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Wis.Dept of Safety and Professional,4aFx. SOIL EVALUATION REPORT page / of—3._.
Division of Safety agd Build(�p�
,.., ,T in accordance with SPS 385,Wis. Adm. Code n�1 pp 1 County St l_Ro 04
Attach co a site plan on paper not less than 8 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. P0.r-1.of
percent slope,scale or dimensions.north arrow.and location and distance to nearest road. O 30—1 0 9 9 — car) - 000D
Please print all information. Review by Date
Personal information you provide may be used for secondary pu•poses(Privacy Law,s. 15.04(1)(m)). i4 74 / 1 d/..
Property Owner Property LocationILI ®
C h OA f TG F LJq t l a toff F Govt.Lot 5t..� 1/4 5E 1/4 S 30 T 30 N R (9 E(or)W
Property Owner's Mailing Address CoN*act: Lot# Block# Subd.Name orCSM#
`f 80 'Pe t,1-1 1.a.kc R&. 3ot.3 1i.) -}r.e•••_ o ¢,eta a 1-.�hr-fe E a e-
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City State Zip Code Phone Number ity OVillage f-own Nearest Road
41,ASDK) I VI IS901c, 1 ( G51 )a613-929Y at, 'DSe p,K 1 Wh;le I`a5le kpog
® New Construction Uses Residential!Number of bearooms 3 Code derived design flow rate SD GPD
0 Replacement 0 Public or commercial-Describe:
Parent material I O e S S o J C r 11 11 Flood Plain elevation if applicable 70kt4_ ?C ft.
General comments
and recommendations: S �,, �tJ/" lO✓•-l -in
2
44rC41t•...s--t
T // _r`ICS' 111cin) °C /44' -aeA-
1 Boring# ® Boring f� �f
` 0 pit Ground surface elev. 5 �/ ft. Depth to limiting factor 7 o in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont.Color Gr.Sz. Sh. 'Eff#1 'Eff#2
I 0-11 ipie31 -- L L r4FS6k •4s1. (0.,) ar e 1. . V
12-47 7.540 . 5; L I rrsbk (9.1, cw , IvF C. `I , to
3 .ri S4 RS tg, 5 L i► F56 k 19(-ln r t., — r `( . 7
5( 4o-Lb S'Rs1u. f ici.S` R-61q 51- 0 - rel &.�. — — .a. , L.
d( Boring# [1 Boring $ ! LI
pit Ground surface elev. ! ft. Depth to limiting factor_ 1 I in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft '
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2
-1 -)) _ 1oYQ3/a �— -5; 1.-. `afSw- , As41 . Ow AC , L. , S ,
►1-�6 7,S`1RTy _ s; L 1 f SbvC 15A\ cw 1 F . ca t{ , V
3 ss-t1) 54 QSfk . - sL- I F5btc , 1441 cw — , 4 . 7
y 411-t u sass/a F 11g ?,SYRC.I 7 sL rt-w, rah — `— , a a lQ
•
•
'Effluent#1 =BOD ,>30<220 mg/L and TSS>30 <150 mg,t •Effluent#2=BOO ,<30 mg/L and TSS <30 mg/I_
CST Name(Please Print) Signature
TonOP, s, 5-(arK �1a CST Number
Address t In $4 ;EvaEvaluation Conducted Telephone Number
a9l c,1co
star era•,r;e. WI S40o11y 7-a'd-dpa) Gsi-01,39-y6.15
SBD-8330(RI VI I)
I.,
CI +-3cf F
Property Owner tv,i2 I&r r,F F Parcel ID# Page 07 of 3
3 Boring# Boring QQ
pit Ground surface elev. /, 3 ft. Depth to limiting factor_ 39
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. •gff#1 'tff#2
I O—)D ID'lk3/ - 5:1_ af5�1t ( s1, aw aF . to . A
Io-IL 7,sYkY _ _S c ` J CSbbt o„1.1 C ' t0F � y to
3 0?L-31 S•ek Its SL lcsbk All Gw — - 4
q 3914 5,1 Rs l a F 1, -7_,,51*.t.iK 5 L- Q- vettih � _ 7
a . c,,
Boring n Boring p o /
pit Ground surface elev. ! .. lD ft. Depth to limiting factor 32 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. •EMI 'tff#2
1 6-Ia Id1k s:L aFsbk . a do . co . R
i YZSyk 44 - - s ; L- , IFSbk B-� ctv I)F c. 4 . L
l3 �385YRs/t. - SL t FSbk ew - . K . 7
1 33-Ltio s�ISs/�C Fif iS`(A '/ SL _ o—n, h -- , a . 6.
Boring# Boring
Pit Ground surface elev. ft. Depth to limiting factor_ in,
liHorizon Depth Dominant Color Redox Description Texture Slructure consistence Boundary Roots Soil A RD/ft 2 Rate
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I1T#2
'Effluent#1 =BOD .>30<220 mg/and TSS>30 <150 mg/L 'Effluent#2=BOO e e 30 mg/L and TSS a 30 mg/L
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