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Wiscancin Departmerrt of Commerce SOIL EVALUATION REPORT <br /> Division of Safety and Suikfings Page_of <br /> in accordance with Comm 85,alis. Adm. Code <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.,P14n musit COIY$y <br /> include,but not limited to:vertical and horizontal reference poirtt(BM),-direction and <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D. <br /> Please print all Inform_atlon,' Reviewed by Date <br /> Personal information you provide may be used for aaciondary purposes(Privacy Law,s.10.04(1)(m)). <br /> Property Owner Property Location <br /> eA)I✓1 L Govt.Lot (IIL11/4 Su�1/4 S 27 T 41 N R cioh ': <br /> Property Owners Mailing Address Lot It Block# Subd. Name or CSM# -- <br /> 9589 Carnibrid e Gv-RT 17 r'l,nnc.wau o, f�sse�>cr� irn <br /> Cly State Lp Code Phone Number ❑City ❑Vlla e <br /> p mTown Nearest Roac <br /> AQrvi �C11 Mn 5502 ( 661 )¢Lo -z.55O <br /> f�f New Construction Use:0 Residential/Number of bedrooms Z o! 3 <br /> Code derived design lbw rata - <br /> ❑Replacement ❑ Public or mmercial•Describe: <br /> Parent material cIAG�p y dR t Flood Plain elevation if applicable <br /> General wmmerus J �- <br /> arvi recommendations: !�M EIeJ; I o0.0 r (OArL .w (o"Ta•pk OA K T�ec) — <br /> I�IFlcev.�¢,,�f �o'n4Ji�b ygq <br /> I� ung# ❑ Boring -- <br /> Pit Ground surface slev. 474.5 ft. Depth to limiting factor Q(. in. <br /> Soil Ap lication Rain <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Gp(,Nf_ <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. <br /> (r' (('� 'EffH1 'Effd- <br /> l fJ° T•�Y� V2- f,r C41 3vt- 7 I. E <br /> 2 5-let 7.SYA4114 'h8+�2 j n►.l r r <br /> 4 14 9ta 7.Sv 4 <br /> I <br /> I I I <br /> Boring# ❑ Boring <br /> 2 <br /> © Pit Ground surface elev. 944 ff. Depth to limiting factor_in. <br /> Horizon P Soil Application Rate <br /> Depth Dominant Color Redox Descri tion Texture Structure Consistence Boundary Roots GPDRF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. <br /> 'Eft#1 'Eff#2 <br /> coV 3v <br /> i 2t 7•SYk4 �( e I rn m+Jtr e41 of-rK ,•7 <br /> i � <br /> 3 1- to 11•SYR 4 al /YvLQ 1 m 7 <br /> I <br /> E81uart#1 a BOD >30<220 nI and TSS>30<150 mglL 'Effluent BOD c m -- <br /> CST Name (Ple�,ib�lf* EPTIC - tX(;NVATI N � — g&and TSS<30 mg/L <br /> Signature / CST Number <br /> 1 Address ROAD7 l 9105- ad'!87 <br /> SPOONER, WI 54801 a Evaluation Concluctef Telephone Number <br />