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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 /> County <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I. . <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <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 /> WAX VALEA Govt.Lot I 114 1/4 S f3 T 40 N R 14 E(or 1N <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> Iq C004 RZflPI DS LV D -SU I`(r l I I 2. <br /> City State Zip Code Phone Number ❑City ❑Village Town Nearest Road <br /> Coors FAl� 5 Mrd S54-33 b$i) ,t� w N9 ICAR524 <br /> New Construction Use:P-k!Residential/Number of bedrooms _ Code derived design flow rate GPD <br /> ❑Replacement Public or commercial-Describe: <br /> Parent material ('mac- J221 ET Flood Plain elevation if applicable _ ft. <br /> General comments <br /> and recommendations: <br /> 5yx 94.0 <br /> Boring# ppEj1t Boring 1 — <br /> :r�1 pit Ground surface elev._ ft. Depth to limiting factor 7 7S in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/flT <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> iz $ 4 �_ snrl A41 C5 2(o .7 /-z <br /> .4 _6 <br /> Boring# ❑ Bring <br /> Pit Ground surface elev. 46.0 ft. Depth to limiting factor 70in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f? <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2 <br /> R -- ,wt c: Z, . 7 <br /> 2 5-37 SQ �`- �s µJ is -7 /-z <br /> 7_ 1,1 I- <br /> 3 6 <br /> Effluent#1 =BOD >30:<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD,:E 30 mg/L and TSS<30 mg/L <br /> CST me (Please PrintSignature CST Number <br /> c+4 AP- 0 PY-1145 S <br /> Aoess Date Evaluation Conducted Telephone Number <br /> 2 '740 4w 3S' L�£�sT R �I X93 2 - 1 - ob 36-89-)- SI <br />