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r-:Th [� <br /> `E0[E4��isEan, ,ent of Safety&Professional Services Page t of r4 <br /> i f ervices cC7 I —c9J? —c>S. 3 <br /> f 1 �,�Pa - SOIL EVALUATION REPORT <br /> t <br /> a' In accordance with SPS 385. Wis.Adm. Code County 131A 6 <br /> ttach er not -ss than 8 1/2 x 11 inches in size.Plan must include, <br /> ut not lima a, ntal eference point(BM),direction and percent slope. Parcel I.D. <br /> cale 60 S cation and distance to nearest road. 67_04 Z-Z-3S-(S.W-5 QS-OCS-O/WOO <br /> Please print all information. R vi ed by I �I ter <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). // /Z3Le <br /> Property Owner ` Property Location ❑ 54 <br /> Airoau JU 4 L AR OL'O! Govt.Lot ' Y. % S 3 y T 3g N R j Si .E4nr4 W <br /> Property Owner's Mailing Address Site Address or CSM and Lot#: Tax 1 U:213 07 <br /> /6 O Fi: ! 1;� te- gpgb i--CTZ L's7i V141, Pat ZZ_6717 E KEe,, t ir'K4 F D <br /> r <br /> City, State,Zip Phone Number 0 City 0 Village (21 Town Nearest Road <br /> R O l iz5; ,M/l 3 7`{ ( ) WOOD RL VV2 A KE-Kt/ t:lc Rah <br /> ❑ New Construction Use: Residential/Numberof bedrooms 3 Code derived designflow rate Z-fiL)GPD <br /> Pili Replacement ❑Public or commercial-Describe: Flood Plan elevation if applicable ,/JA ft. <br /> Parent material 01 7WAStf <br /> General comments and recommendations: Cory VFW tC.klA L y^,v-6-ROIUQLI i pcitt H Es - 0. 1 LA <br /> L- --- <br /> I I Bonin # ❑Boring <br /> j g .g Pit Ground surface elev.a 7/5 ft. Depth to limiting factor, 3'1. in./elev.'W'./5ft. <br /> 7,00 4'. <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 'Eff#2 <br /> 1 D-7 7 5 v 242-- — 1 5 0 59 vnl c s 3 vi-{'-tv O.7 /4 <br /> 2 7-Z.q 7.5 14; '-IA, — 15 I A\7SnK di Cs zv-"-CJ 6t.7 1-Iv <br /> 3 261- 4 7 6 Y,T``/y — 0_ 31 — — 4'7 1.(� <br /> Z Boring# tiring <br /> ❑Pit Ground surface elev. ft. Depth to limiting factor V in./elev.&/./3 ft. <br /> j 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 /> / 0-G, 7.SV12_3/2- — 15 0sct' ell,) — - c.7 /.(v <br /> Z (.--30 7.5 ye,94. -- 15 0 d ) — — b.7 /,6 <br /> 3 3C-c'D 7.5 y z "/(t , — - 0. ,) — -- 0.7 I.t P <br /> so'Ad.- a, . <br /> CST Name(Please Print) Sign CST Number <br /> MAO 3D-4-/uPeC-Or ' au n itieet1- <br /> 22,4,8-32_. <br /> Address 671 :-7.3 Date Evaluation onducted Telephone Number <br /> 2 7ZL Flr. y u J fi3La S t WI 1/-6-.7 7 L 7/5-tiz -/775 <br /> 'Effluent#1 =BOD>30 s 220 mg/L and TSS>30 s 150 mg/L *Effluent#2=BOD,5 30 mg/L and TSS<_30 mg/L <br /> SBD-8330(R03/22) <br />