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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 /> r� <br /> Attach complete elle plan on paper not less than 8 1/2 x 11 inches in size.Plan must County �c.+ <br /> �Q ,- <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Pyc I p q <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Please print ell information. Reviewed by Date <br /> Personal Information you provide may be used for secondary purposes(Privacy Law,a.13.09(1)(m)). <br /> Property()Mer Property Location > <br /> !.//LJ Govt.Lot 1/4 1/4 s,23 T$16 N R< E(o W <br /> Properly Owner's Mng gddress Lot At Block# >sub�Marrleor CSM# 5 <br /> City State Zip Code Phone Number 0 City Village Wown Nearest Road 'Sl'.:2 <br /> 157.44.IA I /t/ <br /> 0 New Construction UseAResidential/Number of bedrooms _ Code derived design flow rate =G _GPD <br /> ❑Replacement �Public or commard I-Descri <br /> Parent material_�T/L �1-' Flood Plain elevation if applicable <br /> General comments <br /> and recommendations: <br /> IT Boring# Boring �/ <br /> Pit Ground surface eiev.q 7, d_ft. Depth to limiting factor.>Z�F—in. <br /> Soil Application 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 '002 <br /> 1s , > / <br /> ,e , <br /> 20-2,7- <br /> LIL <br /> Boring# [r�] Boring pO ' � <br /> IAPit Ground surface elev.l41—ft. Depth to limiting factor—>24v--in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKF <br /> In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. cr 'Eff#1 'Eft#22/ <br /> 21- 17 C5 5 ' 7 114 <br /> 'EIIluent#1 =BOD >30 1220 mg/L and TSS>30 1150 mipt 'Effluent#2=BOD 130 rtg&and TSS 130 mg/L <br /> CST Name (Please tgna re CST Number <br /> 6 2V <br /> �- Date Evaluation Conducted Telephone Number <br />