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fst'dCf8 Ss r <br /> 1ri �ntl� Professional Services _ Page of <br /> Division n us e e�_�/ - rj r7 <br /> 1I p SOIL EVALUATION REPORT <br /> fL f <br /> M!G 2 8 2025 1 <br /> ," y I � �� 4n b ordance with SPS 385,Wis.Adm.Code County �}- <br /> Attach complete pJ�t gaper not s h n 8 1/2 x 11 inches in size.Plan must include, Ne'/ <br /> but not limiIed to vertical4 dborizomt erence poltit(BM),direction and percent slope, Parcel I.D. <br /> scale or di ensio m+bdleartow,ar1s�, s�tend didtance to nearest road. 07-C>; -Z-�f`/7-2$Z f�k'PW'fir <br /> .nslo`.. i <br /> Please print all Informatlon. Rev i Date <br /> Personal Information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 19/Z <br /> Property Owner Property Location ❑, <br /> JaN�` N Govt. 5 '/, N1V '/, S Z6- T �� N R /7 E(or) W <br /> Property Owner's Mailing Address L Site Address or CSM and Lot#: <br /> 3oZ7 S <br /> City,State,Zip Phone Number ❑ City ❑Village QTTown Nearest Road <br /> �ou� l Spry ( ) CJ v/t' �i�Cro►' %1'� <br /> ❑New Construction Use:�9 Residential/Numberof bedrooms 7i Code derived designflow rate 3W GPD <br /> Q(Replacement / ❑Publ of commercial-Describe: Flood Plan elevation if applicable /0- ft. <br /> �G <br /> Parent material ( 1 ' , // <br /> General comments and recommendations: <br /> ❑Boring to <br /> Boring# ®Pit Ground surface elev. 71�;Xft. Depth to limiting factor 7-41 In./elev. 't3• ft. <br /> Z.0 <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 I *Eff#2 <br /> t 0-6 7 g /z S M L LS /ice - 7 16 <br /> Z P ,off 1/14 •I? <br /> 5 YRV/1- vL 65 Z. 3 <br /> Boring# ❑Boring 22, Q3�� <br /> 0Spit Ground surface elev. ��b 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/Ftz <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. "Eff#1 -Eff#2 <br /> I v .5 V7777 -- 4 m b /P/- l F .7 <br /> oL W'7 . 6 q <br /> zz.Z 6Ya3iz ! s .mil Z k •3 <br /> 2 046 F/ SY W �i;c! /V v" G <br /> CST Name(Pie Print) Signature CST Number <br /> coy �o/lam "17hz 85.1°/sy <br /> Address Date Evaluation Con ucted Telephone Number <br /> 6 8/ fiN �> d✓,'SYM+ -2:0-Z6- l/S'S66-02w_ <br /> "Effluent#1 =BOD>30 s 220 mg/L and TSS>30 5150 mg/L "Effluent#2=BOD,5 30 mg/L and TSS 5 30 mg/L <br /> SBD-8330(R03/22) <br />