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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 7 <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code �� <br /> to rr) <br /> Attach complete site plan on paper not less than 8 7/2 x 11 intoes in size.Plan must County r,J <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D.0 7-0 2174 <br /> �49S�S <br /> percent slope,sole or dimensions,north arrow,and location and distance to nearest road. C)5-003 O/4oe0 02$ <br /> Please print all information. Reviewed b Date <br /> personal information you provide may t e used for secondary purposes(Privacy Law,s.15.04(1)(m)). /TJl/r1C )2- <br /> Property <br /> LProperty Owner Property Location <br /> ;1 60Ut. Oar * .S 7 40 <br /> r C Y oppen H C 1#n e M Govt.Lot 3a y 1/4 1/4 S /$ T /f0 N R /cJ E(oro <br /> Property Owner's Mailing Address Lot# I Block# Subd.Name or CSM <br /> lS LFnE 944.V V.// e7 <br /> City State Zip Code Phone Number ❑City ❑Village ®Town Nearest Rod .4 s83,? <br /> ?/ "I IMNI S -Y'Y7 ( ) cell` 1 81reh <br /> ® New Construction Use:m Residential/Number of bedrooms A Code derived design flow rate _700 GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material G lxcJ.L l Q✓%1-y Flood Plain elevation if a plicable N//4) ft. <br /> General comments $yS, e/a✓- 9/•So C 9/ 34 �u 9.3. 30� <br /> and recommendations: <br /> .M&P1`5d dtS S44S Q- Grcft`um ,Lcen Y f5'-R-y( v 6accal -(-. 43 D - o ke .Clem a <br /> © Baring# ❑ Boring <br /> © Pit Ground surface elev. 79, 9 ft. Depth to limiting factor 7 9O in. <br /> Soil Notion Rate <br /> Horizon Depth Dominant Color Redox Description Texture Stmcture Consistence Boundary Roots GPD/fP <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Efffft •Eff#2 <br /> / <br /> 0- H 7.54/r 3/ — S /M"sb/c I c s 3.>7 7 /.6 <br /> of y d 6 7..541 i `//y / G s Sea 1 -7 /, <br /> b- 49 7.54/?`//4 S os4 ,, f G s >,,, '7 /. 6 <br /> -7 /, 6 <br /> Boring# ❑ Boring 9S <br /> ® Pit Ground surface elev. y' ft. Depth to limiting factor > 7� in. <br /> Soil Application(tate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP <br /> in. Munsell Qu.Sz. Cant.Color Gr.Sz.Sh. •Eff#1 I •Eff#2 <br /> / e -y 7S"//Z ?�/ — /S /� s6/c ay / t5 3w1 . 7 /, 6 <br /> of y- 3 0 7.SY/?`//H <br /> 3 70-19 .0's dsc M l G s a m 7 46 <br /> `/ - 7q 7.sY/? '/q — S o SG ,r l — _ . 7 /, 9 <br /> Effluent#1 =BOD >30<220 mg/L and TSS>30<150 ng/L •Effluent#2=BOD <30 mryL and TSS 130 mgIL <br /> CST Name (Please Print) ignatifre CST Number <br /> .Jaanes s anlels S�ir�-✓7 734�IJ <br /> Address Date Evaluation Conducted Telephone Number <br /> 7760 54 3s Gc/ebs l4� �r S4as3 6- £!- l a pis- �6e- v/s7 <br />