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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page L of <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code �j <br /> v a. <br /> Attach complete Site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County n�e 1t4- <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel LD 07.0tD---40./6 'S 15.3/5-Ol 000 <br /> percent slope,scale or dimensions,norm arrow,and location and distance to nearest road. pd 0 y'o7 Sp 3 000 <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.06(1)(m)). /�A 2D)o <br /> Properly Owner Property Location <br /> Sr A n .i o neo GovL Lot 1/4 1/4 S Y3 T 1/0 N R //o E(or <br /> Property Owner's Mailing Address Tot# Biod6# Subd.Name or CSW <br /> 7X-f-3-f-' Go r KvL85cX Sus Dio +o of DrwiLs /Md <br /> city State Zip Code Phone Number ❑City ❑V llage ©Town Nearest Road -1 73'.t <br /> MM I S11r'330( I ( ) Oak/.., 91 1 Reitc /20Q <br /> ❑ New Construction Use:[Z Residential/Number of bedroomsHS <br /> Code derived design flow rate � GPD <br /> ®Replacement ❑ Pudic or commercial-Describe: <br /> Parent material ""/a e i a, I, ti <br /> Flood Plain elevation if applicable //� ft. <br /> General comments 9 <br /> and recommendations: JyJ• e/1?✓• 97'y'DO 0 9J•3¢�a <br /> 144a aS 383 8- Mak <br /> a Boring# Boring <br /> pit Ground surface elev. 96.0 ft. Depth to limiting factor > 707 in. <br /> Soil lication Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2 <br /> , 7 /. 6 <br /> 4- /8 7.sv/zy/ti — / r ,(, �5/c l G s 3ca . 7 T6 <br /> 3 /8- 3G 7.tr1/7"/y — /s/Gr *tb/c r» I S of r� 7 1, 6 <br /> �/ 3G-44 S' 7iT4/y _ S/Lr <br /> 0S4 / ) G <br /> S 9-7} 7. S^9/7�79 S/` OS 4 <br /> 71 1. 6 <br /> Boring# ❑ Boring <br /> © Pit Ground surface elev. "(7,0 ft. Depth to limiting factor y�� in. <br /> Soil Applicetion Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Efl#1 •Eff#2 <br /> at `✓-dy 7.sy/? �N — / S „•,eb/c l GS San . 7 /. 6 <br /> 3 ary- ;;g 7, Hiy /, 6 <br /> 6� 6 r <br /> U !,(• .S• SY/Z'i1y S/6r L7S/i <br /> S s-O7s-We`5y <br /> Effluent#71 =BOD >30<220 mglL and TSS>30<153 ngIL •Effluent#2=BOD <30 mglL and TSS<3g rnglL <br /> CST Name(Please Print) Signature CST PArntber <br /> JGm es s C7anr e/s .s Qa,,,,..✓� 734d 0 <br /> Address Date Evaluation Conducted Telephone Number <br /> � 77Go.54.r 3s Gclebs)4� wr sya�3 g--/o- la v/s7 <br />