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ORIGINAL <br /> Wismvsin Deparanent d Camrnerm SOIL EVALUATION REPORT Page I of 3 <br /> Division of Safety and Buildings <br /> in a=n1ance calm Comm M.Ws. Adrn. Code <br /> Aaacn mmplats site plan on paper not less Dun 812 x 11 inches a size.Plan must Comty (3urn E7/` <br /> include,but m limited to:vertical and lwnwntal reference point(BM),direction and Pmml I.D. <br /> acm tawpe.aww or auaerwoaa.naw aiww,am l auon em dim.w nasresiroad. oA1t vlvg O17O0 <br /> Please print all information. Review, by Data <br /> Pownel inlomabon you aovba may ca used for secondary purpcfes(Pmary taw.s.1501(1)(m)) <br /> Properly Ownertion <br /> p Pmperty Loca <br /> Wall / a QnS Got Loth E 1/4 Na/ 1/4 S 9 T 4o N R 4/ E(oog) <br /> Property Owners Malting Address Lot# Bbd,# Subd.Names GSW <br /> .70 d3 cJ Sr. NF .2 <br /> Ctty State Zip Code Pnone lht l ❑City ❑Village ©Town -Neared Road_ A9/S'6 <br /> R°chesfr, IMN I .S'54O6 (rp-r ) dpq- L/°3 X"ff I Lon O1c BL <br /> ® New Construction Ilse:® Residential/Ntantwofbedrooms 3 Cade derived design flow rate 45-0 GPD <br /> ❑Repamnenl ❑ PUNIL m mmmerdal.Descnbe: <br /> Parent matenal G/°u• / r0,.:{• Flood Plain elevation a apptimble /✓� R <br /> Generel cenxnmts <br /> avelrarwruaeneaams: Sys. e/ems, 43.6 ( 93. 33 6 911. 30) Gr- <br /> Boning <br /> # ❑ So'n' <br /> ❑l' Pit GmuMsurhceelev. 96. 6 R. DeFflltouniirglagor 1 $o in. <br /> Sal Rate <br /> fbnxon DepM Doninanl Cob, Redox Description Tetdure Sbudure Consistence Bourtlary Roots GPDHF <br /> in. Munsell ou.St. C.L Cabr Gr.St.Sb. 'Eftpt I 'Eft#2 <br /> / 0-3 7s rR '/h — /s 1-561, d/ cs 3M .-7 /. 6 <br /> A 3-38 7S'rR 4/b — 1115, o5& d 65, 3co . 9- 7. 0 <br /> 3 3f•4? 7."R 4/y 1115, O-r ,� / L 5 / <br /> witF 5,. G nc%s%oas F.. boas 'u SY °/ <br /> S Ys- 90 <br /> ------------- <br /> ung# © Bonng <br /> ❑ Pll Giouncisurfamelev. 97. 0 ft. DepNtolinbngfador <br /> Sal Application Rate <br /> Hor¢m Depth Dartinent Cobr Redox Description Te tote Sburhue Caw6tence BourtlaryRmts GPD#P <br /> in. Musel Ou.Sz. C.I.Cob, Gr.St.St,. 'ER#1 'Ert#2 <br /> / <br /> 0- 3 7511? 3yi — /S • 7 /• 6 <br /> J. .7-vo Z5-1//? — /115 . s .O <br /> 3 <br /> 1/0- Pr 7. b,yd <br /> sr-80 asvR%y FS ..S— /, 0 <br /> 'Effluent#1 =BOO, and!>30<220 s4L aTSS>W x 150 ngIL 'EMmnt#2=BOO,<30 myt and TSS 30 rrg& <br /> CST Name(Passe pret) - Si nature CST Nunba <br /> 1Je, nWs SDan/2L szl�� 1y739/,p <br /> An&ess Date Ealwdol Caldxled TeaWlaie NUMer <br /> X7760 H- 3s websYw.- G/1 Srjg93 9-19-a6 7rS-86L-4iS7 <br />