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Wisconsin Department of Commerce SOIL EVALUATION REPORT Pageof 3 <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code County <br /> Attach complete site plan on paper rat less than a 1/2 x 11 inches in size.Plan must J&rn <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,norm arrow,and location and distance to nearest road. 0316 -y Ito 9 -Opt 7q�j <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 /> Glen ScHlvlcker•a-+ti GovL Lot Sw 1/4 5 1/4S q T yO N R /7 E(orxg> <br /> Property Owner's Mailing Address Lot# I Block# I Subd.Name or CSM# <br /> 3S0 tui Iejweod GT <br /> City State Zip Code Phone Number ❑City ❑Village ©Town Nearest Road <br /> s :/l ft - WV I SSos'ok 1 (6--r/ ) Y3a-b/vf UA fa S4 43/rrPPLX <br /> ® New Construction Use:® Residential/Number of bedrooms _ Code derived design flow rate GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material G/mac.a / %�* Flood Plain elevation if applicable /U//9 R <br /> General constantss 77 6 96. 30 � <br /> and recommendatons: SY? • t/e✓ y. <br /> Boring# 0I-7 In, <br /> Pit Ground surface elev. 9 9 <br /> 2 . ! ft. Depth to limiting factor > PS in. <br /> Soil cation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IP <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'E1Lri 'Eft#2 <br /> / <br /> 10- 4 7.stR'MA — /s 1. _4.4k / cs 3M <br /> H- 3$ 7,SYR y/4 /S 1 w56k A� 1 45 3r '7 /. 6 <br /> 3 3r-Ss 7rItR4/6 — /$ /Ms6k dBoring# Boring <br /> oh <br /> © Pit Ground surface elev. 97. 3 ft. Depth to limiting factor 701 in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IP <br /> In. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I 'Eff#2 <br /> / C - It 7-4'M 3/A — iS /.rr'6k . I c.s 3�7 . 7 /- 6 <br /> et y-36 7.rYi7 y/ /s /nv 6k ,,, l ;s 3co . 7 . 6 <br /> 3 36-Sb 7.SYR `// — /s�6, �...s6 E , r/ G S d.n 7 /.6 <br /> Effluent#1 =BOD >30<220 mg&and TSS>30:E 150 mg/L 'Effluent#2=BOD <30 mg/L and TSS 130 mg/L <br /> CST Name(Please Print) Signature CST Nhnlber <br /> a,^. rs S /Ju Hue /t 01 7307 0 <br /> Address V Date Evaluation Conducted Telephone Number <br /> dt7760 /K. 3s el-3-06 7rs-8GG-v/sem <br />