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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of <br /> Division of Safety and Buildings <br /> In accordance with Comm 85,Wis. Adm. Code <br /> Cou ay <br /> Attach complete site plan on paper not leas than 5112 x 11 Inches in else.Plan must u <br /> Include,but not limited to:vertical and horizontal reference pant(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. a O - c//7S= 30 Y00 <br /> Please print all information. Reviewed b Date J <br /> f con l info don you provMe nmy M L wd for seeondary purpo1priary Law.a.le.W(1)lm)). <br /> Property Owner Property Location <br /> 80 d IIISfr'0w1 Govl.Lot Jw 1/4 SE 114 Sao T HO N R /6 E(or& <br /> Property Owners Mailing Address Lot# 1 Block# I Subd.Name or CSW <br /> d96/0 Gone ftire Rd• <br /> City State Zip Code Phone Number ❑City ❑Village m Town Nearest Road <br /> Web.tfs✓ wx" 5"I'8'73 (7/s') 96(0- 97V6 0.4k1AW Lona Ame Rd• <br /> ❑ New Construction Use:®Residential/Number of bedrooms -? Code derived design flow rete el-l-0 GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material elAz i a,/ 0 Ki Flood Plain elevation If applicable <br /> General comments <br /> and recommendations: <br /> �yreancQwa fe✓ of Y6 rr <br /> eon# p 3pitt l� Ground surface elev. ft. Depth to limiting factor -� in. <br /> Soil catlon Rate <br /> Horim Depth Dominant Color Redox Descdpdon Texture Structure Consistence Boundary Roots GPD/111' <br /> In. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eft#2 <br /> 7 /• 6 <br /> Baring# ❑ Bonng <br /> ❑ Pit Ground surface elev. ft. Depth to limiting factor in. <br /> Shc icatbn Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff <br /> In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> Effluent#1 =BOD >30<220 mg&and TSS>30<150 n Q/L •Effluent#2=BCD <30 f11giL and TSS<3o mg/l.CST Name(Please Print) - - S' lure CST Number <br /> James S. r SrO 73 Y*' <br /> Address Date Evaluation Conducted Telephone Numher <br /> .%7760 N r 3� �Je b t><r✓ wl s�893 G - 6-0 6 pis r(, Los-7 <br />