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Wisconsin Department of Commerce SOIL EVALUATION REPORT <br /> ` e of_ <br /> Division of Safety and Buildings 1, <br /> in accordance with Comm 85,Wis. Adm. Code <br /> County <br /> Attach complete site plan on paper not less than 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. ry / OL n 400O <br /> percent slope,scale or dimensions,north arrow,and locationL and distance to nearest road. <br /> Please print all information. Reviewed by ate <br /> s <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property Location / <br /> _ LMEI.— Govt.Lot 1/4 1/4 S.?—(o T */ N R 6 E(or <br /> Property Ownersalling Address lot# Block# Subd. Name a CSM# <br /> 6407 &WA46 D12- 14 1 1JA#4t6_ le <br /> City State p Code Phone Number City ❑Village ®Town Neare Road <br /> AN Wl _54830 i ( iS )65b-q06 SWIS-4 I fLDVJA&r. <br /> ❑ New Construction Use:❑ Residential/Number of bedrooms I Code derived design flow rate GPD <br /> ❑Replacement /1 EI Public a commercial-Describe: <br /> Parent material GLACIAL VMVr Flood Plain elevation if applicable it <br /> Gerwal caornents y K. 90.-7 <br /> and recommendations: <br /> Xto� a <br /> F1 Boring# <br /> ❑ Boring <br /> -1� <br /> c7 Pit Ground surface elev. �•Z' ft. Depth to limiting factory /76 in. <br /> Soil Application Rale <br /> Horizon Depth Dominent Cola Redox Description Texture Structure Consistence Boundary Roots GPDMf <br /> In. Munsell Ou.Sz. Cont.Cola Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> pf 7 1-2- <br /> 7— <br /> .z2 5-40 Ms ( s co - 7 1.z <br /> 3 la Hs <br /> IID 135uw <br /> 7I 9. � Boring# E] Boring <br /> 1 2 I ❑ Pit Ground surface elev. ft. Depth to limiting factor in. <br /> Soil kationRate <br /> Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPDttf <br /> In. Munsell Ou.Sz. Cont.Cola Gr.Sz.Sh 'Eff#1 •Ef/#2 <br /> AR 4200T <br /> nt <br /> A <br /> u <br /> .11 ;VIX 'Effluent#2=BOD <30 mglL and TSS 130 mg/L <br /> CST Narrry v 'S+;'., Y '''' .a a r''3�` .Lre CST Number <br /> raM Z2SSSI <br /> Add Date Evaluation Conducted ` Telephone Number <br /> 7t- 4iS / <br />