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Wis.Dept of Safety and Professional Services SOIL EVALUATION REPORT Page_of_ <br /> Division of Safety and Buildings <br /> in accordance wBh SPS 385,Wa. Adm. Cade <br /> County V/N f' <br /> Attach complete site plan on papers not less than 812 x i t inches in,dire Plan must <br /> percent DN not scale <br /> to:vertical antl hth arrime reference point d distance <br /> ance ion ant parcel I.D. <br /> percent slope,scale or dimensions.north artav,and location add tlistance to nearestmad. b-/8�/ -S /S'lZY-087oro <br /> ` Rexuavoil by Date <br /> Please pont all in/ortnation. '"` ' ' <br /> Peraenar Inronnat0n rw moue may x uses rm wmnaary wmoaes(PrNacy L. .5.tea l r l tmb 4 ,eWG <br /> Property Owner Property Location (� <br /> Govt Lot 1/4 1/4 S/"e,_T :lfo,N R; /s E(or�,3V f! <br /> Property Owiral's MailingAtltlress Lot 0 Bloch 9 Subtle he <br /> a <br /> 'Z Z rc45Ba/e" 9 <br /> C State Zp Code Phore NrarNer ❑Guy [I Vmzge Wmsm t ' Nearest Road`ZMZ$ <br /> ANI2U W� "/ (71!-? 1 -7BZQ jq'k00^tl 7n46uft <br /> ❑ New Consureson User) Residential/Numberofbedrooms Z Code demnetl design Hoe rate 5000 GPD <br /> Qg Replacement PP Pubic orcemmeroal-Describe: <br /> Parent material r�&O I Orr 1Y Flood Plain elevation if applicable %. <br /> General comments / <br /> and recommendations. &J9. Sy5/e✓ti C//✓• <br /> El Bonn, <br /> I Boring k 1� 7L. <br /> (cr pit Gmuntl surface elev 7L ft. Depth to IvnCvg factor 7 in. <br /> Sod Application Rate <br /> Homan Depth Dominant Color Redox Description Texture Structure onsistance 3oundary Roots GPD/ft ' <br /> in. Munson Du.Sz. Cont.Color Gr.Sz.Sh. R#1 fW <br /> I 0 -1 7,5yle3Z /h k /W[ is o [z <br /> Z N-h-1 7WV4 — os rot a i <br /> ❑ <br /> Bonn, ® Boring <br /> C] C J <br /> Z Pit Ground surface elev. /S7 Depth to linHhg tactor 7 ` in. Soil idation Rata <br /> Horizon Depth I Dominant Color Redox Description Texture Structure oastence 3oundafy Reels GPD/ft ' <br /> Munsell Ou.Sz. Cont Cob, Gr.Sz.Sh. ffel Rat <br /> '47 12 <br /> -46 7. y . ,. 7 12- <br /> 4-77 7. 4H •7 I• <br /> 'Effluent#1-BOD ,>30<220 mgrL and TSS r30 150 ni 'PJPorent#2 BOD <30 mgrlL antl TSS <30 mg/L <br /> CST Nam ase CST Number <br /> 7d k / Tis: 8S175y <br /> /.V//r Cr llNi, <br /> Address Date EvaLalbn Conduced Telephone Number <br /> 27l2074M3on AVG �'(,�fa iJi <br /> SBW330(RI I/11) <br />