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Wisconsin Department of Safely and Professional Services 4/1 \91��� <br /> Division of Industry Services <br /> SOIL EVALUATION REPORT Page_of <br /> in accordance with SPS 383,Wis. Adm. Code <br /> County Bu r/,< 7f' <br /> Attach complete site plan vertical <br /> paper not less than 8 fer x 11 inches Msize.Plan must <br /> include,bNnot limited to: ensios,northorizontal.referenceprint(distance <br /> nandcre parcelID.07+oi0• -- "5- .4 <br /> percent slope,scale or tlimensions.northarrow,and location and distance to nearest road. OS'-OGS� OJ 4l 00 <br /> Pease print all information, Re/vieOw.eed by Date <br /> Demertinermsttoo you provide may be used mr secoidery purposes newev Law,s.15.04(1) h) (../'•Ir/� ff' ( l L// <br /> Property Owner PropertyLocation <br /> e^ q n L✓a✓Yl C v} - Gobs.Lot 1/4 1/4 S 3 T 410 N R /B E❑(or)W <br /> Property Owners Mailing Address Lal# Block# Subtl.Name or CSM# <br /> N91,1 'G.ftc, "/ /ace Al- _. /�l FtyS5? V. zf. ii9/ <br /> City . - State Zip Code Phone Number ' <br /> E]Cby ❑Vllaga MT.h Nearest Read gpdy9 <br /> dNa /e Grovt ptN -.SS36r7 ( I_�.._..,__- Oak/a ee/. . - - S:,J �.sati - it/2 <br /> New Conslructiori Use0 Residential)Number of bedrooms .]' Code derived design flowrate 36e GPD <br /> ®Replacement ❑ Public or commercial-Describe'. <br /> Parent material GJ(e<•1( Qrr'Ft Flood Plain elevation if applicable <br /> General comments - <br /> andrecommendations: SyJ. 2laV 9y,� <br /> Boring# <br /> O Boring <br /> p <br /> �X pit Ground surface elev. f[. Depth to limiting factor Z/98 in. <br /> Soil Andlicafion Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff <br /> in. Munsell Ou.Sz. Cant.Color Gr.Sz.Sh. 'Eff#1 I 'Eff#2 <br /> / a-67.X-Y/?'/ — /S /e,s6 k' r.,l C s 7.e 1-7 1. 6 <br /> ,( 6.48 7.s 9R"/6 — /'If )l "G /C „„ I GS ,( s, IS 1-e <br /> zli 60 7-ti-v y / S J. stile 1-6 <br /> bc• 7Sy.�S/y — .S 6SG ,.1 I _ . 7 /. 6 <br /> ® Boring# ❑ Boring <br /> ® Pit Ground surface¢lev. 96.6 f, Depth to limiting factor 7 68 in. <br /> Soil Application Rale <br /> WW1,s1,phcominant Color Redox Description TexWre Structure Consistence Boundary Reals GPD/ff <br /> Munsell Ou.Sz. Cont.Calor Gr.Sz.Sh. 'Eff61 'Eff#2 <br /> yR3k — /s /,o,s6/c .,�/ co S»1 . 7yR '+/y / e' d,et5/< „.. 1 Yyds 6/� /s/ J,�,rbk .-. 7 cS . 7.s`7/tY -'— IVtS .1i<.,a/ <br /> 'Effluent#1 =GOD,>3D<220 mg/L and TS5>30<150 mg/L 'Effluent#2=BOD, 30 mi and TSS<30 mg/L <br /> CST Name(Please Pont) I\ Signat re .l I CST Number <br /> .Jf„{ ..S .VPnt•G/r ✓ 6�Ar-, fes/S f7.i� !� <br /> Address Date Evaluation Conducted Telephone Number <br /> d7-7 // 3-f WeisAj ,•� �✓.L _5-41"S /m- /tf-/Y -7,_t-gdG- <l/s7 <br /> SLID 8330(Ito7/u) <br />