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Wisconsin Department of Safety and Professional Services r ORIGINAL <br /> Division of Industry Services <br /> SOIL EVALUATION REPORT Page of <br /> in accordance with SPS 383,Wis. Adm. Code <br /> Attac <br /> County <br /> 7?- <br /> include, <br /> complete site plan vertical <br /> paper not less thanr V2 x 11 inches in size.Plan must el u^^ <br /> include,slope. limitedardanediralan ortharrow,reference point(distance to nearest <br /> Parcel LD.°�-old-j-YO-/S-dY-S PS <br /> percent slope,scale ordimensions,north arrow,and location and distance to nearest road. <br /> Please print all information. Reviewed by Date <br /> •• Psrsonal lnlprmaeun youprwnice, mosesnoao <br /> r iccoman purp (Pv law.s 15,04(1)(m)1. 4el7IX aiir <br /> Preparty0wner Property Location El <br /> El <br /> (l Greg A-f°n Goa.Lot 114 114 S d4 T 40 N R/.S E(or)W <br /> Property O leis Mailing Address Let Block Bull.Name or GSMIF <br /> l7S7o N acrnlh G/w.r 6 v.L � 33y <br /> City State Zip Code Phone Number ity Village yTcwn Nearest Road JS/7f <br /> L aKe vi/lw mn/ SSo 44 ( ) ,J°°KJr, J. <br /> ® New Construction Use® Residential/Number of bedrooms Code deaved design flow rate GPD <br /> ®Replacement ❑ Publicoreommerdal-Describe: <br /> Parentmateaal Z/sorbFlood Plain elevation if applicable tiIA R. <br /> General comments III <br /> and recommendations: SrJ - B/( ✓ <br /> N��HkLtt, mnP <br /> © Boring# Boring <br /> Q Pit Ground surface elev. R. Depth to limiting factor 77/7 in. <br /> Soil A licalion Rale <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff <br /> in. Munsell Go,Se, Cont.Color Ge Be.Sh. 'Eff#1 'Etf#2 <br /> / o-4 7s '?"Id, — /S Am SA' v / 4S 3M , 7 /. 6 <br /> Y-J4 7.X 51 r75/ /S I-sb/c .,., t GS 7co . 7 G6 <br /> J sA d:'15 4. r. 1 6 5 ; o <br /> }_moo 2syd'7y — f osG ,„ I I �r7 /, 6 <br /> ® Boring# ❑ Bonng <br /> ❑* pit Ground surface elev. 97. 7 ft. Depth to limiting factor Asa in. <br /> Soil Application Rale <br /> Horizon I Depth Dominant Color Redox Description TexturedS, <br /> Consistence Boundary Roots GPDRB <br /> in. Munsell Cu.Se. Cont.Color : 'Ef#1 'Eff#2 <br /> r/y — /S ,,, / GJ 3co3 e- S9 7rG3 JM' 7 /. 6 <br /> Y ersy- 7sv z%Y — s 1 _ - . 7 46 <br /> 'Effluent#1 =BOD,>30<220 call and TSS 130<150 mgIL 'Effluent#2=BOD,<30 mi and TSS<30 mi <br /> CST Name(Please Pant) S na¢uo CST Number <br /> -f. /)' w r c/,r f /� of 73 5r.! <br /> Address Date Evaluation Conducted Telephone Number <br /> X7760 N y .�S GU<5sdr� f^/1 SYegz -1/s- J14;( S7 <br /> SnU-8330(infl ) <br />