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Wisconsin Deparlownt of Cortr wm SOIL EVALUATION REPORT Pape L�� . <br /> Division of Safely and Buildings <br /> In accordance with comm 85,Weis. Adm. code <br /> Attach compote site pan an paper not leas than 81/2 x 11 indres in size.Plan must Courly u <br /> include,but not timaed to:vertical and horizontal reference point(BM).direction and <br /> Percent Mope,scab or dimensions.north arrow,and location and distance to nearest road. Parcel O 3d,-SJ 1 S- 06 oa5- <br /> Please print all Information. Reviewed by Date <br /> PffWW information you provide may be used for mmdary Wrposa(Privacy Lae,s.15.04(1)(m))' .29 'a1 <br /> Properlyowner �1 Property Location <br /> �Q <br /> V! 1 /q yt.(Kr Son Govt Lot /vW 1/4 SE 1,41 S ►9 T y/ N R /r E <br /> Property Owner's Mailirg Address Lot X I Bodo a Subd.Name or CSW <br /> 63S r%d <o. NE <br /> City State zip Code Phone Nunber O City O village O Town Nearest Road <br /> Pint G; MN I f5v(-? 6).7-33&A I SIVI.Ss E• Tanker Gk Rd. <br /> IE New Construction Use:M Residential/Number of bedroom d, Code derived design now rate 300 GPD <br /> O Replacemerd ❑ Pubic or commercial-Describe: <br /> Parent material 410'e-10't Or * Food Plan elevation if applicable ti R <br /> General omments /.rv, 9/ 7 ' <br /> aro recommendations: 5",P<. <br /> ❑ Bakg <br /> / <br /> Baring� > 7A <br /> ® Pit Ground swisce slev. 9k• 7 R Depth b uniting factor in. <br /> Soca Application Rate <br /> hormon Depot Dominant Cour Redox DescriptionTexture Struconre Consistence Boundary Roots GPDW <br /> in. Munsell Qu.SL Cont.Odor Gr.SLSh. 'E1ky1 *002 <br /> / o�(v 7•SyQ %/ /S /MsdA yft I < s acv •7 /•t <br /> ,oL 4-.t y -7.s-r R% S aSG „, I 6-s 3 CO . 7 /- .4 <br /> a-7/- 7•S—YA Y9 S 05 6- n. G S <br /> ® BonrV to ❑ Boring® Pit Ground surface elsv. 9�R Depth loirm"factor >, 7*A in. <br /> Soil Rate <br /> FlorizArt Depth DwmwdColor Redox Description Terdue Suuclure Consistence Boundary Roots CPD/R <br /> In. Munsell Qu.Sz. Cart.Color Gr.Sz.Sh. 'EfW1 T11102 <br /> / a- 6 7-ryR /-f Imxik• 3co r7 AA <br /> a1 G- 30 7S'fA5/ - -- S o5( 3 c .7 /,,4 <br /> 3 30_7 -7.Srk y/� — S os� w. I Gs 1• » , 7 /, <br /> Ellknrd 01=800 >30<220 mgiL and TSS>30 S 150 rrg& •Mont 02=BOD 130 ngll and TSS :30 mg& <br /> CST Name(Please Print) — Signature CST Number <br /> 1-)09m05 S ii'Ahe/S S 734.,tU <br /> AddressV Date Evakaedon Conducted Telephone Number <br /> d•77ro0 N,,.. 3Swelsf�.- wr�ig9j dG`03 -��f SG/,-5r/S7 <br />