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WiisconsinDepartment ofCommerce SOIL EVALUATION REPORT Page I of `3 <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> (�w v <br /> Attach complete site plan on paper not less than 8 1!2x'11 intoes in size.Plan must County n,e 1`f <br /> include.but not limited to:vertical and horizontal reference point(BM),direction and pyres I.D. ( (� <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Please print all information. Reviewed by Date <br /> Personal infomw5on you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner / Property Location <br /> Gar- UerrtA5-fZ, Govt.Lot o2 1/4 va S ?rT 41 N R(baJJE(or <br /> Property Owner's Mailing Address Lot# I Block# Subd.Name or CSM# <br /> .k39l Sr.+� Rd. 3S _ <br /> City State Zip Code Phone Number ❑City []Village ®Town Nearest Road ^� <br /> OSdce6- W-C J fW (7/s- )-Mr-e���iJr .SWISS W C'A✓lb—y L� I✓/: <br /> ❑ New Construction Use:® Residential/Number of bedrooms .3 Code defived design flow rate GPD <br /> 133 Replacement ❑ Pudic or commercial-Describe: <br /> Parent material 6/Acro./ Dr•r F t Flood Plain elevation if applicable ry/irk ft <br /> General comments ,� 1711.1 <br /> and recommendations: Ys. <br /> 7 Boring# U Boring <br /> ® pit Ground surface slay. ft. Depth to limiting factor > �'( in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eft#1 I •Eff#2 <br /> / <br /> 6- 41 7.s-r-A -1/1, /s /, s6k n, I c s 3 c . 7 /. .t <br /> of Y- 30 7 s»q �/4 S o s C- /'1.1 1 G f 3 f - 7 <br /> 3 30-Y6 7s'rR 9/4 — S 0s6- w I G s _ ,7 /. <br /> 4 V6-7/ .7 s- — s 0-5 I Gs - • 7 1• R <br /> 77 <br /> Boring# © Boring <br /> 0 g <br /> ❑ Pit Ground surface slay. g/O• S R. Depth to limiting factor 7 7.( in. <br /> Soil 'cation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. I Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I 'Eft#2 <br /> (5-14 7 sYR l/J., — /S . -7 <br /> 4, Y- 4d 7 S 572 4/ — S ' 7 /, r <br /> Y6-, 7}- 7, <br /> 'Efiluent#1 =BOD >30<220 mWL and TSS>30<150 mg/l. •Effluent#2=BOD <30 mg&and TSS 130 mg/L <br /> CST Name(Please Pdnr Signature CST Number <br /> jl` m5s S, DAhl-2./s S0A11-tA 2,73�fj(1 <br /> Address VDate Evaluation Conducted Telephone Number <br /> J-7740 yr 3S Web.9f-er ws 03 7/s- rr-(, r7 <br />