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wsmnsmDepartment OfCommen. SOIL EVALUATION REPORT Pate—of <br /> Division of Safety one Buildings <br /> in accordance wim Comm 85,Wis. Adm. Code <br /> GOVaty <br /> Adachwmptetesiteplan onpaper not less intor 12x e, poplesMsize.Plan must <br /> Intrude,but rot limited di vertical and horizontaltan reference point(BM),dlrepi n are Parcel ID. O]•o4-o-?' O-/ -d <br /> percent slope,scale or dimensions,north arrow,and location and tlistan<e Wnearest road. ,Ir_ 43S-.ei9oe0 <br /> Please print all information._ Reviewed by Date <br /> Personal inlorms6on you P.M.nuy be uae0lot setnnGdry ourW es(ft.,Lew,s.15.04(1)(m)). <br /> Properrly Owner, PrepeMLoraton _ - <br /> G /i ra r.n F bio Govt Lot 1/4 1/4 S y T y/O N R/( E( <br /> Property Owners Mating Address Let If Back# Sued.Name dr CSM# <br /> �3O NT ' - /71A Ae94-10 <br /> City State Lp Code Phone Number ❑Oty ❑Village ©Town Nearest Read <br /> m l5 ,-N I SSf&i7 1 ( ) 0' K/and Lo.+ f/. < <br /> ❑ New Construction Use. Residential/Number of bedrooms,_ Code derived design flow rate_ GPD <br /> 0 Replacement ❑ Public or commerdal-Describe: <br /> Parent material G/a c i a/ _ [w r{r Redo!Plain elevation if applicable A <br /> Gmerai comments lir i 3,a�^ i n f S <br /> and recommendations: U)' <br /> /Ylax. Pff dapfA 3(, /r <br /> ❑ Boding,# <br /> Q pit Ground surface elev. 94' ft Depth to IuNdng taper > in. <br /> ' Soil AM5ction Rate <br /> Romeo Depth Dominant Color Redox Description Tamure Structure Consistence Boundary Roots GPDHB <br /> in. Munsell Qu.Sz. Cont Color G,Sz.Sh. 'ER#1 'Efi#2 <br /> d v- vo z svr? 5i — S <br /> . 7 /. 6 <br /> 3 uo-7r zn/civ — s .7 /. 6 <br /> Boringg J® Boring 1 <br /> ❑ Pit Gmundsurfaceelev. 87 S R. DepMtolimidngfactor in. <br /> $oil Galion Rare <br /> Horizon I Depth Dominant Color Redox Cason ption Texture Structure_ Consislena Boundary Roots GPD/9' <br /> in. Munsell Co.Sz Cont.Color Gr.Sz St. 'ERIN 'Etf#2 <br /> 7.SW?-7/1 <br /> IL I'/-S'N 1 7S'r0 <br /> Effluent#1 =BOD >30<22p m,/L and TSS>30.150 nig/ - 'Effluent ll2=BOD <30 mgt and TSS I30 m,VL <br /> CST Name(Please Rfnt) ,l CST fn..ear <br /> .James' 6136"d /S 734J0 <br /> AddreignaNre ss . Date Evaluation Conducted Telephone Number <br /> � 7760H,.. 3S GtJebs for ttir 548.3 6- 6 —�cf 7iS- �6G- 41S7 <br />