HomeMy WebLinkAbout18-244 a„pnarNy,�,� Wisconsin Department of Safety and Professional Services d q Page 1 of 3
+' d Dlvisionofindustry Services Iv
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SOIL EVALUATION REPORT /J�j
�'•�lvomr In accordance with SPS 385, Wis. Adm, Code County
Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must Include, 4 ��
but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D_�
scale or dimensions, north arrow, and location and distance to nearest road. l O / 3 2
Please print all information. Revle ed Date
Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)).
Property Owner Property Locat)on 4 P``"c'e o a
r L ('t0. � r• C� h GovL Lot SUJ % /4(4)1453 T I/NR R 9 E (or)(
Property Owner's Mailing Address Site Address or CSM and Lqt
13 7 4 70'r" h 4 "e 1O 3 7 0 0 Ltd #n I- c
city State I Zip Code I Phone Number ❑ City ❑ villa a �I Town Nearest Road
(Zol.e.r+s wrS 02-3 (4)s) zs .DeI�
I�Ir New Construction Use: ®Residential/ Numberof bedrooms Code derived deslgnflow rate ySo GPD
Replacement . ❑Public or 5ommercial —Describe: Flood Plan elevation if applicable ft.
Parent material 4I. Tr I 1
General comments and recommendations:
❑Boring
Boring # Pit Ground surface elev. t0 oft. Depth to limiting factor 7/tfin. I elev._ft,
QM1 e...a� Ia
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/F1'
Eff#1
Eff#2
l
o-
'O' z3
,Q
SL
1-flL4
wta.fr
as
3(
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7.
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-7
1.
QS
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❑Boring# ❑Boring
L JPit Ground surface elev.99• ft. Depth to limiting factor 'Pin. / elev._ft.
AMI e,..aI i,.rte
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
'Eff#1
Eff#2
T>-
-7,SYZ3
or1e
SL
l V_
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aS
G>
'(
7
'33
7. sr (
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wt L
a S
LCo
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130iU<
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7
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CST Name (Please Print)
ature Signc�
CST Number
Address F. $c K $Z2_
`ran
Date Evaluation Conducted
Telephone Number
f2�tBe1r W` S°f$tfI
I71S
Z9L-41S/p
Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L • Effluent #2 = BOD, s 30 mg/L and TSS 530 mg/L
SBD-8330 (R04/21)
Page 2 of .�
❑ Boring
® Boring # Pit
Ground surface elev. Lt'/. Oft. Depth to limiting factor r/041n. / elev.ft.
enfl e..nMee..n Data
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•EH#1
`Eff#2
0-7
10 ?? -3/L
f.iorf2
L
L
wfv-Fr-
c5
310
Lj
-7
z
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7. S`rl
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❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor In. / stay. ft.
snu nnnnnea..n o.....
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
Eff#1
*Eff#2
❑ Boring ❑ Boring
#
❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft.
CnII Gnnll lcalfnn Rata I
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•Eff#1
-Eff#2
Effluent #1 = BOD > 305220 mg/L and TSS > 30 5150 mg/L . Effluent #2 = BOO, s 30 mg/L and TSS s 30 mg/L
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