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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page Iof J <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> County dra.„e>� <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must <br /> Include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D.percent slope,state or dimensions,north arrow,and location and distance to nearest road. Qd 0 9 0 o <br /> Q <br /> Please print all information. Reviewed by Date <br /> Pemonel info pion you Provide may he used for see ary Purposes(Priveey Law,S.15.04(1)(m)). e&> IJAW.2�, 66 <br /> Property Owner Property Location <br /> D042 6 e Arf n GovL Lot 1/4 1/4 S d0 T 4'0 N R /b E(or)® <br /> Property ers Mailing Addrbss Lot# Block# /nS� me ubd.Naor CSK* - 'V j)),(4 e.I(.Ow LSC, <br /> .� .� /9✓e- 1 is . /45 S,5" Q <br /> City State Zip Code Phone Number ❑City ❑village Town Nearest Road <br /> Lva eca I in I S609.3 1 (Sd7) ;f3S- 7 N (j JL/4ncP preps ecu Awe <br /> ® New Construction Use:® Residential/Number of bedrooms�_ Code derived design flow rate ,?e0 GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material /.Gra./ 4'>e;4 Flood Plain elevation if applicable N//4 R <br /> General comments <br /> and recommendations: <br /> !c 4/! =r ti 3 2 I/&,,Ze,m J Ne ~1,r-4 Ohseo-v eW. <br /> Boring# Boring <br /> © Pit Ground surface elev. 94, 7 ft. Depth to limiting factor 3 6 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Etf#1 I 'Eff#2 <br /> / 0-3 7.S-t-R 1A -- /,s /wr4r,64- 1 c 5 Jf . 7 1. 6 <br /> cl. 3-13 7:r'rI?V4 -' /Fs de1s61, ,.r, ( 65 ik m .S /. 0 <br /> 3 3-36 S'W? M # _ G Awiat6AtAvIr" c s ( an 3 <br /> fyo( S9A�•�Sr /�S rMass ,..(✓F% 4S - `t . 6 <br /> w 1tGl eC "M. ee 6&e.Ps /F'S <br /> 7A Boring If <br /> ® pig Ground surface elev. 9G• ft. Depth to limiting factor > '7g in. <br /> Soil kation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'ER#1 'Etf#2 <br /> 4 7.$ Yft 3/ rS /a4s6/c .0 / ,s 8.n . 7 16 <br /> -/# 7.S 1A y/ — /FS <br /> 3 �#�s>r syR — c r(w,wb/c ,n✓f; — — d 3 <br /> Effluent#1 =800 >30 1220 mg1L and TSS>30 1150 mg1L 'Effluent#2=BOD 130 mgiL aux!TSS 130 mg1L <br /> CST Name(Please Print) Signatu��re�� /�/ CST Number <br /> a.,"Ys S /,�a,N 1-E/..f .s 64Zw ,tcrf >3el,4 o <br /> Address Date Evaluation Conducted Telephone Number <br /> 47760 Fur.. mss- webSfrr w1 54893 6-,l�-Ob 7/S- 86(o-/¢i.$ 7 <br />