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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in sae.Plan must County <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and locatlon and distance to nearest road. O J.D - 933(v Ol Po/O <br /> Please print all information. Reviewed by Date <br /> Personal inform flon you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property Location <br /> 0'e;1-I Y Gra vw,*# GovL Lot NW 1/4 56' 1/4 S 36 T Yo N R /L E(or)(0 <br /> Property Owners Mailing Address Lot# Block# I Subd.Name or CSW <br /> 1?0 Y $ 94 <br /> city State Zip Code Phone Number ❑city ❑Village ag ®Town Nearest Road <br /> G✓a#td6:• I wiz 54990 (7/S ) 461 -3d90 O.sk/naps G.wvts•H Rc9 <br /> ® New Construction Use:[M Residential/Number of bedrooms 3 Corte derived design flow rate y,{-o GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material G/ae�A/ Ur:{r Flood Plain elevation 0 applicable /yl'of fL <br /> General comments <br /> and recommendations: SyJ• e(t✓. 47.53 (ra.f Gnr•, on - sit`2 <br /> Boring# E] Boring <br /> Pit Ground surface elev. 96'0 ft. Depth to limiting factor 6 O in. <br /> Soil ecation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I •Eft#2 <br /> 0-to 7.6-0-/ - /S /wrs6k A" ! GS 3WF , 7 /. to <br /> sl D-/( 7.5-Y/? v/ — /S /r.sbk rK / G S 7✓r , 7 1. 6 <br /> 3 6-do S-tp? 4 - G AM'#AR Wufr GS 3.F .( 3 <br /> y -?J S t rP ~/Y C )wa46le in✓ren _ - ••t •.J� <br /> a Boring# Boring <br /> ® Pit Ground surface elev. 9G• 3 ft. Depth to limiting factor al In. <br /> Still Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/1F <br /> In. Munsell ou.Sz. Cont.Color Gr,Sz.Sh. 'Ett#1 'EH#2 <br /> / e- l0 7XW?!V,L — /-f /wrsdk / cs 3rr° . 7 / 6 <br /> ,4 /e-id 7.-Yj q/t /-f /,a361c .» / as 3rr 17 1.6 <br /> 3 Ja-49' SY/? */,y F/f cAd r// C impale .n✓Fr c i I .A . 3 <br /> y <br /> +11, 5"t. 7.s Y/?`/s - /fs .erect . e- < s - S' • 6 <br /> S 6-84 7.rf/? 11/ — h=j lresdk m/ - - S Ad <br /> W eA J,;re,p" ae•fs 75-Y Y/.V /ff jWL5$,ile <br /> Effluent#1 =BOD >30< <220 mg(L and TSS>30 150 mg/L •Eflluem#2=BOD 130 mg/L and TSS:5 30 mg4 <br /> CST Name(Please Print) - - Signature CST Number <br /> Jan1 r s S. C7aH r t/I S )73 IV 0 <br /> Address Date Evaluation Conducted Telephone Number <br /> -7 76 HW ?s— w21,str, was--yrt3 s-a�-ob <br />