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014-842-13-3304-CST-2022-210
_ "`' Wisconsin Department of Safety&Professional Services ����� �� Page � of� � �\\i Division of Industry Services �a` " `�=P= ," SOIL EVALUATION REPORT � 1`��'''���,,,,,,.-�'\ In accordance with SPS 385,Wis.Adm. Code County � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, ��w ti'L2 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. t�1�( t3 y Z(3 '� b`-{ G Please print all information. Revie by Date Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). � V✓ �o �'� Property Owner Property Location ❑ � (}vr-�f �--J ��� r� /Z--v�,JLt�' IZtV�� �'cZ.�j'� Govt. Lot Sy.r Y< S�J Y. S /� T �/'Z N R 0 $ E(or) W Property Owner's Mailing Address Site Address or CSM and Lot#: i �3 � �(� izC, 3� �Zc rf `r' 5.�,�..� City,State,Zip Phone Number ❑ City ❑ Village � Town Nearest Road f-11�`twr�.�c-.,�, w.�. S4�y.3 (�3) 7�'i -`i3`i l L�,��2v�; Rtc� 3i�2c lt �N � NewConstruction Use:m Residential/Numberofbedrooms 3 Code derived designflowrate ysQ GPD �Replacement ❑Public or commercial—Describe: Flood Plan elevation if applicable ft. Parentmaterial LoAr u�i�- GRA"t��' wrw�►sy �C�-1\�r�4i��J tJ A N� L�l�N�1 U r-� TO General comments and recommendations: LS �r =#� 02- 1�0 � Boring# ❑Boring c��,LS �roS• �Pit Ground surFace elev/ . ft. Depth to limiting factor in./elev.��-�i t. 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 `I'�t1/c — S�- Zn,s3►� /hv�r G1� �v�� C�.�o /. al � y -3� 7.S YtiS/� ' ��sL �� ���' o�►w iM�f- o,z o. � 3 3-7 - 63 7.J Yti"/� " aSG r►� a t,� � � . �� l, lo � ��'"�6S � .S Y!(.�M�"� — ��b G.S l� 'h, � '^ � .7 �. �O (j rav ❑ 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/Ft2 In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 CST Name(Please Print) Signature� � CST Number ,�. �L�� I �( ���S 7 Address Date Evaluation Conducted Telephone Number o �?�K �6 cA-�3L�, w1 �j L� 2dzz 7�J - 7Sfs - �3 SS 'Effluent#1 =BOD>30<_220 mg/L and TSS>30<_150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS<_30 mg/L (S� N �a _ �q$ � N�R�FJNDS AFTER SBD-8330(R03/22) IS3UE OF PERM17 Page of ❑ �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 ❑ 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 ❑ 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/Ft2 In. Munseil Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 'Effluent#1 =BOD>30<_220 mg/L and TSS>30<_150 mg/L *Effluent#2=BOD,<_30 mg/L and TSS<_30 mg/L � I�� l� � a� ��, �� ��'`y �`�� r �'� C 1 3'1 a5 �,_,� , ��,� � ��,j� ,� �`� ��'T 0 6 2022 NQ.��..�n��� 3�s� � �+ �� R C�OUIVTY �if�ISTt�4,7'}�� // . � ��r�uv�c s fi. �. ��d��-h �- : ��,-t-�.. �����. 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S i5./k _ i 6.'j �— _I__ �`7�/ _ -------- _ _ .... ---� C.7 C`'! � __.. _.. o•� N�W '��` � "�' S 2 s� c �Z� � --- -�1Z i— � __ -------. � 3 , �!/ --------. � �o i F��So ��as �. ---- f�'� � I i � � —i-- _i i— ; � � --- j ' � -- ----- -- i R2��s�oh ll—l�-oZ v�naooirelnoeparonentotcommerce SOIL EVAlUAT10N REPORT Pege�or 4 orv�on a sarey ar,a e�irnr,�s in acmrtlartce wilh Comm 85,Wis.Adm.Code . Anach atesita CO11^N Sawyer oompl plan on paper noi lese than B 12 x 11 inrhes In slze.Plan must Indude,6ut rot Ilmited to:verticel entl�oAzonlal reference polrtt(BM),Olredbn and p�I.D. 014-842-13-3304 peicent stoRe.scale ar dimenelons,north artow,and locatlon and dlatence lo nearest road. Please prinf aq informat7on. Rewewed by Date Ge'conallnfamiationyouproNtlomayOousBdloreeconCarypurpoaes�PlrvneyLaw,o.15.04(1�(m)). M�„`� � '+-18-�Z Pmperly Ovmer Propeny Loca9on Tom&Judith Rowicy �N�t SW ��4 SW��4 S 13 T 42 N R 8 E❑(or)�W Pmpeity Ownefs Mallirg Addreas lot# Blodc q Subd.Name w CShd/ 2562 Ridgc Lane 2 CSMq 6287,Vol.22,pg 343 Clty Sta1e Lp Coda Phone Niunber ity nYllage • own Nearest Road MoundsView MN 55112 ( 763 784-0341 `Zenroot Cty00 QNewCottsWctlon UseQRealde�a�INumberolbedrooms__�CodederiveddeslgnFlowrate_ _GPD �Replaceme�t �PuMic or commerciai-Desa[be: ____ Pe'ent material Glacial Till _FboA plain Nevation H app�icaWe N/A R. ������� Conventional Syslem Systcm raage:91.55'-92J3' and reaommendatlons: Bo�i ���# �. p��� Groundsurtaceelev. 