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Wisconsin Department of Corrinerce SOIL EVALUATION REPORT Paye ( of <br /> Division of Sa"and 8uikbgs <br /> in nrrrrdanne wUr Comm%,V ts. Arm. Code <br /> Col"Attach complete site plan on paper not less than 81/2 x 11 kx1m it size.Plan met u frvY,iTT' <br /> include,but not rnrised to:vertical and hrn¢oMa1 reference point(8K direolon and Para.�.07-012-2- •r - / 70-rXo5a2J <br /> percent slope.scale or dimensions.nopnannw•and kakis enddetaroeto nearestnffi <br /> Please print all kwormar"n. RevWwad bV rDatta& <br /> Personal informaaon Y orovidenw be used b secan�7r (Pdvecrtae.s.tset(t)iw.g• ( LLG <br /> ProP/yrty Owner P;�7w/1. <br /> L%17 {.E{rZ,- <br /> �l Govt Lot V4 114 S�-5 T �/b rN/ R (5-E(or <br /> Prope�y Conner'- - ss ,,� �� frock# 7 <br /> �FFAtin ,<a 1�o1(6yrx VI II�rJc <br /> Ci 3 State Zip Code Phone ttitsnber Gat Ci nage $Town. Nearest Road 3 73 S <br /> /J�t^td : I IG"106 1 (7iS )Z67-*/Y67- 5444,�wJ i h4leelft•j �rc <br /> ❑ <br /> NewConstruction Use:[&(Resid al/Mi berdbedfoc ns Z Code derived desigi pow rate 5rd GPD <br /> NfReolacement0 Pum Describe: <br /> ,,// <br /> Parent material CX4CrA/ U(i � Fhod pteyt7 p. <br /> General n <br /> and recommendations: <br /> l�k� F1, 96.-60 ( 94/03 -1-0 <br /> q 7 20) <br /> re/Iooataons: <br /> ab <br /> 1h'9 /�o�.rntg i5 /o llen ,✓7IVJ Mo <br /> � as �95C .�arlsbp�g-Grp »r-Pev�(a C�ok,�� <br /> ® Borig# ❑ <br /> Pit Gmtmdsofaceelev- 'v Z R Depth to 6MM factor in. <br /> epi��I <br /> Horizon Depen Dominant Color Red=tlr?BQ%a Tedium Shckm Consilstence Boundary Roots <br /> in. Munsell Ou SL C *Calot Gr Sz SIL 'Eff#1 `Eff#2 <br /> p-5 1.5 3 — ZG 21'7 . 7 /,Z <br /> - 9 '75 1*1L .7 I. <br /> I� <br /> Boring ❑ ftiny <br /> L—J ❑ Pin Grund sorteweiev. ft DWM to rmtig k <br /> Sod tion Rate <br /> Horizon Depth Darrninarlt leImr Oesuip6m TaAme Slnnae Corin Boundary Rocas GPDAf <br /> in. Munsell tlu.Sz CmL Cela Gr.S.Sit •EfT#1 `Eff#2 <br /> Effluent#1=BOO >30<ZW rg&and TSS>30 gW not EAltrerd#2 80D,<30 mDr-and TSS<30 mgiL <br /> CST Nar�•q��,��pr`J J CST Nunber <br /> 4 /LO`7y /p/ q4e- <br /> Address Dab Evaillualion Conducted Telephone Number <br /> 97,M) Wda5kr WI-5 l3 fo-6-1 l ��s 6-�n7o <br />