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012-739-02-2308-CST-2022-116
. ' O C'�c� . ' VY��.�RTA�;(, P tY ��������= Pa e of ` '' ��'�\ Wisconsin De artment of Safe and Professional Services �. \ Division of Industry Services g (/1 �='f 1sP � SOIL EVALUATION REPORT � ��,i i \�\�oY�l''� In accordance with SPS 385,Wis. Adm. Code SAWYE R County R� Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Pian must include, but not limited to:vertical and horizontal reference point(BM),direction and percent slope, Parcel I.D. t scale or dimensions,north arrow,and location and distance to nearest road. (�i Z— �3�(-- Q z.— Z3 � Please print all information. Reviewed b Date Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). ` 7��$�/�� Property Owner Property Location ❑ � ���e S ,• `C�rLi S�7C-� R eJ T��S'� Govt. Lot Si,J Y, (J(� '/, S (7Z T�j� N R [�� E(or)Q Property Owner's Mailing Address Site Address or CSM and Lot#: 302Z C—lc�r Lv� r4,� r City State Zip Code Phone Number ❑City ❑ illage �'Town Nearest Road �ra.n�'l;� {�a� k .7t L h o�3 � � �ti •er- l�S w �o w � NewConstruction Use:� Residential/Numberofbedrooms �_ Code derived designflow rate �S�GPD �Replacement ( ❑ Pu lic or commercial-Describe: 1 Flood Plan elevation if applicable�' g8 ft. �'b/� Parent material q l �� vi�y ca-�'`1—��� J � Cc L�c� General comments and recommendations: , � (�aa� - �0 5� c� rc�� c �Z•S ^ 9`f� � Boring# S� C l�'� ❑Boring �Pit Ground surface elev. 1�1-�3ft. Depth to limiting factor�in./elev.�'t.'Z3ft. '�C s-ee n�{�S � � �ew a�d ,�SS Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz In. Munseli Qu.Az.Cont. Color Gr.Sz.Sh. "Eff#1 'Eff#2 ( a-S Z 3 L — �S b -S ILt� c.J ��� ,S (.l7 z S-3o ., �r 3 - ,�s << << « �v�� ,S �.D 3 30 —`7 �� � y — S " 4 « l v X. I�D 4 �z-9b ,� �[ 3 � S v �� — -- .6 1.O �Boring � Boring# N��� �pit Ground surface elev. �1•��t. Depth to limiting factor Cf Z. in./elev.g�•SQ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 ( b -s' Z�S r 3 Z � -�S b - N1 cJ t u�� �S l•D Z S-Z8 ti 4 3 -- S �� �� �� ( �f.� •S l-D 3 �.g_�r �► � � — S �� H '� c�F x .� !•n � —tb�� �� y .� G S S n " tr � �t .(� C•O S' 9 Z-l0� t "' `� -(. r 5 S S • �� --� / .(P � . O CST Name MERTON MAKI Signature � c� �, • CST Number 224901 �i- �c2Y(n, Address 10869N SMITH COURT Date Evaluation Conducted Telephone Number (715) 634-8719 HAYWARD, WI 54843 -1�� ct � ZZ� *Effluent#1 =BOD>30<-220 mg/L and TSS>30<-150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS<-30 mg/L SBD-8330(R04/21) Page of ` ❑ �Boring . 3 Boring# �pr"�� �Pit Ground surface elev.Ct�t. Depth to limiting factor�_in./ele .�l-��t. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu.Az.Cont.Color Gr. Sz.Sh. 'Eff#1 `Eff#2 � a 'S 1.S r L � — '�f 0 �S �� .s �•� �— S—i0 ►c `f ; — �'S' �r �� .� t1�� •� l•O 3 �_ << ti s ., „ ., l�� . �, c.o � 2-�D K y y �•r r S � S �� K — — .l0 1.1� ❑ Boring# ❑Boring ❑Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 �S = D - ,(o � S `7 O (' o r v�ec1 S — — • — �'- � r'-� u►r-e d �te Z �T r �� C -Z o�-J � �'e v�r-cS !DQD �.� S. . (, .e ❑ Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/FtZ In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 k 0�u. 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