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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page_L of <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County 46 <br /> u rn e f t <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. O Sat _5333 —6016OO <br /> Please print all infonnation. Reviewed Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,S.15.04(1)(m)). ) 04 <br /> Property Owner fn/ <br /> j� Property Location` A t- p- GovL Lot ME" 1/4 SF 1/4 S 33 T S/j N R/,x-/6 E(o <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSW <br /> City State Zip Code Phone Number ❑City ❑Village (RTown Nearest Road <br /> Cr lea / I MA/. I ff'f-I 7 1 ( 74.3) s44- 41/0 Swiss hand Lk 7o! <br /> ❑ New Construction Use:U Residential/Number of bedroomsSO <br /> Code derived design flow rate y GPD <br /> EaReplacement ❑ Public or commercial-Describe: <br /> Parent material G la r d, Flood Plain elevation if applicable fL <br /> General comments <br /> and recommendations: $�rS. e/�d `��•O Per Carl <br /> © Boring# E] Boring <br /> © pit Ground surface elev. 970 ft. Depth to limiting factor> 90 in. <br /> Soil FADDrIcation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/If <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 <br /> -4 7s 3r�s/ /S o ..1 I c s et.n . 7 1. 6 <br /> y - 98 7-s1-,? `/y — S o 7 /. 6 <br /> 3 96LSy 7 s srt °/ rf? /sem s o ! G 5 F 7 <br /> 16 <br /> 4 s-9a 7.s r/? <br /> Boring# ❑ Boring <br /> © pit Ground surface elev. 971 ft. Depth to limiting factor >rd in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtlF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I •Eff#2 <br /> d- el S 6 rn ( GS 02/pi 6 <br /> of y-S-7 7s Ya 4/y s ,.r r G s »� 7 /•6 <br /> S-7- 6d 75-51,? *i .7 /. 6 <br /> Effluent#1 =BOD >30<220 mg(L and TSS>30<150 ng/L •Effluent#2=BOD <30 mglL and TSS<30 nxyL <br /> CST Name(Please Print) Signature CST Number <br /> Jr Pwcco H lei S &VC-04 73 <br /> Address Date Evaluation Conducted Telephone Number <br /> iel 77bo 17". 3s eve6sfe✓ wt -S erg3 <br />