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HomeMy WebLinkAbout024-641-24-2301-CST-2023-213 , ���� - o„// ��� WisconsinDepartmeMofSafetyandProfessionalServices Page_of V �' �\ Division of Industry Services � �'��_► ��� SOIL EVALUATION REPORT \'r��� In accortlance with SPS 385,Ws.Adm.Code Counry SAWYE R � Attach complete site plan on paper not less than 8 1/2 z'11 inches in size.Plan must include, � but not limited to:vertical and horizontal reference point(BM),direction antl percent slope. Parcel I.D. C� scale or dimensions,north artow,and location and distance to nearest road. O Z�{_ b��_Z�{_ Z 30 I �" Please print all information. Review y Date �,� Personal infortnation you provitle may be usetl for secontlary purposes(Privacy Law,s.75.04(1)(m)). I�I ��I� Property Owner � � fC� Property LocaOon ����c✓� � . �2�Or4 V� QCN KO �ki� Govt.Lot S� % �w % S Z� T �-(� N R �6 E(a�)�J Property Owners Mailing Address I Site Address or CSM and Lot#: �..�J eUe�4 St �E City State Zip Code Phone Number ❑City ❑Vllage �Town Nearest Road rn, � �S m,� ssyig ��ba��z, Ro� � � �o�b��, �t ose � 2 �NewConstruction Use:�Residential/Numberofbedrooms Z Code denved designflowrate 3D0 GPD [�Replacement ❑Public or commercial-Describe: Flood Plan elevation if applicable��ft. Parentmatenal Sru,� (� ,l,5 Ou�waShY�s� `�`� ?� \ � ) General comments and recommendations: 1 � � �� .SrS� �S�sTe) Tr L v��r 536j Tr Zr LoweY-g4.� 1 I Borin9# ❑Boring cb'7 3(� l q 3Q � �Pit Ground surtace elev. -h. Depth to limiting fac[or 46 in./elev._T(. Soil Application Rate Honzon DepN Dominant Color Redox Description Tezture Structure Consistence Boundary Roots GPD/Ft� In. MunseO Qu.Az.Cont.Cobr Gr.Sz.Sh. 'Eff#1 "EH#2 � -R -1•S r 3 i S j �2xt r- �+te6r IvFL •G (,o 2 -L� �� �f3 � s/ 2w�s6k- `' �� (uf-� ,` �o 3 z1-�fs �� ��q — 5! ' '� �� (�F .� t,o � KS-� v �Ev � 5 0 -s wi� — ,z t.b � �Boring �-f� II 2,� Boring# �pit Ground surface elev.�9'3 R. Depth to limiting factor�y in.l elev.�9�$yH. Soil Application Rate Horizon Depth Dominant Color Redoz Description TeMure Structure Consistence Bountlary Roots GPDlFt' In. Munsell Qu.Az.Cont Color Gr.Sz.Sh. •Effii1 'EflJf2 � -� 'T.S r 3 z ' S� 2� � v�v LJ c., •6 (,D z �J -z 3 — s( Z«,sb k- '� zu�� .6 l.0 zr- 8 „ `�� � �s �- wl �� I�fr ,z �.(� �h `f8-l� v s3 - s '� � .Z l.b S �b—lly � S — r5 4 a � � .�C l. csTName MERTON MAKI siynature ���_ �� 224901 CST Number Address 10869N SMITH COURT Date eva�uation Conducted P (715)634-8719 Tele hone Number HAYWARD,WI 54843 l� - �� L(o— Z3 Effluent#1=BOD>30<-220 mg/L and TSS>30 5150 mg/L 'Effluent#2=BOD.<_30 mg/L and TSS<_30 mg(L SBD-8330(R04l21) r � Page of ��� �Boring zc.t Boring # Pit Ground surface elev. ��' 'ft.J Depth to limiting factor ��S in. / elev�R�E'ift. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� In. Munseli Qu. Az. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 I (� -8 �,5� r 3 � " — S � Z►+1 r ►h J'�Ir- ��7�� � � l � 0 � z e —zU '� � -- /S o -s wt, l � af� •7 f, 6 3 �.'t _S� �� � 3 — SL Zms6�� rn�fr � f � � •� l. 0 `t 58 -fa8 k s � o-s ►'h .� .� l ,lo � Boring # ❑ Boring �� ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soii Application Rate �Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlFt� In. Munseli Qu. Az. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2- X /S - 3 — SD'� 5 S�3 C u�'�� � 5Q0 = Z- D C� `t = � _ � I�a r s �'�� Z T ►3 2� G(� r �t- en 5 = s � Lb , � S -1,5(7 r l DOU a -� . � I�- � Boring # ❑ Boring J ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application Rate �Horizon Depth Dominant Color � Redox Description I Texture Structure Consistence Boundary Roots GPD/Ft� � In. Munseli Qu. Az. Cont. Color � Gr. Sz. Sh. 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