97'S_ft. Depihtolimifingfador �t� in. Sall Ilcetlon Rate Hwimn Depih DaMnaM Colw Redox Description Texture Structuie Co�sistenca Boundary Rao1a GPD In. Munsell Qu.Sz.CoM.Calor Gr.Sz.Sh 'EIfq1 'EflN2 I 0-8 IOyr2/I nonc sicl Imsbk mfr gw 2m ,2 .3 2 8-44 7.SyrGl4 ^�^° sicl Imsbk mG �v 2m .Z 3 3 44-68 7.Syr4l4 no"` s Osg ml gw lm .7 1.2 4 68-110 7.Syr4/4 no"` s Osg ml - .7 1.2 �2 ���# ❑Bomg 97 I 10 �Pit Ground suAace elev. fl. Depth to timitirg fatlor in. � ��� Halmn Deplh DaMnant Col Redwc DescAptlm 7eMwa StrucNre Consislence BourMary Roots GPORF in. Mwv.ell �u.Sz Cont.Cdor Gr.Sz.Sh. 'Efltl1 'Efl%2 1 0.8 IOyr2/1 n�c sicl Imsbk mfr �v 2m .2 .3 Z B-24 �S��q nonc sicl Imsbk m(r gw 2m .2 .J 3 Z4-48 7.Syr4/4 noR� �S Osg ml gw Im .7 1.2 q 46-56 7.Syr4/4 no�� sl 2msbk mvfr b�v - .5 .9 5 56-110 7.Syr4/4 no�c g Osg ml - .7 1.2 'EiBuent#1=BOD>30<720 rtig�L artd TSS>30<150 mglL 'ElAuenl t!2=BOD<30 rnglL arM T55<30 mcy�L CST Name(Plaase PriM) Signalure C5T Number Trnvis Buttcrficld 652879 Address Date Evaluatlon Conduded Telephone Numbm 11847 W Twin Lnke Rd.Hayward,WI 54843 l I/14/02 7l5 462-922J Tom&ludy Rowlcy 014-842-13-3304 Z 4 Proparty Ovmer Parcel I�# Page _af_ � gwing# �� 97.75 110 Q p�� Ground surface elay._ ft. Depth to limilirg fac4or in. Soil liptirn Rate Horizon OepUi DominantCol RedozDeacription Taxcure SWCWre Consistance Boundary Rools GPD1fP In. Munsell Qu.Sz. ConL Culor Gc Sz Sh. 'Eftit1 'Effp2 1 0-8 ]Oyr2/I nonc sicl Imsbk mfr �v 2m 2 3 Z 6"29 7.Syr5/4 none sicl Imsbk m(r gw 2m 2 .3 3 Z9-46 7.Syr4/4 nonc Is Osg ml gw Im .7 I.2 q 46-110 7.Syr4/4 nonc s Osg ml - .7 1.2 ❑ Bo�ing# ❑B°�rg �p�� Ground surface elay. _fl. Depth lo limitlng fador ��� �I lirafian Rate Horirnn Dep�h DominaniColw Redo:Descriplion TezWre SWUure Conslslence Boundary Roots GPDliF in. Munsell �u.Sz. CAnt.Cotor Gc Sz Sh. •Eflp1 •Ef�p2 ❑ ���# �Borirg �pit Grountl suAece elev. ft. Deplh[o fimitirtg fadw in. Soii ire6an Rate Ftorimn DePth DominantCol RedoxOescrlpUon TexN�e SWcture Consistente Boundary Roob GPDHP in. Mwsell Qu.Sz. Conl Co�w Cx.Sz.SA. •EIf#1 •Eftp2 'EflWen�#1=BOD�>30<220 n�L,ynd TSS>30<150 mgR •Eflluonl il2=BODs<3p rt�yL and TSS<30 mgr� � The Department oFCommerce is an equal opportunity service pmvider and employer. I(you need assismnce to necess services or nccd matcrial in an nitcmme formnt, plcuse mntnc�the depnrtmcnt ol 608-266-3I51 or'I"I-Y G08-2G4-8777, suo.nnm��xni,ao� �' , � � ' %c��� �/ _> . � �v--�.�� �'`� �j o .,� •� �;��( � � � ���r i �� �S (,�t �i,��� �ri nl �St " (�5� �� /r1a�, �-�os �.��.� , �vi:v ss ii.z � �. Rc�ii¢� �Lo� P�ah 5�,./SC✓ S✓�. (j '�y3N � Yc✓ ����., �� c,ri �:; r � � f � � i� � —, � , . . � �� . � i �,� - �,� ,-� ��..c. �,,� � ^ I � L /dU.iJ ! j s�, ��-� , '�-� � _ •� �s;- - �.�. ;; .� . � � y � ' �_. :�-. h.,._ � � ?� �;,- - ��,� . � i % 7,5 y ? `� � u 3 i �.7s RcJ�s�o� �� - �g _ oZ O�mer—�+'^ e ��a..��.�l�e� CST TravisButterfield Page � of `�' • Syst. Elevation System Range `�'/�•SS� co 92.33� Load Rate � 7 . I 2 3 100 I00 100 99 99 99 98 98 98 9"I.5� �i'1.�5� 97 y7 9,.C, 97 96 96 96 93 95 95 9< 9C 94 93.83 93.9i 9� 9J 93 q2.33 93 92 92 5ys+arn �an5e.. '-' 91.55� 91.3' 91 91 91 9o.g' 90 90 90 � 3 +3 . 89 89 +3 89 ��.� 88 ��3, 88 � 88 a�.$ 87 87 87 86 86 86 85 BS BS