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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page <br /> �of� <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 6 32 90/0 —,0/ 2-X <br /> Please print all information. Reviewed by Date <br /> personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> PropertyOwnerProperty Location <br /> TT04111, 7/ Govt.Lot 1/4 1/4 S /6 T N R E(o <br /> Property Owner's Mailm Address q� Lo,# I Block# Subd.Name or CSW# <br /> WZ701? <br /> City State Zip Code Phone Number C❑7`City ❑VIIaggeeRTown Nearest Road <br /> AWW/li 6cit-tz <br /> New Construction Use: Residential/Number of bedrooms Z-- Code derived design flow rate 3d GPD <br /> ❑Replacement ��)) ❑/ Pu c or/�c/Dimmercial-Describe: <br /> Parent matedal f-'Cr t( i/�;o Flood Plain elevation if applicable ft. <br /> General comments g / g�'57- (90 84 -66 93•,`5b) <br /> and recommendations: 4 <br /> A69k as ,32fic - Greylr SaHd <br /> Boring# ® Boring <br /> ❑ Pit Ground surface elev. 45•0 ft. Depth to limiting factor 7U( in. <br /> Soil Application Rale <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. I Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. `Eff#1 `Eff#2 <br /> 1 D-31-75feJM — l 1 <br /> Z -y4 . <br /> '0-ft <br /> Z Boring# ❑ Boring q, <br /> � Pit Ground surface elev. q,5 lo <br /> ft. Depth to limiting factor 9y in. <br /> Soil Application Rate <br /> Horizon Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. `Eff#1 `Eff#2 <br /> 1 ,0-3 7.6-1fjejVZ 615 <br /> 2/h 2 <br /> 2 -q S / L 65, <br /> y8-vf 7sy s 9 z ,z <br /> Effluent#1 =BOD >30<220 mg/L and TSS X30<150 mg/L `Effluent#2=BOD5:<30 mg/L and TSS<30 mg/L <br /> CST ame (Please nt) Siggtur �^CST� Number <br /> O OS <br /> Address Date Evaluation Conducted Telephone Number <br /> Z72�0 S4 W !r93 <br />