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032-539-27-3402-CST-2022-039
! ' s Wisconsin Departrnert of Safety and Professional Services �`� '������;}- Page� of� Division of Industry Services ' t }- SOtL EVALUATION REPORT � I�accordance wfth SPS 385,Wis.Adm_ Code ���Y �Cl . (� Attach campiete si6e pfan on paper�t less than 8 1l2 x 11 inches in size.Plan must inGade, `-'� � � � � but not limited to:verttca!and ho�aoretai reference poirtt jBM).diredion and perCent slope, Parcel 1.D. scaie or dimensrons,north arrow,and tocaUon and distance to nearest road. � � 3� �,- � Please print all information. Review by Date � Personat information 'de ma be used for seconda Law s.15.04 1 m . , �Y�T o� r Property Owner Property Location ��r ❑ � �} C.� !', ' d- ��l�c�C.�t �A�' �'�.5c'i J� Go�rt.Lot 5�'/. ,�jC�,)Y. S,��] T.,�j� N RS E {orj W �J� Property Owne�'s Maiiln Address Lot# Blodc# Subd.Plame or CSAAt� '� b3��1- l�l ��n�5�;� 12�� Cfty State Zip Code Phone Number �C�y �V�{�ye �T� Nearest Road ��l3 3"-� C(/�r1-�,�i I,�JT S�l�iC-; )�S }3.��i-U. .'Z );�1�.e,•,. ����F (�,�:,z�e� �'c� �New Construction Use:�Residentiai!Numberof bedrooms � Code derived design flow rate C.(i GPD �Replacement ❑Rublic or �� ��Describe: Parent material C��c�"��'�5�� Flood Plan elevaUon if appticable�ft. C:enerat comments and recommendations: � � 22- 0�O � ❑Boring 1 Boring# �]Pit Ground surface elev.�Gc'�l��{, pepth to limiting factor,�in. Soil ication Rate Horizon Depth Domioant Color Redox Desaiption Texture Structura Consistence 8oundary Roots GPQ/FY� In. Munsell Qu.Az.Cont Cobr Gr.5z Sh. �Efr#1 �Eft#2 �- O- - ,- 5` ��.h� n, r CS - , -l 7 s S;4 �-� � �� � , � � 3 '�3� 7. — S�� �K ; � � .C� � 3 ? s� s�r - ,r -- �� I.C� yfh }{ r;z�n h�:5 s L b�� �t � ,, -�-� 1" �c.K a Boring# ❑Boring �P�t G�ond su►face etev.`tS':`(1 tt oepm to�tmrtmg r�bor��v in. Soii A ication Rate Hor)zon Depth Dominant Color Redox Description Texture Strudure Consiste�ce Boundary Roots GPD/Ft� In. Munsell Qu.Az.Corrt.Color Gr.Sz Sh. 'Efr#7 'Eff#Z 7 -(a ? �''<<Z 3 �? ----- .��sh K 1r � �' -�� �,s��,?s ---- 5-r r - O GS � �-1 l.lo 3 - � ,sr�2ti y �a-�u��c�e�P S L-.. f��n rn�r N!� `Effluent#1=BOD,>30 5 226 and TSS>30<_15Q 'Efiluent#2=BOD,>30 5 220 L and T5S>30 5150 CS Plame(Pieas nnt) Signaturs / , � CST Number ,r.,`<< � .�;n -c���:��- ��-r �aa�l� Address � Date Evaluatton Co ucted Telephone Number _. j� - �-(7v( C'�} �c� �tJ Cc, ,�t-�e! —�-��? -7 S'��l' 1�27SS. D � �� � SBD-833Q(ROdHS) NO REFUNDS AFTER D IS3UE OF PERMIT qpR Z 2 7�22 SAWYER COUNTY Z�f11W(�Af�MINIRTRITIC1fU 9 ❑Borin Borin # �p�t 9 Ground surtece efev.�u:: R Depth to limfting fador�� in. - Soil A lication Rate Horimn Depth Domtnarrt Color Redox Description Texture Struchne Consisten� Boundary Roots GPDIFt� M. Munsell Qu.Az Cont Cobr Cr.Sz 5h. ,Eff#1 ,Ei� .2 6 -� -7 -y2 ��� S' � �.b' C� � _�� �5- � 5. � .� b �� 'S a�= � � a _ y2s � 5-r� — � �'r C � L.C� G � ��-%jio -��/2� s<<t�wz: � 5� �=� - — � � S� b��,� � �it 3 a,� yan �;�K � 8oring# ❑Boring ❑Pit Ground surFace e�v. ft Depth to limiting factor in. Sotl lication Rate Horizon Depth Dominant Color Redox Descrip8on TexWre Structure Consistence Boundary Roots GPD/Fi� ln_ Munsell Qu_Az Cont Color � Gr.Sz Sh_ 'Eff#1 •Eff#2 � ���g� �Boring ❑Pit Ground sinfac�elev. ft Depth to limiting factor in. Soil A lication Rate Hor¢on Depth Dominant Color Redox Description Taxture Structure Consistance Boundary Roots GPO/FtZ in. Munsell Qu.Az CoM.Color Gr.Sz Sh. •Eff#1 . •Eft#2 'Eflluent#i=BOD,>30 5 220 mg/L and TSS>30 s 150 mglL 'Effiuent#2=BOD,>30 5 220 mgli..and TSS>3Us 150 mglL Cr�� / Rpr'��5c�� �ric. � ��n�2� i11a5nuson N - �1�7� l C� � (,� lo3a�{ - 1� C�1ne5�i��� �'� �� �'�`�i� �-l�� �`��`1�n (,J �r�-����, (,c1.Z S`-C�`� �-� C���� ������ PRT, 5 � 54.� �- �� T=3�-til �S=� �1 eJ<<��va5 f31 l vo. l i � �� ����l �� � � 1���5 � o � . � r � �r � �� �+ �� �'� �� � � � � c�...n $�a �\�.r� �,�.�lS� � �.��-� �.c,�;l��e;- � 0 � Qi � � �� 8n` - � � �� No w c�� � � ,,,,`tis �\ � 5933-� � •r�ve�xt,! / � �'r-��` � � �1�1 = ��� balf � � N�fth s;�Qe o-� lo" 2�v� ,�; n.e �S, �l:o.S }-J-� 1��-1,oS G .. l.�,�� �w�.� 2�'1 c,c;r4� �U i"� h c�(1L��� c�'� �r��,X mu�� r .�- � �Q� ��'�{- t "�J S o� �. ��o��1,e � f�� � I w. l l C3� — i�.�I �33 — lcrc�. �5 Q�.s� m��- a �. �� q+�.�l �te.y� S k3� ;�,��� 3 `�hh� �3� •��5� -�, `�1`-( /_.�. � q3.5� . _ . 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