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Wisconsin Department of Commerce SOIL EVALUATION REPORT „�- Q/ 9 Page ( of—7— <br /> Division of Safety and Buildings --p <br /> in accordance with Comm 85,Wis. Adm. Code <br /> County �c..rn.r7Y <br /> Attach complete site plan on paper not less than 81/2 x 11 Inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and parcel )•D. 07 ori 0,t d 9 404 0” <br /> percent slope,scale or dimensions,north snow,and location and distance to nearest road. A"W*A); 024 43,%jDO 1 d/y0gy <br /> Please print all information. Reviewed by mDate,1 1 <br /> Personal information you provide may be used for secondary purposes(Privacy Law,a.15.04(1)(m)). 3d.4 2er0 <br /> Property Owner Property Location <br /> /�r0 •F E27E <br /> S7eue a Br fcG oovktet Sf-1/4 $c 1/4 S�9 T q q N R /& E(or)� <br /> Property Owners Mailing Address Lot# I Block# I Subd.Name or CSM <br /> 760/ StA RP 3s <br /> City State Zip Code Phone Number ❑City ❑Village ®Town Nearest Road <br /> .f 760/ <br /> W eSj-,Y" U'l—I Sg9q 3' ( ) Oa /e/." j 3S <br /> ❑ New Construction Use: Residential/Number of bedrooms 3 Code derived design flow rate NSO GPD <br /> Q Replacement ❑ Pudic or commercial-Describe: <br /> Parent material G/.r e i / 0r"K4 Flood Plain elevation if applicable �l/9 it. <br /> General comments /e✓ 9d, olD (91. 3 ,ia 715�00) <br /> and recommendations: jyj <br /> Ajow as : 733 6 - Mak>Dlole;;,(j , omiiv 5-0nA <br /> Boring# Boring <br /> ® Pit Ground surface elev. 76' 0 it. Depth to limiting factor > 80 in. <br /> Soil Gtation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/1P <br /> in. Munsell Qu.Sz. Com.Colo Gr.Sz.Sh. •EM11 I •Eff#2 <br /> 0 - 6 -7-1-%1?31J — /s /ms5k M / G5 9r . 7 1. 6 <br /> (0-60 7.syIZ `114 7 A & <br /> 3 60 -0 7.3 `I/Z q/(o <br /> a ung# Boring <br /> ® pit Ground surface slay. '76' S ft. Depth to limiting factor > in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Coke Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Efl#1 •Eff#2 <br /> 0- 6 <br /> /s6K Msbx „ l cw sM 7 J. 6 <br /> 7 /, <br /> Effluent#1 =BOD >30<220 mglL and TSS>30<150 rng/L •Effluent#2=BOD <30 mg&and TSS<30 mg(L <br /> CST Name( tPlease Prim)S �7l Q��S S�ture CSTAJ ,3�Number <br /> Address Date Evaluation Conducted Telephone Number <br /> � 7760ffi.. 3S /,(fp�s¢1,r X2' .54893 3-of-3— /(� 7/S- QdG- 4/S7 <br />