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.Wisconsin Departmentof Safety and Professional Services !`�J t � <br /> Division of Industry Services <br /> SOIL EVALUATION REPORT Page_of <br /> in accordance with SPS 383,Wis. Adm. Code 'S <br /> (�,a <br /> Attach complete site plan paper not less than 8112 x 11 inches in size.Plan..at County _ <br /> include,butnol limnveed to:verUcalend horizontal reference point(BM),direction and Parcel I.D. o7r010-J- Yo-/6-o9-r OJ <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. -000 - myICOO <br /> Please print all information. Reviewed by Date <br /> Parsoirahrensmmn vre pmmea may ba vsad mrsem-dary pmposes(Pma=v raw,a 15 0,1 T1 (mg &XW& I /Z-22-/N <br /> Property Owner Property Location <br /> JEl <br /> ,4ck Zw to c Lot-*w ((7 114 ,r,114 S S T vo N R /6 �)W <br /> Property Owner's Mailing AddressLot# I Block# I Subd, Name or CSW <br /> S 3S/ /4o{A <br /> da E. l7-Z031 <br /> City Stale Zip Code Phone Number ity ❑Ullaga MT.. Nearest Road 7 <br /> //aadrn s ^� 15S033 1 ( 6Sl) J6f- 6 >o// 0./, l.„ 'is 1 /111 <br /> ® New Constmction UdaQ Residential/Number of bedrooms o1 Code derived design Low rate Soo GPD <br /> nRepecement ❑ P/ublooUom{ral-Descibe: <br /> Parent material G <br /> Flood Plain elevation ifappiicabie <br /> General comments G3 <br /> and recommendations: 5/S. ¢ lay. <br /> � ;v) — P;i e/r,•. `}`l. 8 /en ax pJ;1 dap+A 36ry <br /> © Boring# ❑ Boring <br /> ® Pp Ground surface elev. 96. ,J R. Depth to limiting factor >QOd in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> Munsell On.Sz. Cont.Color Gr.Sz.Sh. -ER#1 'Elftt2 <br /> 4 3 <br /> / O - 7.SYR � — /5 ' (.nsb/c f <s 3m . 7 /• <br /> 6 <br /> 7s <br /> Z/ S0-8d S 0.56 vvf I — - , 7 /. 6' <br /> ® Boring# F1 Bonn, <br /> © Pit Ground surface elev. 96'0 it, Depth to limiting factor 7 7y in. <br /> Soil Applablion Rate <br /> Hempen Depth Dominant Color Redox Description Texture Stmclure Consistence Boundary Roots GPD/ff <br /> In. Munsell On Sz. Cont.Color Gr.Sz.Sh. 'EL#1 I 'Eff#2 <br /> o - Y 7.ryR 3/d — IS /.,,a6 /t ml « 3m . 7 /, 6 <br /> HdS 7s�i,P'v/y — s cs sG m / G 5 3Co .7 <br /> / 6 <br /> 3 <br /> )9- 1-0 7 s-7R % — S - ti s G .--� ( G S Jin ..7 /. 6 <br /> 'Effluent#1 =BOD 1301220 mg/[-,ad TSS 1301150 mg/L 'Effluent#2=BOD,130 pri and TSS<_30 pri <br /> OST Name(Please Print) Slgneture ((// CST Number <br /> p J ,S <br /> Address Date Evaluation Conducted Telephone Number <br /> >7(,d t/w, 3SJ LI/8(7s Jw . W.1` S%,193 /a _/0-ly 7/S- SGG- 4/S ? <br /> SBDh330(RO7/13) <br />