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Wisconsin Department of commerce SOIL EVALUATION REPORT Page_of <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> /��r n <br /> Attach complete site plan on paper nCounty -eot less than 8112 x 11 inches in size.Plan must (✓ <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D.O 7-0 t d-el'y0•f r�/s/r G percent slope,scale or dimensions,north arrow,and location and distance to nearest road. o Hp p a O <br /> Please print all information. Reviewed b Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). _(� <br /> Property Owner Property Location <br /> <fb o is h 1 Govt Lot 1/4 1/4 S // T Z/O N R /J— E(or) <br /> Property Owners Mailing Address Lot# I Block# Subd.Name or CSM# <br /> /ov33 Nor-+ aeef Gahr Al. 31 <br /> City State Zip Code Phone Number ❑City ❑Village ❑X Town Nearest Road A~38/ <br /> 00 /,el Y 11 A''V eSS7H3I ( ) Jac/esin Ae.rn hew Cir <br /> R] New Construction Use:[e Residential/Number of bedrooms_ Code derived design flow rate GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material / 42 N; re-t Flood Plain elevation if applicable ft. <br /> General comments L,/PP,Q� g�• / <br /> and recommendations: <br /> /iwY✓ 93. / <br /> 5-r— /3 - 112 <br /> Boring# Boring <br /> © pit Ground surface elev. cri?. ft. Depth to limiting factor > (P In. <br /> Soil—Application Rale <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I -Eff#2 <br /> y 7'S'1R310 — /_5 / -+56/e ! c5 'Jr/ .-7 /. (. <br /> dN,s6 A- ,M I Gs ,3ca ? l• 6 <br /> 3 <br /> 5-0-Q6 7J-Y/? <br /> Boring# Boring <br /> © pit Ground surface elev. 4� ft. Depth to limiting factor 7y in. <br /> Soil Application 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 /> I'D- h' 7SYR 3/ — /S Im-$-s * r++ 1 c J San , '7 /• 6 <br /> d Y- Hct �.r y�2 5jy /s M s 6 /t , , t s 3c m . 7 /• 6 <br /> 3 k/a-so 7..r 6 /e- / G S d r4 7 .16 <br /> ep <br /> 'Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 mg/L and TSS:<30 ngll. <br /> CST Name(Please Print) Signature CST Number <br /> je'Lmes s 4) ;7.?va6 <br /> Address Date Evaluation Conducted Telephone Number <br /> GL1e-631 r.- w2 54 3 //— l- 13 7/r- r,6/v- 4/.5-7 <br />