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HomeMy WebLinkAbout014-285-00-1500-CST-2024-042 � � � L� . �RT� ORlGINAI. �°}%-"'' Wisconsin Department of Safety and Professional Services Page of � Nf� � Division of Industry Services c/1 ��'���sP�� SOIL EVALUATION REP � = O RT ',�`"�n�o'�"� In accordance with SPS 385,Wis.Adm. Code SAWYER 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. c3 scale or dimensions,north arrow,and location and distance to nearest road. ��....'[��- �z — �-�d�O S Please print all information. Revie by D te � Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). ' � Y $ �Y Property Owner Property Location ❑ ❑ P�KQ. CO v�Q �a (.LC, Govt.Lot N E Y, N� %. S � Z T y� N R p q E(or� Property Owner's Mailing Address Site Address or CSM and Lot#: 0 (5 N ML�.�a�v► �'� (osl }' ZZ, z$ q,G.-ro+4� Lo-� lS is �a��[S SvrJe-�c City State Zip Code Phone Number ❑City ❑ Village � Town Nearest Road �� wc�.h�1 I,c�( �4843 �ZyB�b(Z� LQhroo-�- ov� Ph;Ps Rc� �NewConstruction Use:�-Residential/NumberofbedroomsT� Codederiveddesignflowrate �000'^PD � � ReplaCement PublIic or commercial-Describe: Flood Plan elevation if applicable �' �4 ft. °''� Parent material QI aG�1. 't-.' (� General comments and recommendations: � � So; ls, s��. ��. G3.�5 c'�,..ge �3.53 - q�,E.s� � ❑Boring p � Boring# �Pit Ground surface elev. l b•�� Depth to limiting factor �8 in./elev. �b•yft. S�G V1,p�G�i T . Z, O rl pccG�. 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 �-� `?.ti �. 3�L "'�" �S C� -S M � Cc� 1 u��' • (•(o � `{-�-k0 �� 4 � — 5' '� '1 ,t I�� •'i �•� 3 u0-60 �� � 3 — S `� t a ���- .-( 1,. 6 g -� " 'r�3 � fZ a�c S �C q .Z 1•!o � IM Os� r �a ( <ti !r 2-; �/ ►n o �r4.�� So i t 0 t- l-�b Vl �' �Boring Boring# � �Pit Ground surface elevQ6�OS�ft. Depth to limiting factorb� in./elev�0�3 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 t o-�v z,� � L — ( s b- n1. ca I�4� �1 c .S� Z b_3 3 ,� �q � �� << �c �° .-c �•�- 3 33,6$ ,, y — S �� q << (a .-� .� � 68 -f��f a s 3 G t-e. o� S 4 � -� -- .'t l�fo �fl 0 5� V�t e S�j t O►— 2U ►'l o CST Name MERTON MAKI Signature�^ � e CST Number 224901 c�n- Address 10869N SMITH COURT Date Evaluation Conducted Telephone Number (715) 634-8719 HAYWARD, WI 54843 3 - Z8 -Z "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 Boring# ❑Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft. � S � 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 ' S S� D r r'O OSe. L.p S s �.k• � , � s QI�; C -t- � e s � -z : ❑ 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 et- ` 1 171� D c4 l c ✓l o Gb�l � Y'�-� U1 4c1 ���c P 1.c7 -e1� !� C� u d o J�- �.c� �' o r- w D X � �Ii "�D r,�G �� -2..J G r �`� v S c�vl �j- —WL 2 � C S t o.1 -�-l�.i s li.r-�L is v J<.c.� l 6 e�� � o n � � �i C L cL Y`�- �a.Y�� � ZZa.G l5 �o�`u,s �o ln�4 d� i rn�o �J �-o� S ❑ 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. 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