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Wis.Dept.of Safety and Professional Ser s SOIL PORT Page / of 9
Division of Safety and$4ilpibger ;,,.,;rT.
in accordance with SPS 385,Wis. Adm. Code
County C_RD a,<
Attach .• i•, - e plan on paper not less than 8 1/2 x 11 inches in size.Plan must
include, •ut not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 11-4(of :
percent slope,scale or dimensions, north arrow,and location and distance to nearest road. 0 30— 1082- 80- 0 o 0O
Please print all information. Rev wed by Date
Personal mformeron you provide may be used for secondary p.'peses(Privady Law.S.15.04(1)(m)). H /e.c f 1 6 z0___
Property Owner C ' l Property Location `/ II
C t1 kh t' 2-e. F WQI a to f F Govt.Lot S W 1/4 S E 1/4 S 30 T?O N R 11 E(or)W
Property Owner's Mailing Address COW-}ac-t: Lot# Block# Subd.Name orCSM#
120 c .1-, 1-e..kc- RBL. '5otJ lJh,4,....J1 1 Fitt j L,)hr�e E ail e_
City State Zip Code Phone Number 1Z laity Village own Nearest Road
14V0A5OK) I1 IS`tO1(, I ( iGSI 1(33-922V St h Se pR I W1,71e Ea5le Roog
® New Construction Uses Residential!Number of beorooms 3 Code derived design flow rate 1/-513 GPO
❑Replacement ❑ Public or commercial-Descnbe:
Parent material i O e S 5 o vI e r- 1, I) Flood Plain elevation if applicable Z. kt ,( ft.
General comments 1
and recommendations: fC. c- .k..d. C cle -t. .21-1-6-1261
TC '17 -*r)r—S
# ® Boring Q /
Boring
1 Pit Ground surface elev. • 7. 7 J t. Depth to limiting factor / 7 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft ' _
in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. -Eff#1 'Eff#2
( a-b Io1R3/ _ Sit._ ,,Fsbu� �s1-. Qw aF . 10 .4?
a Ib-I5 ID1I 'Ii1 - - 5; L If56k_ cii. rL,.) IF C-, 4 An
3 !S-3D 7,SYRy '. L5 FS i,t, ei5t1 r G) I.)r , '7 - I, le
q 30- N S A4 ho - St- I F56( , 6.1‘ c. (4, — . 4 ,7
_5 44 tt SY R`I I . F if 7 5't Rv1S?_ SL 0--r►i A. . - - r ; • L
/- 1, ,4.. $Ir1jt A
E IP3ra - lajrru�1 ...71t l^ sYaV)j sL (ifsblc 11
a Boring# Baring 7 '��
Pit Ground surface elev. q fl. Depth to limiting factor_ ii3 in. .
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft '
in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2
I 0- li I01R-3)1 — s; L ,rlFShle ds\-, QQ A • (L7 eg
11-112 I D1Ryl' — , 1 t— I F AI c w I F CI i , to
IL-3I 7.SYR/ - L5 In. dsL • w I u F i -7 IA,
4 3i-Y3 S`&j11 [� �_ SL ) FSLIL a 101 cw -- a .-7`J a
S 93W 61Rlit F 1 f lvtik( 7S SL 0"ryl Q • — , a to
• * 3.-0. _ 1 G yQ w.•4-11 5` 4.4/6 SL ( 1 FSbk.)
•Effluent#1 =BOD ,>30<220 mgrL and TSS>3C 150 mg/L -Effluent#2=BOD ,<30 mg/L and TSS <30 mg/L
CST Name(Please` Print) K Signature* Number
f7 u 1 _
�.bnnp d, a
Address Date Evaluation Conducted Telephone Number
a9i aootk s+.
. -1ar Fr'A..,r;e, wI stab 7-as-aoa, (sI-a3a- di615
/ SBD-8330(RI I'I I 1
C kaa +lc F F
Property Owner I I tR re.F F Parcel ID# Page 07 of 3
3 Boring# Borng (� •�
❑ surface pit Ground elev.7 7 . . ft. Depth to limiting factor J_. ? in.
Soil Application Rate
Horizon Depth Dominant Color Redox Desorption Texture Structure ;onsistence Boundary Roots GPDM 2
in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. •gff#1 -tern
I O- Il 1D'f0.3 — - _.„5-i L alr5►�k___41s1- at,.2 41 • b 9
9 11-I6 . ro`1a', _ Sir.. 1 K. ccL 4, r ,J iF L. 4 , Lep
3 l•48 7,Z YQ`lly -- ___ is FS1, stiSl.. c tJ IVF 61 1.10
Y ,PS-37 5.1g4)6 - - SL .S \L c9-ke‘ c i — , . ii- . -7
5 37-Ibf 1V1J6 FAF7,S`cRWs? St o-vsi 1,k - - , a , (o
to3ra- l . to t'1 5iv i1t,7. ct eke_
L� Boring# R Boring p
` pit Ground surface elev.9ry ft. Depth to limiting factor 3 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM '
in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. •EMI 1;:ff#2
I o-la /DI42/ Si L a FSbIi- 6.6ti, aw aF _ . 4, , ?
Jn-t-1 /o6A9/ S:L I ►< �.�n C w I c, 'I . to
3 17--Xi 7SV W) kS ► f os h c v.) I JF 1-7 1. le
4 ag SYR Ti.„ sL AFSS►t. 614, c�
3s-,> a5YRyl� _ .„ al .�
5
f 1�75YR l8 s �- b-� �.t, -- , a , to
3v-tc I a• r¢,,.st, w;+V% 5`t A Y/I., S t., ( 1 F5!s k.
Boring# [a Boring
u Pit Ground surface elev. ft. Depth to limiting factor_ in.
I Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPDM 2
in. Munsell Cu.Sz. Cont.Color • G-.Sz.Sh. _ .. 1 lift$2
Effluent#1 =BOO s>30<220 mg/and TSS>30 <150 mg/1 •Effluent#2=BOD s<30 mgfL and TSS <30 mg/L
The Dept. of Safety and Professional Services is an equal opportunity service provider anti 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.
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