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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of v <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code '7 <br /> Attach complete site plan on paper not less Nan 8 1/2 x 11 inches in size.Plan mus[ 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. One;, - 9350 — o5'yoo <br /> Please print all information. Reviewed b Date <br /> r <br /> Personal information you provide may be used for secontlary purposes(Pmacy Law,s.15.0x(1)(m)). l JULY <br /> Property Owner Property Location <br /> QOb r/IlnEv' Govt.Lot 1/4 1/4 S /3 T I10 N R /SE(orx!D <br /> Property Owner's Mailing Address Lot# Block# Subdme a CSM# <br /> 37}o Nalecroo� �iir- M N Q. VV <br /> City State Zip Code Phone Number <br /> ❑City E]Village QTown Nearest Road <br /> 04nhwey I wl' 1 51-4830 1 (7/S) - 7956 1 &arson 1f41r'"Ocn C1 r. <br /> ❑ New Construction Use:Q Residential/Number of bedrooms A_,_ Code derived design flow rate 3 DO GPD <br /> ❑Replacement ❑ Public or commerclal-Describe: -- <br /> Parent material 6�4 t i a l /70i !CY .,. _ Flood Plain elevation if applicable <br /> General comments <br /> and recommendations: s�s. _le v. (Af?-e,- g,0• 6 G ✓a iel Ca n Yo j on Sr f@ <br /> /ow,er g8.6 Ur°ulFlCi( (jcv�•r� I t 2, <br /> Boring# <br /> Boring <br /> ® Pit Ground surface elev. 0 9. .fl. Depth to limiting factor 'S0 n. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •EB#1 I •Eff#2 <br /> 6-41, 7.SYA' lS /rosbK I cs 3m .7 /. 6 <br /> Y tl-So 7.SYi7 4I6 — llfS }»J6k / . I 65 3c0 S 1. 0 <br /> 3 so- n sr?r/� IFS ,yr &I c i — Y 6 <br /> 4 SL- FO ysrR %3 1FS / • sb/� 1 — s` 1. O <br /> Boring# ❑ Boring <br /> pit Ground surface elev._ gy 6__ft. Depth to limiting factor Sd. in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I 'Eff#2 <br /> 7:sY1P 3/ ^ /t /mJ k S. . 7 /. b <br /> d- y-S/ �.SYI?y/ /FS .4 sbk », ( GS <br /> /F1 M wr f% c -Z/ • 6 <br /> Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOD <30 mg/L and TSS<30 mg/L <br /> CST Name(Please Print) Signature CST Number <br /> JAM63 S. /,SAN/E/.S .f 04.•-«-v// J-�34ot0 <br /> Address Date Evaluation Conducted Telephone Number <br /> 4.77'60 _H—y we6s1ry w.Z- `f�1s7 <br />