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Wisconsin Department of a ety&Professional Services alit- <br /> s Ps eV() `� ` ` <br /> Page / of �/ <br /> U Division of Industry Servicgl C I -- <br /> ' SOIL EVALUATION REPORT <br /> � <br /> •r-,, ,r ` a OCT OS tt,�4 i i In accordance with SPS 385, Wis.Adm. Code County <br /> Attach complete site plan on paper not le-. .n 8 1/2 x 11 inches in size. Plan must include, V-- Ax_4-1- — <br /> but not limited to vertical and hori4112). - erenc point(BM),direction and percent slope, Parcel I.D. 0 7-00a - - 38- i4-42-scale or d,mengions, north arrow,'a •ar I cat!�ten�on a d distance to nearest road. 03 . 000 a/2.CD 00 <br /> Please print alt information. Reviewed by D to /1 <br /> Personal information you provide may be used for secondary purposes(Privacy Law,S. 15.04(1)(m)). j Lo iy/2 <br /> Property Owner .-�-�/e Property Location /(� <br /> 0c)N 5_. � `.� .t — Govt. Lot '14 '/4 S b6 T 3 N R - E(or)—_ <br /> Property Owner's Mailing Address /' Site Address or CSM and Lot#: <br /> g 9 <br /> 1 4,�...__ �_^'Iv A d Tax i p .- 2-1c.e <br /> City, State,Zip / Phone Number ❑ City ❑ Village I.1 own Nearest Road <br /> 51*-1( AKiC I l°S: S`ii / ) 'fie.�t.E e Co d- 1- <br /> ❑ New Construction Use:Q Residential/Number of bedrooms 1 Code derived designflow rate if STJ GPD <br /> (Replacement D Public or commercial-Describe: Flood Plan elevation if applicable ft. <br /> Parent material f )4 C C ( T, it . <br /> General comments and recommendations: <br /> L ci Boring# ['Boring Ps ?8 <br /> Pit Ground surface elev • �ft. Depth to limiting factor in./elev. ft. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft' <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 <br /> o_ta. /or3/ i 5 o sg M I ..__ r ._ . -_/,‘ <br /> , , )________ _io_?a /4)yr f` / S b Si PI / C __ / •‘ . . <br /> 3 -y rc3 , _y` -e its i<' `lhY S - .__ 1 -t-Ski/1/4 In v f,' C. 1,..,1 w <br /> y _ -.VO-'_r 2__ /v .)V y -_ . C s`R `'/Y . S - !. M /„H s 5;v.< — l►f <br /> Boring <br /> Boring# 2 <br /> Pit Ground surface elev.YS 6 ft. Depth to limiting factor in./elev. ft. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 <br /> In. Munsell Qu.Az. Cont. Color Gr.Sz. Sh. <br /> 'Eff#1 *Eff#2 <br /> i_--t <br /> �• ��Y'—��-_ ' S ©-cam `� t 1 ' - - r� (_ <br /> 3/ ( <br /> 3 -3q-Joyt--, .rto s�evy ‹1 ) - f.S,bk L"►✓ ,'r. 60 <br /> 9->2 /off► ci G11 S'R Lily Sc/ 0 .M w,4.ss.;,t Nr9 <br /> CST Name(Please Print) r Signature q ,.� CST Number D o , I DD ' <br /> �� S��ot 1. <br /> ------- <br /> Address n Date Evaluati Conducted Telephone Number <br /> .437 , c_kk... re-Cr�v- !Cd 7..2 .' ).y p `7/5 ' 17 4 3o6_ -- . <br /> Trey) / 2 *Ef{uefit#1? D>30.5 220 mg/L and TSS>30<_150 mg/L *Effluent#2= BOD,<_30 mg/L and TSS<-30 mg/L <br /> 3SBD-8330(R03/22) <br />