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020-1164-90-000 (2)
ocI 0R11biN �A1 Ws. Dept.of Safety and Pl Services SOIL ALllAT1C21� REPORT Page of Division of Safety and i 3 in accordance with SPS 385,Wis. Adm. Code U County Attach complete sW ite pla¢on paper Q � 8 1l2 x 11 inches in size.Plan must include,but not limited, kertic 'I?i�bntal reference point(BM),direction and Parcel I.D. 5 Z 0 , L1 Q0. 0400 percent slope,scale of dii-M`siogsja bi-th arrow, and location and distance to nearest road; ��. R ewe by Date �s e print all information. 19 / Personal information 1Rpb�rovide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). (�,<yy,� Property Location Property Owner tt��� a -T,NIZ,Q0 5T00E Govt Lot 5W 1/4 w1/4 S T Z 1 N R E(or) N Property Owners Mailing Address Lot# IBlock# Subd.Name or CSM# /© && M A?.T-1 TV- .. (p ( , 43 E176Ew ovP Ci ty P State Zip Code Phone Number ❑City ❑Village ]Town Nearest Road livosoN , Gdl• 5y�llo (!��/ )�3� 8? q9 �wsoA3 IMARTY -W. [] New Gonctruction Use:;n Residential/Number of bedrooms Code derived design flow rate co D d GPD Replacement El Public or commercial-Describe: Parent material /p.0555 004-PR y Flood Plain elevation if applicable ft. General comments "OVTW,+.S#ar5 USE /ewieR PA sOiL and recommendations: _ ��Ql{L/�fZ•�OIJ ROTE Fait Area x Spot Tested suitable for qF-1 � a conventional inground system(ROAT.S.) S JZ1AJ y SYSTEM Boring � 1�► � q p .1 ' 1 /CO• (d Boring# n W Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. ff#1 ff#2 / 0• /o Y12 `f/3 514. f 5hk . 8 Z- 7• /0YR 5/& /L 2Mh �• dZs GS O Z. 3 �/• i8 �.s yR 5 L if s b k W PA c 5 — . 6 /.0 8- J& /0YR 5 SL 2.f 5bk X ��: — • �o R 7 nr -. 5 �, s �, a. .c. . 7 A6 Boring# Boring 5• Yo ® pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. * ff#1 * ff#2 D• q to YR — S/L 2_q 5 b IS G • 00 z •/� /o S 511- Zf s bK rm 4:�R w I f . Co • 8 3 �.s 5L 2-T 5b /)" f c W • 8 0•Io /0 5 -- 5 L Zf s bK rw►f a-A7. p M viii- rs or /0 7 .5 O, 5 Gl�. ,. . 7- / �o *Effluent#1 =BOD >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 CS Number RoeRT � .�R i c 41- Z'� 22-0 7-5 Address Date Evaluation Conducted Telephone Number JA 10 AV-e . SPRNS Uhll WI• 7• ay•'/el 7/5. 77oz• 41ff S ,r 14?^ - SBD-83'0(R11/11) . 1 Property Owner :TARIDO STOJ05 Parcel ID# • ����• /� dOU Page Z of 3 [.73 Boring# ❑ Boring Pit Ground surface elev. 8 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft z in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. * ff#1 ff#2 o- q �o yR SSG if sbk „M ft2- cs of . 8 z • 3/ io R s - :51L 2f sbh R 1 L . 8 3 • p .S y R 5 -�R� S C �f 5 b k �w►-FR Q.-c: . Co . $ Boring —16Y9 514 F-1 Boring# :❑ ❑ Fit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence oundary Roots GPD/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. :ff#1 * ff#2 Boring F-1 Boring# Ground surface elev. ft. Dep/olimiting factor in. ❑ Pit 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. * ff#1 * ff#2 *Effluent#1 =BOD 5>30<220 mg/L and TSS>30 <150 mg/L *Effluent#2=BOD 5<30 mg/L and TSS <30 mg/L 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. SBD-8330(RI 1111) 0 Wf 13H 41 2 ' TOP OF 5«tt.E: / 30 I "R LOWEST GO�✓`� - 1314GKlIoE fiT,s WATE2 I�� )3- Klrl< oN 5'Te-P /oa, 52 5,j 7.6 i3,6 -- R6 PIAC E P To? of No' kn A J _ S �!- xn � r o � x a a 3 v � 2 0 - m 1 � 3V o CL \ � a 133 " I y o $ 3 of 3 . . \ o C, # o 2 0 \ � \ : \ [ . 110 � � 0 � J J � P ; ; j $ z f LL 7k . 3J$ n i § ( It E � § § � a m � B z k C k $ k 2 $ U) R - 2 a N E : - k / }_ k m ' 6 E z m z ; « § � w 2 k k « G K ®� a) § § I / 3 C ) k m I ■ _k t ] G § k k k a. U C CL a a : CL ■ u � § $ z ! n m n ƒ \ z_- ® « 8 8 8 G � 2 § § . § / k / / /_ k co! 2 \ a) to ° $ J $ § $ ■ , a e 8 g % k k o COL k 04 « 00 CN W 2 2 2 a 8 8 8 § G \ \ \ � r } ) $ 2 / / _\ / ! 2 a o \ I , 3 z z a 2 S Q 2 . � 2 C a § k w ! � m o / K k k g ! o o f � m m o z _ e e ■ m � 2 � 2k 4) C E k k a f CL 2 0 a 2 ; A $ 0