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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 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 812 x 11 inches in size.Plan must County 13"r a Y 1`Y <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scab or dimensions,north avow,and location and distance to nearest road. C7d,8— y//9 — of 900 <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy law,s.15.04(1)(m)). <br /> Property Owner Property Location <br /> Ed 4- C nn ren GovL Lot Sov 1/4 NF 1/4 S l9 T NO N R '/4 E(or)® <br /> Property Owner's Mailing Address Lot# Block# I Subd.Name or CSW <br /> I So6 Newton Ave. N. <br /> City State Zip Code Phone Number ❑laity ❑Village ®Town Nearest Road <br /> I� It rn� S.tyll (,IJ ) s'mf- 79,39 Ste t>` ki[sfrocn n'4• <br /> ❑ New Construction Use:® Residential/Number of bedrooms dL Code derived design flow rate 300 GPD <br /> ®Replacement ❑ Public or commercial-Describe: <br /> Parent material Ce/Pe Flood Plain elevation if applicable ��� ft. <br /> General comments SXs. elev. <79. <br /> I <br /> and recommendations: <br /> Boo-in1 .3 Flsvizvms //d`3 6.4 Orsi Oct" P, #170#1 <br /> �rxiq Genrsy <br /> F 71Boring# ❑ Boring <br /> ® Pit Ground surface elev. 97'y ft. Depth to limiting factor /.S- in. <br /> Sol Application Rate <br /> Korman Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 -Eff#2 <br /> / o-y 7S Xv Pl — /t o ,Yi l C 3Awl .7 1. 6 <br /> v- 7 7.SfR % 0.11 65 3co . 7 1. 6 <br /> 3 7-IS- 7.SY/? "/y — IS o A"( GS 3co . 7 1. 6 <br /> c�drov? s o +., r — — . 7 /, 6 <br /> 7 Boring# C] Boring <br /> Pit Ground surface elev. 9 7. 4 ft. Depth to limiting factor 07 in. <br /> Soil Rate <br /> Horizon Depth Dornment Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> 0- y 7.SYR 3// — rr 1 C r 3i., .-7 1. 6 <br /> 1- y—/S 7sYR y7 /s o S 3co 7 /. 6 <br /> 3 <br /> Effluent#1 =BOD >30<220 mglL and TSS>30<150 mg/L 'Effluent#2=BOD 130 mgA and TSS<30 mglL <br /> CST Name(Pimm Print) - - Signature ,/� pp CST Number <br /> ") 9--5 S. Cie niW(,5 S 4llt�tr v2 -73%x0 <br /> Address Date Evaluation Conducted Telephone Number <br /> X7760 Nbotee wt Syd9J 4-,}y-0s lir-866-rtr5� <br />