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014-942-35-3115-CST-2022-043
�����.���-�� °�l�- ,� � � wisconsat�epartrnerrt of�ommerce SO(L EVALUATION REPORT Page of � Division of Safety and BuHdmgs in accordance witf�Comm 85,Wis. Adm. Code � Att2Ch compie4e site pi�on paper r�ot less than 81/Z x 1'1 inches in size.Pian must �� s4 W �r" ,�\ indude.6ut not�muted W:vertica!and horiwntal reference po'art(BWn,direction and Rar+cei ID. 1 " percent stope,scale or�mensiorss,north arrow,a�d IocaUon and distance to nearest road. p � �.( —�(-� Z, - 3 S- 3 //.� 1 P/ease print all irrformation. ���by Date �'j Persanai infamation you provide may be used for secondary purposes(Privacy Law,s.15.04(1){m)). ,�r/3 � Prr�perty Owner Property�or�tion � t.(); �c� (�-, n G �o ss �.�� l Tr�s�- "�t N E 1/4SI.tJ 1/4 S�S T �f Z N R O�t e� w Properiy Ownefs Ma� Address Lot# Bbdc# Subd.Name or CSN� �'0 a 2�F Cv � � , 3.� a..C, L o� Cily State Zp Code Phone Number ❑�Y ❑ViUage Town Nearest Road �cv� U���e W1 53u39 ( ) Lehroo�' � I2/-73/J Wa. t�erC�rG ❑ New Constructior+ Use:� Residet�tial/Number of bedroortts Z- Code derived design flow rate 3 DO GPD �Replacernent ❑ Public or conunerc�ial-Des/a'ibe: Parei,t material�oaw� o� Q l c.c�0. � �t�'a•-�Qs� Ftood Pla;r,elevation if appGcable -t 8 3 tt C-,e�ler�� . � .SO�JS� Sc'ST e �eU• �t�l.s � Crcln9e �'i �o� —' Q�.S� I O2� �E' u�res t� �. - v� I�f 6�- C�►�-� e Ef.� fo s i -t- /�d� P.�' t I � �# ❑ � r� So � P;t Grou�d surface efe�. I D D�Z�{ft. Deptr,to ra'roti�faaor �� �. � . � Pbr¢on Depth Dominarrt Redox Desaipbon Te�u+e Struc6ure Consistence Bowidary Roois GFD/tl� in. � Qu.Sz. Cont.Cal� Gr.Sz.Sh. 'Ef�#t `Efi#2 l D-� �.S 3L �-- �� � 6 _Z �� 'f 3 — 5: Z w�s 6 k. ►►1 v �t-- lJ �v �- � .S 3 6-� `' `�y � 5 zw,s6k tit��r �� l� �- l. 0 �F �8-� �� s y � r5 C� -s wt — — ,� l .(� � �� a � ri Y11.� � Pit Ground s�Face elev. ���,,3 ft C�pth to lirt�ng factor �`� in. So� ' Rate Fbrffon Depth Dominant Redox Desaiption Te�dure Struchue Cor�stence Bourxiary Roots GPD/fE� at. MtmseB Qu.Sz. ConL Color Gr.S�.Sh. 'Ef�#'I 'ER#2 � b -6 — -F�-� ,� Z 6-� �,S �3 -- s; z►Ks 6 L� ,,�►.- w �-C � � • $_ 3 zb 3� Y �t 4 — s ( �s 6 t�- << <, � � �� ��d � 3b_� �� s � — t-5 6 -s �,., -- — �� �•� 'Efltuerrt#i=BOD >30<220 mglL and TSS>30_<150 rr�qlL •Etfluerrt#2=BOD <30 mgll.and TSS�30 mg/L � " CST Wumber `� �.�� r'�,�.�.� e� ►��.: z.Z4 �b l q,dd�ess R�e Evahiation Co��cted Telephone Number lOP>bt�l s�t,�-�C�- ff� w�,�� cJ� s���3 �I-3b �z-�c -z� ��s-�3�-�7�.� P�1T M�I�TM.NIf� S/�1v �2"" �� -I NO REFUNDS AFTER -�X 1 D� i 5'�7�S ISSUE OF PE,RMIT prope�,Owne� �f O SS �f�'tJ s � Parcei 1D# Page of � B�9# ❑ Borin9 r� 3 � Pit Ground surface elev. �Ot7,3 z-R Depth to Gmiting facbor � 3 in. Sal cation Rate Hor¢on Depth Dominant Color Redox Desaiption Texhue Strucbrre Consistence Bour�dary Roots 6PD/t� in. Mw�sep Qu.Sz. Cont Color Gr.Sz.Sh. 'Ef€#1 'Efi#2 l o-y �ro �n Z �{�-�� Z:S r `f�3 — $� � 2 t,,.s�i� cn.t��'v l.v � �� � C. .8 3 2-y_ �i « y y � s ( �� �JEr i� I J� .� l•l' � 36_� `` s � — �S p -s M � _ -- �1 [,� ❑ �'# � ��s ❑ P�c cxa,na sucFace ele�. tc De��to umbng ta�or in. � . � Ho►aon Depth Domirant C.ofor Redoz Desa�on Te�ue Struchue C.onsisbenoe Boundary Roots GPD/t� iri. MunseU Qu.Sz Cont Color Gr.Sz.Sh. 'Eft#'I 'EfE#� :l� k I - 3 D?� �1 - .� Sb; " — SO soo = sb E-� = �o ' �o � �eL Z Tr S�` cc� � �O(�� Z O (� �S �T -�o G o c���r e -�v S�T' c-.� � �— C'c(� �--� i� �cc �T o ( �o � �. -� e a �# � � ❑ Pit Ground surface elev. R Depth bo lirtutittg fac.tor a1. Soa Ra6e Harfmn Deptt� Dor�rinarrt Co1or Redox Desaipbort TexWre Strudure Ca�sistence Bocmdary Roots GPDlf� in. Munsell Qu.Sz. Cont Cobr Gr.S�.Sh. 'Eti#�I 'E8il� `EfBuent#'I=BODS>30_<220 mg/L.and 7SS>30_<150 mg/L 'Efliuerrt#2=BODS_<30 mg/l and TSS_<30 m�l The Depamnent of Commerce is an equal opportunity service provider and employer. 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