HomeMy WebLinkAbout002-103-18-2601-CST-2023-033 .,.,�,,,,,.,;, P � �I�'��� g n
Wisconsin De artment of Safe 8 Professional Services Pa e � of y l!3
! ; Division of industry Services --�
" '�s�a ; SOIL EVALUATION REPORT °,J
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��"'��,,,,,;;-�"`\ In accordance with SPS 385,Wis.Adm.Code County J
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Attach compiete 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. �,,�.)
scale or dimensions,north arrow,and location and distance to nearest road. (�.l-1 D -1�' �aQ t 1100 �b Ol V%
Please print all information. Reviewed by
Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). ' I D.S�s�j
Property Owner r Property Location ❑ �
�od,n �� vy� Govt.Lot '/. '/, S 3� T L/Q N R U � E(or) W
Property Owner's Mailing Address Sde Address or CSM and Lot#:
`��Z9N Gow,�. 1-/w K Lo�s 9-�S ac,-3a Sle�tc�g of Rba, oe� 7 95N
City, State,Zip Phone Number ❑ City ❑ Village �Town Nearest Road
)-�o► w�rd 1� $�/8y3 ( ) L..14 ��5� /�*C
�NewConstruction Use:�3.i Residential/Numberofbedrooms � Code derived designflow rate Ob GPD
❑ Replacement ❑Public or commercial-Describe: Flood Plan elevation if applicable Nl A ft.
Parent material So.•+tY, D�'�'w a.s11
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General comments and recommendations:
va'l �r V�Otrr� 5
�Boring
� Boring# �Pit Ground surface elev.97•0�ft. Depth to limiting factor71�0 in./elev. ft.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlFt2
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2
1 0-W `I J — 1 S �D .r,�r f., o.-7 � .
1�t-31 �O`�R`�/y -- 1S m r���� � aFw. o. �.
3��-sy 7.SYl�y/y — Is � c ,. o, �_
Sy�t 7� 7. KIt s/ � 5 fD ^'� ( � v� S� I .c� '�
Np �Ir-o So 1 r �d 1 �c ao n . � . )
'z.�. 4 s s+�w�rP�ed :i
❑ Boring# ❑Boring
� �it Ground surface elev.��� ft. Depth to limiting fador »a0 in./elev. ft.
Soii Application Rate
Horizon Depth Dominant Color Redox Description Texture Strudure Consistence Boundary Roots GPD/Ft`
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh.
'Eff#1 *Eff#2
� ^ 3! "— afvF c�. 7 J .(,
a G'34 lo�A`// ^ �. c.�` �•d �
. '�i yJ '—' S t's O. 4 r. O ''�
-1 �.�Yas/ — S �o r+ — 1� 0.5 �.o
Har:�.an �' 1�aw a e or, l�'ah' d �.tl � bG�d
CST Name(Piease Print) Signature CST Number
►� � �c, 1 3r �� �,G�88
Address Date E uation Conducted Telephone Number
R QSNS}� �� I-�� w�rd,wT5zf8 oS � 7i "-SSB-Gy��
"Effluent#1 =BO >30 5 220 mg/L and TSS>30 5150 mg/L 'Effluent#2=BOD,s 30 mglL and TSS s 30 mg1L
SBD-8330(R03/22)
C ,5.�� �� '" L� � NO R�FJtvDS AFTER
ISSUE OF PEFcMIT
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�Boring
� goring# �P�t Grouna surface elev.9�.75 ft. Depth to IimRing fador7��O in./elev._ft.
Soil Application Rate
Honzon Depth Dominant Colot Redox Description Texture Structure Consistence Boundary Roots GPD/Ft�
In. Munsell Qu.Az.Cant.Color Gr.Sz.Sh. •Eff#1 'Eff#2
� 0-4 `+0.3h l u o• �•
- I. 1o�A`I — w o. '� i.o�
3 �.s-ray v 1 �K �.o
-��o �.sras - � - .F o. i.o
+!:e t.-.l+R
❑ Boring# ❑Boring -
�Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft.
Soil Application Rate
Horizon Depth Dominant Cobr Redox Description Texture Strudure Consistence Boundary Roots GPD/Ft�
In. Munsell Qa Az.Cont.Color Gr.Sz.Sh. •Eff#1 `Eff#2
oG �'e re.3:F�YG� otl w:ll� ,t�+ oF �.�.G S nd
1 :}�+ F. e L ; i r- o�rs aw 1• d:n
a C �. d f � �`�t ins r� t
❑ Boring# ❑Boring -
❑Pit Ground surface eiev. ft; Depth to limding hador in./elev. R.
Soil Application Rate
Honzon Depth Dominant Color Redox Description Tezture Strudure Consistence Boundary Roots GPD/Ft�
In. Munsell Qu.Az.Cant.Color Gr.Sz.Sh. 'Efrk1 'Eff#2
r
'Effluent#1=BOD>30 5 220 mg/C and TSS>30 5150 mg/L 'Effluent#2=BOD,5 30 mg/L and TSS 5 30 mg/L' �
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Date S�as�a 3
Chk# �i s� --._..._ MAY 2 4 2023
RCpt# 1 S�3`� � ZO NGYA M NO TRATION
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SOIL PROFILE SHEET
owrr�R: �o� ��v Olson SOIL TESTER: i�� c.1� A S�c�ke15 �r
SYSTEM ELEVATION: LOAD RATE: SYSTEM RANGE: �l� •�'�7 to 9ti �7S
9q a� a� �3
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