e.^ ^W^SOM
Property Owner's Mailing Address23-?Z2 f^oujAl^ 1-flti^ ft£Site Address or CSM and Lot». i-£>F CS/^f 77/wy eoi^/ry f^y H
City, State, Zip
^.e^isr^, HH
Phone Number
( )
DcKy D Village 3 TownCA6i&Nearest Road
C7^- A?
D NewConatrucUon use: D RasldenUal/Numberof bedrooms __JL
a Replacement D Public or commercial - Describe:
Parent material <S^<y<4^ ^7<A/^-ti _ f^c^fi/^^^r
General comments and reoommendatwns:
Code derived deslgnflow rate -^5ZS> GPD
Flood Plan elevatton if applteable__ft.
5c^i ^"t-i^-\ccA-\cr\
Boring #QBorfng yy.2 ''
Ground surface etev._ft.
<?2.87
Depth to llmffing factor /fc in. / etev.,, ft;
Horizon
T
^_3
-4-
_s_
Depth
In.
_d-^
6,'i^
74752
J32-3^
3^7^
Dominant Color
Munsell
_<y« 3/3
s^ i/3
A-W?
Sift -^
$y« ^4
Redox Description
Qu. Az. Cont Color
M^^A^~M
Texture
~^E~SL
7s~
fs.cc^
c^f^,€
Structure
Gr.Sz.Sh.
Zf^k
2m ^k
0^g&mi ^
Conststence
V~TM^mf-L
tnyf-r
wFr~^r
Boundary
^<^\w
^.wi/
c-^f
Roots
TE.
Soil Application Rate
QPD/Ff
*EfBM
,5
'^
^L
_uL
_TL
*EfBK77
T7~
,'2.
7.^
7-Z7
Boring #QBoring
DPK Ground surface elev._ft.Depth to limiting factor.Jn./etev..Jt.
Soil Application Rate
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cent Color
Texture Structure
Gr. Sz. Sh.
Conslstence Boundary Roots GPD/Ff
*Efl#1 *Effl»2
Name (PteaseBrtnt)r^HI^'^s^M^se^signati CST Number z^/^^
Address
-,2^ t-3V^\SU^t Kct-,1_
Date Evatuqtlon Conducted
(P^/Z.Z./Z.^
Telephone Number7/J^'^^-^z5-<.
W/ 'b'¥Si
*Effluent#1 = BOO 30 s220mg/L and tSS> 30^150 mg/L *Effluentl»2''BOD,^30mg/LandTSSs30mfl/L
Pc^\ ^S^.c^ ^f^o|Zs ^i^SBD-8330(R03/22)
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