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Wis.Dept.of Safety atnd Professional,Services SOIL EVALUATION REPORT Page of
Division of Safety and Buildings•-` y,-,.i
,, ".""" in accordance with SPS 385,Wis. Adm. Code
County Si. CRo r'4
Attach comp eiheitep an on paper not less than 13 1/2 x 11 inches in size.Plan must
include.but not limited to:vertical and horizontal reference point(BM),direction and parcel I.D. Rir f o f: + 0,30-109o-So-0000
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 010-Mt 2-gO-o o oo
Please print all information. RevIel.iect by Date
Personal information you provide may be useo for secondary purposes((Privacy Law.e. 15.04(1)(m)). i AZZ / I./ 6 1 Z
Property Owner Property Location 5,-
SLo 3 L
C�aat 3-e., F ` Wala(Otr Govt.Lottal 1/4OE1/4S31 Tao N R ' (� E(oLr))W®
Property Owner's Mailing Address Cotil-tactrBI0
#S Lot# ck Subd.Name orCSM#
op
20 ji)efL,1 kc- R&, 0-0N ovrir.sa,1, 4 F.G 11 Gl 011,-te L 431 e.
Zip
State Code Phone Number laity ❑Village asiown Nearest Road
440A5 DK) I test I Sit oits 1 ( 6S1 )2 33-9229 5t. m'ese P~ 1 wk;ie fa5le Qoag
® New Construction Uses Residential!Number of bearooms 3 Code derived design flow rate 9-S0 GPD
Replacement CD Public or commercial-Describe:Parent material /o C S S o J e r "'r. /1 Flood Plain elevation if applicable 7D1/t_f X ft.
General comments , )-�e � ( / //
and
,recommendations:
p.,� iCf �'dJLta+['1�•
J Boring# ® Bon rig l 3
pit Ground surface elev. 9Oi s ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Descnption Texture Structure Consistence Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. -Efte1 •Eff#2
I o-la, 100`62V2 ----- 5; L , f351.c ASS, a‘... aF . (e . $
Q 13.-.5 /D 4.14.`T 5; L1 FSbK Al Cw ).F C, y I to
S ..15-37 SYQy - 5t_ I FShIL AI c- ' — .il . 7
L 37-03 51Qy/y 1c7Sv&ylt 5L 0,4,1_ di-. — — i a . . to
a Boring# Boring 9g
Pit Ground surface elev. / ft. Depth to limiting factor 3 ( in.
_Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure .^,onsisten:e Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. "Eff#1 'Eff#2
I 0-/D Io'fay6 - 5.L_ aF5b1e 640-1 qw F • (G e8
.s /o-ay 75`42YR/ - SA- /F5614 di I c•J i,F .0 1• Y . (o
3 )q_31, JYRYIy SL lFSbKA-11 cw — it/ . 7
V 3cr (J 5Y4v/Y F if7,S t1 )g 5L & pi d„h r a . (o
•Effluent#1 =BOO ,>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
�. mr91. �. 5-FdrK, _ , CST Number
Address t h . Date Evaluation Conducted Telephone Number
at)/ aoo S
_Sfin r Qr'a'rr;e W7 Stio?(y 7-odd-dos) 1o51-d3$-y6ls
/ SBD-8330(R11,111
-...
C l,a& +3c F F
Property Owner LislciIroF F Parcel ID# Page 07 of 3
3 Bonng# Boring
pit Ground surface elev.Sp,o ft. Depth to limiting factor_, 3 7 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft '
in. Munsell Du.Sz. Cont.Color Gr.Sz.Sh. •gff#1 •cp#2
o-ia_ i0%Ni/a - S;L aFSink fist, Q W a - . L, . cd
.a l a-a3 1.54 Q N ------- _ s: L i FS Sk 6.11 c w I F 4 L . 1.
3 a3-37 nY0.4/1 ----- 51- (FSK At1 L6.....) -. . y .7
1' 37-6D, 51A.VLI t F 7,SY/4.0(1? 5 L- 0-w1 d \ --- i s L RBoring# Boring Q
Pit Ground surface elev. 78/ ft. Depth to limiting factor 3(p in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 1
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2
1 0-11 tb(PiII S W alF5b►c 6S N aw 3,F . to _ 8
a /1-411, 7.SYki4t . 5;L IFS 6K 61.i., c1A> IJF c. 11 . L,
3 914-31a SIQ41.1 - St- IfS6k dh Cwv , '/. r7
V 31.-I.0 SY R.4/4 F I FZ SM L'J0 5_1- 0—W\_ d k - , 2 . b
gBoring# Boring
Pit Ground surface elev. ft. Depth to limiting factor_ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •EA#1 'Eff#2
'Effluent#1 =BOD .>30<220 mgrL and TSS>30 <150 mg/L 'Effluent#2=BOD !<30 mg/L and TSS <30 mg/L
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