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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> County AwaraT <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 LD- <br /> No- <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Please print all information. Revi Date <br /> Personal information you provide my be used for secondary purposes(Privacy Law,s.15.04(1)(m)). to,L�21 014 <br /> Property Owner n Property Location <br /> j@99 Agr_ GovL Lot 1/4 1/4 S Iq T N R 6 E(or <br /> Properly Owner's Mari Address Lot# Block# Subd. Name or CSM# <br /> 12991 DUld< K 10Aor fs, *Ar PACCE <br /> State Code Phone Number ❑City ❑Village Town Nearest Road <br /> 04 New Construction Use: Residential/Number of bedrooms $ Code derived design flow rate X50 GPD <br /> ❑Replacement /1 ❑ Public or commercial-Describe: <br /> Parent material 114RCfRK ORI¢T Flood Plain elevation If applicable RIAft. <br /> General comments ICA/$- <br /> (��.•,7''p 9�• 9� <br /> and recommendations: 77 <br /> X111 GY 3 w F 9112 1A A91105 <br /> l Boring# Boring Q <br /> Pit Ground surface elev. _16.1 ft. Depth to limiting factor," in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'EfF#1 •Eft#2 <br /> 0.3 �S R3 2 /�-�' /5 5 Will Qom$ .1 /•4 <br /> b+l Cs 1 6 <br /> S <br /> Bon ng# {❑�Boring <br /> fo pit Ground surface elev. 9G <br /> >r . 6 ft. Depth to limiting factor 0 in. <br /> Sal Application Rate <br /> MHOdzonDepthDominantColor Redox Description Texture §ture Consistence Boundary Roots GPDM <br /> Munsell Qu.Sz. Cont.Color .Sh. •Eff#1 •Ef#2 <br /> 0 _q7• R � s till s 2v • 7 /4 <br /> At/ CS — 7 6 <br /> 6 �� Jcs <br /> Effluent#1 =BOD >30 c 220 mg/L and TSS>30<150 mg/l. •Effluent#2=BOD <30 mg/l.and TSS<30 ng/L <br /> isCST (Please ) S' (ST Number <br /> c0 4" ?nAls !;8s I <br /> Address Date Evaluation Conducted Telephone Number <br /> '277&o M Wfesrta Ul 15+89,N 1Z • 9 . 0 715 S'I <br />