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HomeMy WebLinkAbout024-641-15-4416-CST-2023-199 . � - � ���������� vr�� _ �`��RTA1f„1� Wisconsin Department of Safety and Professional Services Page of � s � V�� r 1 Division of Industry Services �_, s = �4 � �`� p= - SOIL EVALUATION REPORT ��`"�n�o�� In accordance with SPS 385,Wis.Adm. Code SAWYE R County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan 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. Q"2,�-}-- p��— �S � 4��S ) Please print all information. Revie y Date Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). (/�/ ��!.Z l�3 Property Owner Property Location ❑ ❑ ���GG..�� ��� T�"VS� Govt. Lot $E %, 5� '/, S �S T �{� N R d�j E(or)�V Property Owner's Mailing Address Site Address or CSM and Lot#: '7 �(o �,.� I�►�10 o se Lake R� 3.3 S cc,c. �( City State Zip Code Phone Num er ❑City ❑ Village �.Town Nearest Road ,i �t �-� �v�� w c s�g43 � �t6z>3�.s� Ro�.��. �ake � 3� Co �w � � NewConstruction Use:� Residential/Numberofbedrooms Z Code derived designflowrate 30OGPD �ReplaCement ❑ Public or commercial Describe: lood Plan elevation if applicable q�� ft. Parent material Q G G�4 � � � or., c�l,� I 3� l General comments and recommendations ,� 5 O'`� S /e �I. 45, r4 Q� , qs S, S'j' � Boring# ❑Boring � ���� [�}'�it Ground surface elev. �.S�ft. Depth to limiting factor_,�./elev.qo•� lv� C'G�SS �wv� {��(',p_c� Rat Application 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 � � —� 7.5- r 3z — 5� Z� h Y11J T�' 4� J�� �� I.Q �— �-'3O '� `� 3 �' Si � Zw�s6k 1M V�� �< < u� i ��b 3 30-9 '� �+ y — r o -s in^ l — -� �Z /• hot`�z 3 5-Iala � co b ro� �Boring o! (� Z, Boring# ,�7�it Ground surface elev���ft. Depth to limiting factor �D in./elev.rlD�� 4�+� .v� �_w✓� �re�- Rat Application 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 I O � �3 �S 1- L S �� k— (A1J�1� W �V� . 'Q ��O z (3-6 �, �t 3 � s o -s n.� l k (v�'- •-1 �� _.R '� `E `! — rs r r �, � -.- .---Z l•(D � � ��a Z �� � � b ro� CST Name MERTON MAKI Signature �� � (� , CST Number 224901 4��� Address 10869N SMITH COURT Date Evaluation Conducted Telephone Number (715) 634-8719 HAYWARD, WI 54843 a " � � � 3 � Z� 'Effluent#1 =BOD>30<_220 mg/L and TSS>30<-150 mglL 'Effluent#2=BOD,<_30 mg/L and TSS<_30 mg/L SBD-8330(R04/21) Page of ' �Boring , � goring# �]C Pit Ground surface elev���3 ft. Depth to limiting factor �� in./elev.��ft. � t� S L 4 w� � RateApplication 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 � (�j `7�5 r 3L � "— ,s Z.M. F— K1,�J� (.�J �VrT` 1 ( •� z 6 .. 1� �, �E 3 — S� z►�.sbl< yy�� Fr •� [v�- �(Q I.D 3 /�,? �� �f — r S p—s I►1( �► � , (,� (,.�. �O �C� 4 L(. Z �� 5 �� G � � 01 � . b 7 ❑ Boring# ❑Boring ❑Pit Ground surtace eiev. 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 � ( O � 300 ,`Z = � �'c v� 2�C. — Z — Z l. S �✓t.� — ZZ r e 2 `t �tr- t� e� e�� s � ��� v T i �- d S =. ' l S ��� `7�b 4 � �- ❑ Boring# ❑ Boring ❑ Pit Ground surtace elev. ft. Depth to limiting factor in./elev. ft. 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