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Wisconsin Department of Safety and Professional Services
<br /> Division of Industry Services /�G3 5 Page of
<br /> SOIL EVALUATION REPORT
<br /> In accordance with SPS 385,Wis. Adm. Code County 0 ou-rAe'etAttach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include,
<br /> but not limited to:vertical and horizontal reference point(BM),direction and percent slope, Parcel I.D.O7-oa.A-A-L/o /b-73.,.a- 01-
<br /> scale or dimensions,north arrow,and location and distance to nearest road. C.00'-' O/100/
<br /> Please print all information. eview by
<br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). /2Z,
<br /> Property Owner Property Location El
<br /> Corton-y Nede►4(C Govt.Lot 1/4 1/4 S 33 T 4,0 N R /4, E (or) W
<br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM#
<br /> 47S77 Stone el.{-t P d. 2. V461, 1° /07
<br /> City Code e StatZip Phone Number 0
<br /> 'w'e b��Cr Cyr' e9-S yCity 0 Village ©Town Nearest Road a-7.5"77
<br /> I ( ) I I OtAIGIAt,I I Sto i.e tate Rd
<br /> 0 New Construction Use:®Residential/Numberof bedrooms ) Code derived design flow rate 300 GPD
<br /> © Replacement 0 Public or commercial-Describe:
<br /> Parent material Ciq L /a 1 or, 't Flood Plan elevation if applicable "'/it ft.
<br /> General comments and recommendations: s e J1421./ 93, g
<br /> Sy
<br /> Boring#
<br /> 0 Boring Cr.oz Q 7 y
<br /> ®Pit Ground surface elev. ft. Depth to limiting factor in.
<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 /> o- i-i 7,57i'3/4 -- /S /fn s6fr ev% 1 CS 3ivs , 7 /, 6
<br /> 1 ` - 36 7..7 /iZ ''A, — /ger ,),,n56/e res 1 5 7cO , 7 /, 6
<br /> 3 34,- `/p '7,5-1124%y ____ -5/G '- 6 iv, 1 of ).y , 7 / 6
<br /> H `16 61 5-1R `'/_4Y 5-/G l v
<br /> cS ►,'1 c 5 /r ' 7 /. E
<br /> .- 0-7 s' -7,S1-I �/y -_- 5/6,- c7$e- ,,p,, l — — . -2 /1 6
<br /> Boring# �`❑Boring 6 7d
<br /> ®Pit Ground surface elev. ft. Depth to limiting factor ` in.
<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 /> 1 0 y 7,5y12 34 — ii hos.>' ,v, 1 c. s 3ri1 ,-7 1, 6
<br /> 01 4i- 3)- 75.4 YI — (5/4. of ,s 13 l‹ ,,)-, 1 G < 3 c 6 , 7 /. 6
<br /> 3 33-SD 7,s1IZ y/y .5/ii,, c>s G y►,. 1 G s ),,n : 7 /. 6
<br /> Li so- 45- 5-r0 y/-t s/,- o 56 m 1 6- c i/ , 7 /, 6
<br /> S" 65- 7). 75'ii?-% .— 5/6r- 2.5'6 ),,., 1 — — /A 6
<br /> *Effluent#1 =BOD,>30<-220 mg/L and TSS>30<-150 mg/L *Effluent#2=BOD,>30 5 220 mg/L and TSS>30 s 150 mg/L
<br /> CST Name(Please Print) Signatur 'l CST Number
<br /> 3 A:vn t S . VI, h 1-c -5 4/144 S 1)i )73`ii 0
<br /> Address ).7760 f/w-y 35" Date aluation Conducted Telephone Number
<br /> f/ve5s}Yr Wy __ / 3 6- l7- >�0 .7/3-- t66- 2--//S7
<br /> SBD-8330(R04/15)
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