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Wisconsin Departrnent of Commerce SOIL EVALUATION REPORT Page I of <br /> Division of Safety and Buildings <br /> '-iRa00afd@ncewith-Gomm8li�s.Adm. Code <br /> - County <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must u r n Eft <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 03.1- Sd r e- 03100 <br /> Please print all information. Reviewed Date <br /> Personal infom bon you provide may be used for secondary Purposes(Privacy Law,s.15.00(1)(m)). 0 rb <br /> Property Owner Property Location <br /> G a r y Q/a I s d e// GovLLot 5 w1/4 N W 1/4 S /8 T QI N R /-IE(or)( <br /> erty <br /> PropOwner's Mailing Address Lot# # Subd.Name K or CSW <br /> 5-90,1 G edar Ave. <br /> City State Zip Code Phone Number ❑City ❑Village ®Town Nearest Road <br /> s. er JWX .-1980 (7/S)39d 'BYSY Swr35 t N. 47a5s 4k Rd. <br /> ❑ New Construction Use:E'Residential/Number of bedrooms_� Code derived design flow rate 300 GPD <br /> I@ Replacement ❑ Public or commercial-Describe: <br /> Parent material 61.c ra( 0,-;{y Flood Plain elevation if applicable <br /> General comments to K2- 46 <br /> and recommendations: 5I S u pP a <br /> /n a.cr 9/•6 be 94,0 <br /> Boring# ❑ Boring <br /> 1 ® pit Ground surface slay. �6• ft. Depth to limiting factor 1 P7 in. <br /> Soil Apolic0on Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f' <br /> in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. •Eff#1 I 'Eff#2 <br /> / o-3 7sf-R3/i. t cs 3n .7 1. 6 <br /> ,L 3-36 7.s'YR 4/y i5 cs „ r G S 3m .7 1. 15 <br /> 3 36-60 7.sYA4/6 — s a I s - 7 /. 6 <br /> y 6e-g7 SYR s/9 — S o rn 1 GS — 7 1. 6 <br /> Boring# El Bourg <br /> © Pit Ground surface elev. 9•S ,`ft. Depth to limiting factor e� S� in. <br /> Soil kation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eft#2 <br /> d 3- 39 7. '14 /s e ,0-11 6$ 3F .7 /• 6 <br /> 3 39.66 75-yIa - s O I 6 .1. - 7 1, 6 <br /> 1, 6 <br /> Effluent#1 =BOD >30<220 mg/L and TSS>30 150 mg/L 'Effluent#2=BOD <30 mipt and TSS 130 mg(L <br /> CST Name(Please Print) Signature CST Number <br /> J.4m'e -5,04n, e/f S V'w., u ,t739,Ae <br /> Address r Date Evaluation Conducted Telephone Number <br /> d- 7760 //w 35- WeAstee W-r 64843 7— 8- 0N lis- f166-q(S'7 <br />