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Wim.Dept.of Safety and Professional Services SOIL EVALUATION REPORT Page_af <br /> Division of Safety and Ruildom, <br /> Page—of— <br /> in accordance with SPS 385,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must <br /> COunty HURNF,TT <br /> include,but not limited to:verllcal and horizontal reference point(BM),direction and pyo D O 7 D eZ0 d z/O /6-3 3-5- <br /> percent slope.scale at dimensions,north arrow,and location and distance to nearest road, r., y o o O <br /> 0 <br /> Please print all information. Reviewed by Date <br /> Parwnel Inlarmalian you p,—d.may bn uaeJ ror ecconJory pwposas(Privacy Lnw,s. 15.04(1)Qnl(. <br /> "-�. v <br /> Property3 <br /> TOwner �^ Property Location <br /> J la B Govt.Lof 1/4 1/4 S�� T S/� N R �� E(O z <br /> Property Owner's Mailing Address Lot# Block# Sub0.Nsmeor CSM# <br /> S <br /> City State ip Code Phone Number ily ❑Village own Nearest Road <br /> edi/v,4 9A1 ,S3 (/i )7sa / ,J 11// 1 71E'y5 pea/rl /k <br /> New Construction Use[a Residential/Number of bedrooms_ _ Code derived design flow rate 1606 GPD <br /> Replacement /-+ Public or commercial-Describe: I <br /> Parent material t r/A j / / f Flood Plain elevation if aptels stele IV .L p. <br /> General comments <br /> and recommendations: r t <br /> 57- 13- 13c/ <br /> Boring <br /> Boning# p <br /> pit Ground surtace elev. /t. Depth to limiting factor 'Y9 in. <br /> Boil Dfit on Rale <br /> Horizon Depth DominnnF Color Redox Description Texture Structure onsistence eundary Roots GPDIf ' <br /> in. Munsell <br /> Our Sz. Cont.Color Gr.Sz,Sh. R#1 02 <br /> G/ < S ni 7 . <br /> a /94'y — ,&-lF5 <br /> Boring If ❑ Boring <br /> 0-pit Ground surface elev6 fl. Depth to limiting factor in. <br /> Soil Appikealke Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPDffl ' <br /> in. Munse'11O11. 1 Geu'SZr .nt.Color Gr.Sz.Sh, f1#1 ffN2 <br /> ro �n <br /> 6,-14 m56k ' 5- <br /> -3 <br /> r IYrVlhr 71 :•SL :.ri <br /> 'Effluent Nl =BCD ,>30<220 call and TSS>30 <15D mg/L 'Effluent#2=BOD <30 mg/L and TSS <30 mgt <br /> CST Name(Plesse Print) S nalur CSTNumbe- <br /> WADE RUFSHOLM 227691 <br /> AddressDate Evon Ccaul d Telephone Number <br /> ,do `/ sire J w r sYS7a 11-1,1713 <br /> <Fv9 7 .96 <br />