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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of <br /> Division of Safety and Buildings <br /> in accordance with Comm 95,des. Adm. Code <br /> County B.arrrer/ <br /> Attach complete site plan on paper not less than B 12 x 11 inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and parcel I.D. <br /> percent slope,scab or dimensions,north arrow,and location and distance to nearest road. C7 - 906-5-- Cd 0 0 <br /> Please print all information. Reviewed b Date <br /> Personal inlorniation you provide may be used for secondary purposes(Privacy Lew.s.15.04(1)(m)). .� d' <br /> Property Owner Property Location <br /> ova as 4- /► ^7 )Oe we hh GovL Lot Sf 1/4 NE 1/4 S 4 T YO N R /6 E(or)40 <br /> Property Owners Mailing Address Lot# Block# Subd.Name or CSM# �/ <br /> SHS" S/4+a /n .u/. )Z kzn -Ha La <br /> City State Zlp Cade Phone Number ❑City ❑Village Town Nearest Road <br /> 4�00n &6,09S MN I S-S-q.73 1 (74.7 )7Y7015'rA OAK/.•rJ A2=/kiAyi L.r <br /> (� New Construction Use:® Residential/Number of bedrooms 3 Code derived design flow rate Oso GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material Cir%Ff Flood Plain elevation it applicable N1d. ft. <br /> General comments <br /> and recommendations: S!'f. e/s✓' 93. 9 4 3.40 f6 '94-10)z <br /> Boring# ° Boring <br /> © Pit Ground surface elev. 9S•4 ft. Depth to limiting factor SS in. <br /> Sal Rate <br /> Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roofs PD/ff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> 0- Y 76yR-K, — /S 109gr6/c d 1 C5 3.+, . 7 1. 6 <br /> .1 3-30 7sfr/t *Ke — s o d I CS ace 7 /. 45 <br /> 3 -3S Svi7 r/4 .7 /. ra <br /> . 7 1. 6 <br /> Bang# ° Boring <br /> ® Pit Ground surface elev. 9S / R. Depth to lirnaing factor S 7 in. <br /> Sal Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Efl#1 I 'EO#2 <br /> / 0-3 7.S-V/?-/J — /S / k dl Cr 6 <br /> JL 3-34 7.s Y/2 `"/9 t o d/ GS =m 7 /.6 <br /> 3 4-s-7 '#/2 9/6 S o „, ► 6s ,tin . -7 16 <br /> 1.45 <br /> Eflkxnt 01 =BOD >30<220 mgiL and TSS>30<150 mg/L 'E@uermt#2=BOD 130 mglL and TSS<30 mmglL <br /> Nam CST Na (Please Print) - - Signature CST Number <br /> S. Oa n r /-r Llan nE/ 734 <br /> Address Date Evaluation Conducted Telephone Number <br /> gl-7760 #w 3.S weAsfr✓ w r' -rqj 7-at(P-OS" 7/S-d66- rf/S7 <br />