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.• jT <br /> • <br /> Wi-..m ZE:Sliet ndao ss nal Services i Page, I of 3 1J' <br /> Divi;,JET- dustry Services CS( -2_ '-0 <br /> 725 W SOIL EVALUATION REPORT <br /> '"'''' "1 Count <br /> r accordance with SPS 385,Wis. Adm. Code Y '7 <br /> I. 'fury' <br /> Attach r omple an on a er not less han 8 1/2 x 11 inches in size.Plan must include, <br /> but not imited o:ve a r rence point(BM),direction and percent slope, Parcel I.D. <br /> scale or dimensJg aj g@r rajetrgo tirterr and iistance to nearest road. 07-C is`J-3 c/-1 - -3-/r-c'r,"C' 0/e'000 <br /> Please print all information. Cr by Date / <br /> Personal information you provide may be used for secondary purposes(Privacy Law,S.15.04(1)(m)). 11/5! <br /> Property Owner Property Location 0 +.1 <br /> Nick,(,/e"s E rcj, i+i Govt.Lot '% ' S T 39 N R /6, E (or) W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> _ gOt e,ev1l►iReti1/G" I Dr,ve 6 <br /> City State Zip Code Phone Number 0 City 0 Village ©Town Nearest Road 4+/S <br /> p/eiv 8/11,1.feh IM/✓ 15.s//d I ( ) I I in et110 11I Ake- deo) Rd <br /> Igi New Construction Use:2 Residential/Numberofbedrooms 3 Code derived design flow rate 2/31;' GPD <br /> ❑Replacement 0 Public 9r co mercial-Describe: <br /> Parent material (74C16. L1 +14 Flood Plan elevation If applicable/L/t/ft. <br /> General comments and recommendations: <br /> 5y..r of- S) , -7 ok 9'). <br /> 9 Boring# 0 Boring q5-.S 74 <br /> CO Pit Ground surface elev. ft. Depth to limiting factor F in. <br /> • Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description ' Texture Structure ; Consistence Boundary Roots .GPD/Ft2 <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 <br /> I 0 -cf -75yi73/f /s %nsL/C. h-. i G- 5 .3in 7 , /6 <br /> 2 y— ?o 7.✓ 01141 / S ,r,,sl k „,, I c- 5 7eo , 7 / 6 <br /> 3 34- 64 7.5 'I'"?�/G /5 , M s//C r., l c-i _A Pi , 7 /• 6 <br /> el Cl-7t2 7. -1.1/?9, — -5 o S 6 Yr, 1 — - 7 A C. <br /> Boring 0 Boring �s-� '7 7y <br /> ®Pit Ground surface elev. ft. Depth to limiting factor in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. <br /> *Eff#1 r._*Eff#2 <br /> Co-'! 7.S'1/? 3/,.. i s /hi s.6/l 1 C S ,34) - 7 / 6 <br /> d '1- 3 7,s'w? "Of _ /S : r,.5J/C r, ► l S -Sec . 7 /, G <br /> .) 34- 4 f --7.14?`/ /_' jMs'h/e / C S cAw►_ I 7 I. 6 <br /> `/ 45-7L 7 3-y/7 % s ,..$c' ;h / — . 7 /,6 <br /> *Effluent#1 =BOD,>30 s 220 mg/L and TSS>30 5 150 mg/L *Effluent#2=BOD,>30 5 220 mg/L and TSS>30 5 150 mg/L <br /> CST Name(Please Print) Signat CST Number <br /> `/ ,r s ,_5` 0 4►-, , /s J /)c- ---%'.� )7.3 e/,A �' <br /> Address .l 776 ri r/r...-y .�-Y- Date valuation Conducted Telephone Number <br /> 44,,e hsf;-- '. 5_4I /d 0— .1-d 71-5'- (fe - W5- 7 <br /> SBD-8330(R04/15) <br />