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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 8 1!2 x 11 inches in size.Plan must County 8(Av.n 't rt <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. A.( <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Q <br /> 0 <br /> 6_ UW <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 <br /> l Property Location <br /> 0 0 it �L Govt.Lot SE 1/4 IV F 1/4 S 7 T L/(g N R /6 E(or <br /> Property Owner's Mailing Address Lot# Block# I Subd. Name or CSW <br /> 7906 /f r-Lsfehre five s8 1 -1 Pardon turf Ptrie <br /> City State Zip Cade Phone Number ❑city ❑Village ®Town Nearest Road <br /> Thver roue 1Y►/d S 76 1 WV > f7-Oigb O k I,('J E Fellow P"t� r- �oP <br /> ®'New astr6iction Use:R Residential/Number of bedrooms _ Code derived design flow rate ZI.S-6 GPD <br /> ❑Replacement / ❑ Public or commercial-Describe: _ <br /> Parent material L- alio-! JJ v"r fy q /� Flood Plain elevation if applicable <br /> tin472 <br /> General comments Sys �e• it f v- �3 , / /j L�'. r7 3 . G% <br /> and recommendations: <br /> Boring# ❑ Boring <br /> I ® pit Ground surface elev. 9 b ft Depth to limiting factor 7�in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM <br /> in. Munsell flu.Sz. Cont Cola Gr.Sz.Sh. •Eff#1 'Eff#2 <br /> o— N 7„5m I.S 655 M 1 GS 3C0 J /rd <br /> 9 7.s'M %6 ,tits 05,5 rn l s s '3m , 7 l r o4 <br /> 7,sr j — m s os� srt 1 55 — 7 it <br /> ot <br /> Boring# ❑ Boring <br /> ® Pit Ground surface elev.y71 6 ft. Depth to limiting factors Z __in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> o-q ism % 1 16 0SY m 1 <s 3 <0 , 7 14 <br /> �. y-3J 'rsY9 % r" s asg m 1 05 3 /..) ii7 1, <br /> 1 55 , -7 <br /> 67 3 <br /> Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L Effluent#2=BOD <30 mg/L and TSS<30 mg/L <br /> CST Name (Please Print) Si nature Q CST Number <br /> j6eriL S• h r -e& J-?-'M O <br /> Address Date Evaluation Conducted Telephone Number <br /> 7760N 3s” Wejsfrrw.rS` 9 7Js X1/06 —413--7 <br />