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Wisconsin Department of commerce SOIL EVALUATION REPORT _ 3 <br /> Division of Safety and Buildings page Jof <br /> in accordance with.Comm 85,Wis. Adm. Code f7 <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County V u ^ ett <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> ' <br /> percent slope,scale or dimensions,north avow,and location and distance to nearest road. 0 7 O,�o 1, 4o iL .(3 S o S-e e f oa/a <br /> Please print all information. Reviewed PV Date <br /> Personal information you provide may be used for secondary puryoaes(privacy Law,S.15.09(1)(m)). <br /> Property Owner <br /> Property Location <br /> 43i' 19r /d GovL Lot 1 1/4 1/4 S e(( T 40 N R /b E(or) <br /> Property Owners Mailing Address Lot# Block# Subd.Name or CSM# <br /> 8". 90 51.,4 //w 1 3s <br /> City State Zip Code Phone Number ❑City ❑Village [E Town Nearest Road <br /> we6s1le." I wr I SN 8'93 (7i s") 8L/v-7J35� O,k/,. ,,� <br /> t/ 3S <br /> ❑ New Construction Use:® Residential/Number of bedrooms�— Code derived design flow rate GPD <br /> O Replacement ❑ Pudic or commercial-Describe: <br /> Parent material l&C r a / Flood Palin elevation if applicable _ N//'1 g, <br /> General comments <br /> and recommendations: S1.{ e%✓. u p p+ 9 3, SV (is,/1;, 97.50 <br /> /#w e �0� <br /> 3 AR—cot,!Wl AAM4 5AI,)b <br /> F Boring# ❑ Boring <br /> Pit Ground surface elev. g6, 6 ft, Depth to limiting factor >5',l in, <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Etf#1 I •Ef= <br /> c- G 7srrle — /r /..a4 k s 3,F . 7 1. 6 <br /> OS 4, 7 44 <br /> w +h s z `y/-T /F3 (<ndJ J,pro Gir r6,e4e- ,g <br /> 059 a uPr <br /> Baring# Boring <br /> ® Pit Groundsurfaoeelev. 97 d R. Depth to limiting factor > 90 in. <br /> Horizon Shc 'cation Rate <br /> Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 •Eft#2 <br /> iJ /Al sdK Aell cS 3F 7 <br /> -7 /. 6 <br /> tN i�h tYR `r�3 /FS (/.eels .1,ori Ger flocl! ,S •9 <br /> °s9 mvfr <br /> CST Nemo <br /> Effluent <br /> Pfaa BOD >30<220 ,end TSS>30<150 mg& 'Effluent#2=BOD c 30 � <br /> ( ) - _ mglL and TSS<30 <br /> Signature CST Number�me.s SL�an/r✓/s . 1, 7.34)0 <br /> Address Date Evaluation Conducted Telephone Number <br /> � 77GOffe 3S ((/e63frr �� S48ei3 6—/7— 47 91' qlS 7 <br />