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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code e1 <br /> County �[trn BTT <br /> Aftad1 complete site plan on paper rat less than 81/2x11 ines in s¢e.Plan must <br /> include,but not limited to:vertical and horizontal reference poi N(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location end distance to nearest road. O O— 400,1 — 0 7 A OO <br /> Please print all information.1 Reviewed by Date p <br /> Personal infomwaon you protide may be used for secondary purpmes!(PAVBpy Law,s.15.01(1)(m)). May 3I 07 <br /> Property Owner Property Location <br /> J.4., L.ASwe—11 iGovt Lot 1/4 1/4 S OIL T /YO N R /(i E(01`)0 <br /> Property Owner's Mailing Address Lot# Bbdc# Subd.Name or CSM# <br /> -,/,Ysz D`r MOOD C7' <br /> City tate Zip Code Phone Number ❑City ❑Village CR Town Nearest Road <br /> /ZOJe�rrsr.»t MN I S.no 68 I ( Gr/ ) Ae4/=lea / 001414AO( I Lena <br /> ❑ New Construction Use:® Residential/Number of bedrooms xV Code derived design Row rate 60,9 GPD <br /> ❑Replacement ❑ Public or commercial-Describo: <br /> Parent material_Sys• a to✓ Flood Plain elevation if applicable till ft. <br /> General comments <br /> and recommendations: 515- a/c✓ 93,93 b 96.50 ()PPM <br /> ❑/ Boring# ❑ Boring <br /> © Pit Ground surface elev. yS.f ft. Depth to limiting factor J 7A in. <br /> Soil icetlon Rate <br /> Horizon Depth Dominant Color Redox Description 11 Texture Structure Consistence Boundary Roots GPDtff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'ER#2 <br /> / - I 7S YRS/ is /.ws6/� i t C s s.-+ <br /> et •7— 38' 7.Stiz �y --- ! /S �t..-s b,e r,,, / G S 3Co 7 /. � <br /> Boring# <br /> © Boring I�! <br /> ❑ Pit Ground surface elev. ys' q R. Depth to limiting factor > 80 in. <br /> Soil ticetion Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •ER#1 I 'Eff#2 <br /> / <br /> 4r- 'Y 7.s /s . 7 /. 6 <br /> s . 7 16 <br /> Effluent#1 =BOD >30<220 mg&and TSS>30 1150 mg/L •ERluent#2=BOD <30 mgrL and TSS 130 mg/L <br /> CST Name(Please Prim) Signature CST Number <br /> "6.04 ev Soman/aCs S 't73'//O <br /> Address 7 Date Evaluation Conducted Telephone Number <br /> 7760 10/ 3s- WebS?Le - k,*X- sV*%3 S--AS-o 7 4/S7 <br />