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Wisconsin Department of Commerce SOIL EVALUATION REPORT <br /> Division of Safety and Buildings Page L_of <br /> ' in accordance with Comm 85,Wis. Adm. Code _ <br /> Attach complete site plan an paper not less than 8 1/2 x 11 inches in size.Plan must County 8?Ar n e 7`� <br /> include,but not limited to:vertical and horizontal reference point(am),direction and <br /> percent slope.scale or dimensions,north arrow,and location and distance to nearest road. ParcI.D. <br /> ole- '7A 757 <br /> Please Print all information. 7Rieview <br /> Date <br /> Personal iMOrmalion you provide may be usetl for secondary puryosp(Privacy Law,s.15.04(1)(m)). <br /> Property Owner l /s.�a4�o3 <br /> Property Location <br /> Sfeve Srlprt/ Govt Lot <br /> ProPeriY.,.a Mainng Addr lss Stn 1/4 Nt-'1/4 S d.7T [/0 N R /S- E(or1�V <br /> OVA gS Lot# Block# Subd.Name or CSM# <br /> /s9 <br /> C+H State 2Io Coda Phone Number <br /> Foley Y ❑City Ll village Town Nearest Road <br /> II' S6 3d9 ( do ) 96g- 6363 Jack son I IF-tI/es yes t RSP <br /> ® New Construction Use:W Residential/Number of bedrooms 3 <br /> Code derived design Sow rate yS0 i <br /> ❑Replacement C1 Public or commercial-Describe: � <br /> Parent material G/dela./ Dr-i Fr <br /> Flood Plain elevation if appiicacle <br /> General comments %yS. ell v J/.7 rt. <br /> and recommendations: <br /> i <br /> 81rrn5.1 /r of t: 3 //iri ;--Oh wi fh % ba„oP vEs S1/1?04 <br /> I <br /> © Boring# ❑ Boring <br /> © Pit Ground surface elev. 2% 7 ft. Depth to limiting factor 75' in. <br /> Horizon DepthOontinant Color Redox 0 Say!Amlication Rate ! <br /> ascription Texture Structure Consistence Boundary Roots GPO/ff <br /> in. Munsell Cu.Sz. Cont Cola Gr.Sz.Sh. <br /> O-t1 �j <br /> 3 'Ef`#1 I 'E!f#2 <br /> t' 7.SyiQ /� 1ma6/< m 1 CS 3c0 .7 J,d <br /> 1-F5 ry, / GS 3co .7 <br /> 19-30 7-.s-M v/4 — <br /> yYlllFr GS � <br /> 34- 75- 7.sYAr/y — fs J �ndl� rh f G S — 5” <br /> i <br /> I � � <br /> I <br /> Bor;ig# _❑ Boring <br /> Pit Ground surface elev. 16-1 / ft. Depth to limiting factor gs in. <br /> Horizon Depth Dominant Color Redox Desrnpbon I Texture Structure Consistence Boundary Roots Soil A G?O�fton Rate <br /> in. Munsell Cu.Sz. Cont.Color Gr. Sz.Sh. �,,, <br /> E..,., 'E.ff#2 I <br /> 7 I Ind <br /> � S-i4 7.s74 �jy — !S I /Ms6/C <br /> n m / I .GS I3co . 7 I 1p� <br /> 3 y-a� 7 I V�!/ <br /> �! -0-83 7.s f/>' % <br /> I <br /> � i I <br /> Effluent 91 =BOO >30<220 mg/L and TSS>20<150 mg/L Eluent 92=BCD.<30 mg/L and TSS<20 m L <br /> CST Name(Pl-.� Pnnn - _ G <br /> Signature nn CST Number <br /> Address <br /> rlG w1 E S S. man/'\0/S �Cc^^��k1 S lJ � / c1 7,3 9 a 0-- <br /> Date Evaluation Concucted Telephone Numcer <br /> 7,/a--o3 <br />