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Wisconsin Department of Safety and Professional Services Page of <br /> Division of Industry Services C7 -023 - 5'5' <br /> SOIL EVALUATION REPORT <br /> In accordance with SPS 385,Wis. Adm. Code County <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, <br /> but not limited to:vertical and horizontal reference point(BM),direction and percent slope, c8ii_A_ 440./w-Cr.?-5 /5-S0.$-" <br /> scale or dimensions,north arrow,and location and distance to nearest road. -o ).8 en? 0 <br /> Please print all information. v ew by Dateq <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 5/) !/.23 <br /> Property Owner Property Location ❑ <br /> / 40144 ,5 �i u-e (fey Govt.Lot IA % S 3 T y 0 N R /y E (or) W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> A/3510 (,?0fc, 5f <br /> City State Zip Code Phone Number ❑City 0 Village Town ,cN,/earest Road <br /> -(tSway./� I� I .5`-f0 (/ I ( ) I I _Gr;�t,' Ii`loe, llYv 1-4/1aw <br /> 0 New Construction Use:®'hesidential/Numberofbedrooms 1- Code derived design flow rate y-54"GPD <br /> 0 Replacement � ❑Public or commercial-Describe: 1,,,./� <br /> Parent material L 14 c t c.j /)v i t Flood Plan elevation If applicable ft. <br /> General comments and recommendations: 5 �� (1 .kp <br /> 5›,s. eif✓ 90 : 0 �+iorn 1 a,i+ c ( Cr b• r c4- <br /> 0 Boring 8 �� d o <br /> l. <br /> 1 Boring# ®Pit Ground surface elev. ft. Depth to limiting factor in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description ' Texture Structure ; Consistence Boundary Roots ..GPD/Ft2 <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1. *Eff#2 <br /> 1 ®-`I 7 5 0 3/) / S" - /An S 6/N . vn / G f 3 , -7 /•6 <br /> ,Z Li_3 7 7.540 4/4/ /5 . : al.m 5$/[ .--1 1 G'-5 "xc© . - /• <br /> 37- se 5'1/7`Yi-/ /5/o,- fin-, 46// ,^1 1 CS )Pvi , 7 /, E <br /> 1 5v- 90 7 S`r r2 S/1/ 5/Si- 05 G" r-N / . _7 / ; <br /> • <br /> Boring# 0 Boring e: v 735, <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 -*Ef#2 <br /> , p- Li 7,f`fi? $4 _ m_ /5 : / ,6/C rn / C. S )/n 7 /‘' <br /> 01 Ll- 90 7517/7 `'/y -- ,'c )na3.4/c ,r ! 6 S 3co 7 /. 6 <br /> L/ '1, 5zi ? `rl — 5/6, e,5 6- r-- ► C S 3.n-r e 7 /. 6 <br /> y `/,-*. ys-ii7 /v — .3/6`, o Yc `.,,, 1 -- /F- . 7 / 6 <br /> *Effluent#1 =BOD,>30 5 220 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 / Sign ure CST(umber e? <br /> 5 lii,v)_.5 0 6,,,--i d <br /> Address .177da '"i Y-s`" Da Evaluation Conducted Telephone Number <br /> 0- -(.5sfr• 7z/cfS.7 -5-4-1 3 7/.�846--L//)-7 <br /> SBD-8330(R04/15) <br />