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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of <br /> ,Division of Safety and Buildings <br /> In accordance-with Comm 85,%a. Adm. Code <br /> County <br /> Attach complete site plan on paper not lesdthan 8 1/2 x 11 Inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope•style or dimensions,north arrow•and location and distance to nearest road. O Zs(_ 57035,- O/ 600 <br /> Please print all Information. Reviewed by Date <br /> Personal infomutlon you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner. ' I Property Location <br /> GovL <br /> GV i Y1 V A't1fG Block# Subd.Name o SM# <br /> Lot / T .3% N rv. /Si' E(o W <br /> Property Owner's Mailing Address Lot# y�c <br /> /GoS h Ciaa� to <br /> City State Zip Code Phone Number ❑City ❑Village 0 Town Nearest Road <br /> Ltk I Is'!/o/6I ( ) AX L <br /> ID New ConsWctlon Use:Z RedesOtwigal[J 4umhar of bo ms L Code derived design flow rate 30o GPD <br /> ❑Replacement ❑ Pu Iic ofr mmmeerrciiall--Describe: <br /> Parent material_ al a1:iAt. da.�•F Flood Plain elevation if applicable 4qw- ft. <br /> General comments O <br /> and recommendations: S 15M 0441 160.0'( R.u.rrl$r. <br /> Qrgm+lft1QAPke IQoom ze/e S(f s Acew• PeV: 9l..o <br /> ❑ Boring# ❑ Boring $�,o <br /> 0 pit Ground surface elev. 95,O ft. Depth to limiting factor )OB in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' <br /> in. Munsell ou.Sz. Cont Color Gr.Sz.Sh. •Eff#1 •Eff#2 <br /> I 4" T.SY 4 z. .Q. . 7 1•(e <br /> T•108 7. RyW s T <br /> ❑ Boring# ❑ Boring Bb!6•• <br /> Z ® pit Ground surface elev. 94.6' ft. Depth to limiting factor /OS in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' <br /> in. Munsell ou.Sz. Cont.Color Gr.Sz.Sh. (� 'Eff#1 •Eff#2 <br /> 4,1 7.sY 'Ila- /-A one, a .n, .t 7 1 bia <br /> 2- 4- loa 7,5Yrlt'f 'd M&A a fd.& P m • 7 /, <br /> Effluent#1 =BOD,>30<220 mg/L and TSS>30_<150 mg/L 'Effluent#2=BOD,<30 mg/L and TSS<30 mg/L <br /> CST Name(Please SEPTIC & EXCAVATION sigma re CST Number <br /> AddressN6220 OOUNTY LINE ROAD aay 8711' <br /> SPOONER, WI 54801 aluation Conducted Telephone Number <br /> 715-635-= 07_08-oS <br />