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032-2193-11-110
11L 01� J A N 0 3 2023 Ms. DepVTILUATION REPORT tSates- I ,of fey" W I SOIL E 7 S4' .... Division ofsqffo�— elopment 3 ZI 7Z r, vpag" of wjthSP$385,Wts. Adm. Code County Attach complete site plan on paper W less than 8 112 x I I inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dirnensions, north arrow, and location and distance to nearest road. I 31--Z 1�3-- li- /10 Please;Wnt all Informadon. wed ..by Date PefsofW informawn volu pmMe may be used for secondary purpow (PrOmey w, -s- 16.04 (1) (m)). La L?10 Property Property LOCSOM _ Govt. Lot 1� 1/4 S T N R /9 E Property Qwnees MWkV Address Lot # Block # Subd. Narrr or CSM# CRY Stoke 4 Code � -Nmtw 0 city VMap JSTown Ve-a—reM Road 7 NewN New Construcdon Use-,M Residential / NwTOw of bedrooms j�;) Code derived design flow rate L GPD ei FI-,U or convnercw 0 Pubfic - Describeo. Parent matedal r Flood Plain elevafim If appkable fL GenerW corrAiments wW recommendations: A� P AAA' CA er --� 4-( wj�-� CQ %JP4-1• Bodng # 0 Boring U Pit Ground surface elev. ft. Depth to ftfdng factor Hod= Depth Dw*mnt Color Red DescrSian Texture Structure istonce fn. MunseR Chu. Sz. Cont. Color Gr. Sz. Sh. 417 Boring # Boxing 0 pit Ground surface elev. fit, Depth to limiting factor log Horizon Depth Domiriant Color Redox Description Texture Structure :;onsistence in. murmil Ou., Sz. Cont. Color Gr. Sz. Sty. ZZ 141'h CST NaI Address #1 = BOD a > 30 < 220 m#L and TSS >30 :5 150 mg/L t 7 -C77 in. SoU fiw Rate Roots GPD/ft 2 W 'M Effluent #2 = BOD --6:5 30 mg/L and TSS < 30 mg/L xwmft OF CST Number Date Evaluation Conducted TMq*om Nwtw <: SBD-9330 (RI It 11) 411 Propmly Darner,,.�, ---) 91r%Arw, * Boring Parcel ID # Pit Ground wrfaceWev. I Depth to limiting Wor -4n. Page of I qrJ[ ArwAkw-5inn Rate I Re(Jox Dfr saiption Ou. Sz. Cont. Color GPO/ft -&YAM B"ing # Boring E] pit Ground surface elev. ft. Depth to "tkV factor In. I S61 Amd1cation Rate I Redox Description Qu. Sz. Cont. Color Boring # [] BwkV Ground surface e4ev. Depth to 1knifing Win. or 0 pit . ft. I SM Anton Rate Redox DescripOw Ou. Sz. Cont. Cdor Effluent #1 = B©D 6 > 30 < 220 av& and TSS >30 < 150 rrig/L # Effluent #2 = BOO 6 !j 30 mgtL- and TSS < 30 rn91L The Dept. of Safety and Professional Services is an equal opportunity service provider and 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. SIBMIMM11111) 0 0 it "JI 'A I ....... N, "\A illil I IV f 11Z- 'N z 1 4 NV zz* e IN I `NY , -/` ' ( / 1 I1 \ 1 t � _... / - — — — - — - IN" I W 900 — — — — t — INN VW -I<, --89-0- 'Ilk N\', IN. N--, V-- A • /Z� Ni ,7�E, v�Qp—C Al. §02 fl, JI rpprpj �L6 4 r4 lil it 1 N, 0. lN N, 4 IN- 4 ,r '': — A ti 1 1 �:-5: — --♦ -N, "41, , ---- -- \ N. Al 28! 41C If 9100 If I. O .5p 4 11 1 tj',Il ifII 1 ' It I cb47 J, N, z It -r, , — 11�1 20 K'W iil I I I , I I " r N. N. vj �j '. — 1 11 % -- / j I J'lif/ It .., 'Si. 1, , I --- I I . — L I )lit lilVil I If w"I. IN- V, 'If 0 J, N, Jor%11 1/ /Z -,'.\ v 24, w IF J�jj csm S 'o, c F -IZg ;,91-00 IN IN, It" I) fill f 'jili--ft I `N\ I Ififf /',/I 1"fir I ''If I•I INN) J, W)III 111111flyll-'I /• I / "I" 6 y 93U 1-Z f IN • r 4 �- lJ — % if t / I it N59 i )J, `JII/ I r I fe, 1< 7sip L Ill " 93W jr, If 1/ (11 iff if if fill INN, r 40 38 14 -_9 T-7 17— IN -N 9*jry` —944 --/ N, 117, 1/ IF IN, je I r 948 10 -g� \1 lit I F lb, I f lV2V1,IL 4 MY 71, ; , I " , /0 " / / "I" ;'71 N, It /f ifil"111"i j v Jr ft'll, Jl iJ! , /�W/ ;. 1;, , I I / - \ 1-..7 - , . . " I It y I "Ife I/ / , 1� I 12,� -1, 1 1, - f I i6 "I f I I,, r/ f f r . 4lIiri j N, k j of r "Wit'li" If It I f I -r I'lil;iW61III Jill[ I Jor t 01411, w I f 1, )"INN if L J 20 fill 0, NI\1v\kl llf(I k 1, j I I, N, k0k If IN lil 11 "1 \- N. \w \.111 )"No, I 1 (4 1 IN I NNN,\\1,\1Z,�-�.,—N1 INK I, N, 1-934 rcb♦Ile. 19, *,o co Z%, Off," IF) I 4&, 'I IN. NN, 17 v !tb "y y Pp� -J� Ulm, - - - - - - W N. % A— , f Nj m . j( IV�-- oyN""%i0I x,-- - ---- NNr Iif/I// -N/IV :W Uo _-------" N, I IVII, N IN 1 :3 , GRADING AREA A j- v 1, /// if f I IN 11 N.- I 'K "ININ N IN \,VNAI -Z— 1 11 71 'It, IN I t ♦ SEPTIC TEST LOCATION 'AN,N, N, )v if I V r r f 14 Lit N, INN. N, t At j/. I N. 13 pit NORTH t % SCALE: IAII\I fo� ,\:NNXN, L L N, 10 IN N, f r IN \s wo 0 150 Nl N iz , A Vn NN IX f ` I - �N NI WI 1, c