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450 16 1-7 <br /> s (epartment of Safety&Professional Services _ Page 1 of� <br /> p ki lfldustry Services C j <br /> \Sps 111 SOIL EVALUATION REPORT <br /> DEC 2 6 29 <br /> In accordance with SPS 385,Wis.Adm. Code County 13u <br /> l'1N11�\ <br /> Attach complete sits plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, <br /> but not limited to vertical pod horizontal reference point(BM),direction and percent slope, Parcel I.D. <br /> scale or dimensions 'arrow,and location and distance to nearest road. -1AX (Q: 17151 <br /> Please print all information. Reviewed by D W <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). � �Zy <br /> Property Owner Property Location ❑ <br /> C��EL Govt. Lot Z '/. '/4 S T y0 N R l y -&ter)'W <br /> Property Owner's Mailing Address Site Address or CSM and Lot#: `TatL l I-n5v <br /> 300 ST 1 t-LWRW B LV D• N L. T 5 CSl►1 V 13 �'G• ZD <br /> City, State,Zip Phone Number ❑ City ❑ Village tit Town Nearest Road 1 3rj <br /> LAKE RA " 556LI2- ( 51) -7?4— 2-9'Ry SC07'T Cq (SON 6A.D <br /> CAKSW <br /> �J New Construction User Residential/Numberof bedrooms Code derived designflow rate -36a GPD <br /> ❑ Replacement ❑Public or commercial-Describe: Flood Plan elevation if applicable Xi- ft. <br /> Parent material G(AW t-4,A-a STAME �)r-Fo51TS M PA0571 CLDUD�INtt7�J <br /> General comments and recommendations: /V14tu tD S�(�(EJIi( — J•—v,4-5 UD FILL OR C,9OMAT W I1z'1-5'gA0 As q� <br /> 010 <br /> ❑Boring <br /> i Boring# 9l> 3 ft. <br /> Pit Ground surface elev.gy•��ft. Depth to limiting factor�( in./elev.� <br /> 3•oo�• <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. *Eff#1 *Eff#2 <br /> 9 7.5 Y Z.s I 51 7-; V�r as a D•ro AD <br /> �- _3 7-5YR4 — 15 1--msv 145 0.7 1.67 <br /> 3 .HO 5Y 7.5yX sb 51 0A Jsh — — e.z 0.6 <br /> s 4cl. <br /> Boring# [-]Boring Pit Ground surface elev.g7.63 ft. Depth to limiting factor 30 in./elev. f.3 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. *Eff#1 *Eff#2 <br /> 0-7 Z.54 z•s 1 51 mv-Fr s 3 -co 0•(0 /•0 <br /> Z ,50 75y — 51 z-�-msbK ds 't Iv -co 0•4, 1.0 <br /> 3 30- to .5Y 4 �Zf 54k"b Js <br /> -7.6YR6b <br /> SOY►11' 5 <br /> CST Name(Please Print) Sign at / CST Number <br /> MARY JO HUPPERT(Hollister's Soil Testing&De ign) 04890000-SP <br /> Address Date Evaluation Conducted Telephone Number <br /> 25720 Firefly Lane,Webster,WI 54893 l Z— I 7 <br /> *Effluent#1 =BOD>30 5 220 mg/L and TSS>30<-150 mg/L *Effluent#2=BOD,<30 mg/L and TSS<_30 mg/L <br /> SBD-8330(R03/22) <br />