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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of <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 than 81/2 x 11 inches in size.Plan must County `u✓h e TT <br /> Include,but not limited to:vertical and horizontal reference point(BM),direction and parnal I.D. e 7 O e$ d 3 Jr:/91 O <br /> percent slope,scale or dimensions,north snow,and location and distance to nearest road. Itr 0/3/90 <br /> Please print 811 information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property7Owner Property Location 5pf. of T a 1 <br /> /�4 d re r^ K,f*A Govt.Lot 1/4 1/4 s7 T 3g N R 11t E(or <br /> Property Owner's Mailing Address Lot#8 IBlock# Subd.Name or CSM# <br /> 73 y Rc11s c// Awe °"�'b 1 De-jay sussok rs hAT A- I. <br /> City State Zip Code Phone Number ❑City []Village ®Town Nearesq Road <br /> r <br /> l�1/1n+Son �' I foo09(a (86j,7)97.f- /Vivi <br /> e W r'Y IzAke vreN c/iarcl, 40 <br /> IS New Construction Use: Residential/Number of bedrooms Code derived design flow rate 3 e GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material eta G iw.lr!�>" Flood Plain elevation if applicable N <br /> General comments ,Sy1. elev. 9,. OD -6 <br /> and recommendations: <br /> 130.- fn!/ 414 �y, �r ,vr <br /> MaPW as 435C -6eYCAIN-aeM6d 644 <br /> Boring# <br /> 1 ❑ Boring <br /> ❑ <br /> ® pit Ground surface elev. 910-5 ft. Depth to limiting factor > FO in. Soil icetion 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. •Eff#1 I 'Eff#2 <br /> / o -H 7.5- / t /.•+s6/c „, I G1 Ym . 71 /. (, <br /> a y-.x6 7..rV/?4/ — Is ,t..+s6/c ,„ 1 -J -sco <br /> 3 c -Via 7sY/tw/i — s os4 01 f Gs A,-, <br /> tl ,vf-b0 7 -7 6 <br /> F—;] <br /> Boring# E] Bourg <br /> © Pit Ground surface elev. 9610 ft. Depth to limiting factor 7 7A in. Soil Application 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. •Eff#1 •Eff#2 <br /> D- N 7.S9� - /S / sbk ry / GS 3M 7 /• L <br /> °q- cid — S ��+s6lc I 4 S 3co . 7 <br /> -S-0 7.s-YR }/v — S os b 1 5 -1 in 7 1. ,6 <br /> .7 7. <br /> •Effluent#1 =BOD >30< <220 mg/L and TSS>30 150 mg& •Effluent#2=BOD <30 mg&and TSS<30 rtxyL <br /> CST Name(Please Print) - - Signature CST Nurnber <br /> James 5 (�an/�/S X34,10 <br /> Address Date Evaluation Conducted Telephone Number <br /> 04 7>GS'49-r:s Jr--cid- 4ys7 <br />