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Home My WebLink About50-24Wisconsin Department of Safety ari Division of (ndustry Services ices HAY U b!^Page.-pf_ SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 81/2x11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1 )(m)). Property Owner ., . j^, ^ LA r A '^3 • i ^ / c{ County ^-y/^- (^ Parcel I.D.tCT^'I^ "s^Y9^ Reviewed by w Property Location fcn'<~-C\ \ <"^^ ^~-c ^ ' ^ GovtLot ^{AlV4 S'^V'S 33 T t/^ N R $ Site Address or CSM and Lot #: Cf<^r. c-o 'ft ^ +k i-<-'. /c<e- E (or; Property Owner's Mailing Ad.dress {^^ ooo K^-i-l^ LA ^-<- City ,«?^i f^. ^-e.^ State ^oT Zip Code s-Vs-^7 Phone Number (*7/^)^!T D City D Village El Town "^ y' & --1 (S- t ^./ -£ 1-- Nearest Road ^jrl^ Lc.k.^ I New Construction Use: 1X1 Residential/Numberof bedrooms I Public or commercial - Describe: Parent material 6- l^i€. < ej. ( ~T» ( General comments and recommendations: J-Code derived designflow rate /-><-' GPD Flood Plan elevation if applicable_ft. Boring #n Boring IPit Ground surface elev..Cj7^Depth to limiting factor.^.,Jn. / elev._ Horizon 1_ 2- 3 Depth In. L> -^ ^'^1JH3 Dominant Color Munsell /cr^// -7,rr?-y/^ s-'ri^ j?76 Redox Description Qu. Az. Cont. Color AJ c i^€ /Jo/^'C /Jff^'-f Texture ~S£. T^~ ~J>_ Structure Or. Sz. Sh. ,4-4^ 0 0 Consistence /-Lt ^ 1^' /n i- /KL Boundary 6-3^ Roots ^^ 2--y^\T7T Soil Application Rate GPD/Ft2 *Eff#1~T __/_ . 7 *Eff#2 -^ 1^~7~6T Boring #QBoring IPit Ground surface elev.M.\.Depth to limiting factor r ''"m. I elev.. Horizon / 7- 3 Depth In. ^ -^ -7 - Z<; 2-(>-//0 Dominant Color Munsell T.S-^Z/L s'rr^ ^/C- s'r^-s/^ Redox Description Qu. Az. Cont. Color /\J a ^'C? f\Jr,^'^ /.J.* ^v^ Texture T^_J^~T Structure Gr. Sz. Sh. 1-f-^i^ c D Consistence /Vt \/-(- V t^\ L /M L- Boundary ^^ c s. Roots 3-^ Z^yT7T Soil Application Rate GPD/Ft2 *Eff#1 -7 T . 7 *Eff»2TV /..^ _C£ /7Z-CST tjame (PleaseJPrint) .^ .»^ , , V,T^r-r^} To ikos^Signature /~, , -CST Number &2.0Q90 Address 'go. Bo'^ S'2-^. ^roi R<y^r'UJj: S'¥^¥7 Date Evaluation Conducted, Li - 2-^~- 2- Telephone Number , . ^.'Tf'^'i'^i-^i'^ • Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 S, 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L SBD-8330(R04/21) # 50-24 D Boring Boring #Ground surface elev..^ft. Page JC_ of. Depth to limiting factor •/'/t-'6m. / elev._ft. Horizon I ^ ?. Depth In. 0 - ^ l^-!ci \cl -1^ Dominant Color Munsell 7. S-^5/^- -7. r^z-^6 s-Yi^ .^/L Redox Description Qu. Az. Cont. Color /^j p ^-.c ^J r / ^/<- /^( ->^f Texture .5 ^ L-S 3 Structure Gr. Sz. Sh. \^^. c c' Consistence /M u{-v m L t^L^ Boundary ^ s ^.5 Roots TST ^ "^\7TT Soil Application Rate GPD/Ft2 *Eff#1 ~n. - -7 .-7 •EfW2 . -7 _(_iL^E Boring #D Boring D Pit Ground surface elev..ft.Depth to limiting factor.in. / elev._ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr.Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft2 *EfW1 *Eff#2 Boring #D Boring D pit Ground surface elev.__ft.Depth to limiting factor_in. / elev._ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. 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