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Wisconsin Department of Commerce SOIL EVALUATION REPORT Pagel-of'7 <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code — <br /> County <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must DAPACir <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. �j �+ <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. bL� 4�,c-,7 64- SDO <br /> P/ease print all information. Reviewed by Date <br /> Parsonal information you provide may be used for secondary purposes(Privacy Law.s.15.04(1)(m)). <br /> Property Owner Property Location <br /> Govt.Lot 1/4 1/4 S2-6 T40_ N R 14 E <br /> Property owners Mailingrens Lot# Block# subd.Naor CSM# <br /> SI 15� Ate- 2 V. 2me- 113 <br /> City State Zp Code Phone Number ❑City ❑Village j Vown N rest Road <br /> LK iWI 54-ILS j (j)5)f59- 2-935 ScarIu, <br /> ❑ New Construction Use; Residential/Number of bedrooms Code derived design flow rete GPD <br /> rfteplacement //11 [:1Public or commercial-Describe: _ <br /> Parent material al-At lAt 29117C' Flood Plain elevation if applicable YA ft. <br /> General conrfntents <br /> and recommendations: <br /> A10 AVAIL. <br /> ❑ goring# ❑ Boring <br /> ❑ pit Ground surface elev. ft. Depth to limiting factor in. <br /> Soil kation Rate <br /> Horizon Depth Dondnant Color Redox Description Texture Structure Consistence Boundary Roots GPD/iF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 <br /> oBoring# ❑ Boring <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/fF <br /> In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Etf#1 •Eff#2 <br /> Effluent#1 =BOD >30<220 Ing&and TSS>30:s 150 mg/L •Effluent#2=BOD,:s 30 n'qt and TSS:S 30 ml <br /> CSTp) Y n/S aar<.e Number <br /> Date Evaluation Conducted Telephone Number <br /> 207&0 OF_ M922 54893 -7-5-01 lS- <br />