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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page_,�_of .� <br /> Division of Safety and Buildings <br /> in accordance with Comm 85.Wis. Adm- Code <br /> Caunry ,1.,c <br /> Attach complete site plan on paper not less than 8 t2 x 11 inches in size.Plan must c.0 r Yr '� ( r <br /> include,but not limited to:vertical and horizontal reference point(BM)•direction and Parcel "D <br /> / <br /> percent slope•scale or dimensions,north arrow,and location and distance to nearest road. <br /> Please print all information. Reviewed by Dace <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(mp. P <br /> Property Owner 1 Property Location ` U _/ <br /> t/ lel/,'( v GovL Lot A-- XJVtCva S U�--T-3`f/ R f4 E(dr) <br /> Property Owners Mailing Address Lot# Block# S Name or CSM# �y <br /> IqZ <br /> City State Lp Code Phone Numoer ity ❑Village ®Town of- Nearest Road <br /> MN s zv7 ( ) RUSK. ed(An+ Z;Ae RSP <br /> ® New construction Use:® Residential/Number of bedrooms 3 Code derived design Bow rate Cf 5-O GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parentmaterial Flood Plain elevation if applicable tt//A ft. <br /> General comments ll N Shtsf y;.>; <br /> and recommendations: .5 ys e f�v uAper ce10"r-f- <br /> 9f 9 <br /> N ryhest <br /> LewYv'tt:ll 1 owPt/' <br /> 90.0 CCvrb�ctil) <br /> F Boring# ❑ Boring <br /> ® Pit Ground surface elev. 7 4r d R Depth to limiting factor > $y in. <br /> Sod Atilication Rate <br /> Horizon Depth Dominant Color Redox Desaiption Texhee Structure Consistence Boundary Roots I GPO/fF <br /> in. Munsd Qu.Sz- Cont.Color Gr.Sz.Sh. 'Eff#1 'Ef*2 <br /> C 'AS-Ir/r 3&. /5 IA"S6/ -n/ c5 3co . 7 /.ot <br /> y a 8 7,SrfQ <br /> 3 a8-rp 7sYR 7 A <br /> `I s'?-8vt 7-s- RW ""a S Co s a I G s .7 /..1 <br /> I <br /> }� Boring S 0 Boring <br /> T pit Ground surface elev. 9�/•0 R Depth to limiting factor 7 S� tn. Soil Pootication Rate I <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ff <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. I I •E.'f#' I •E."»2 <br /> 7S .kfY- -- /S /a•,s6/c wt ! cs 3co 1 , 7 <br /> - d b 7-s-m 4/Y — /Fs sb/c w, I .6..s 3 co I , -T- <br /> 3 <br /> 3 b- SO 7 s m V4, S 6 O 5G rr, ! G s ,l #� 1 -7 <br /> cl <br /> I <br /> Effluent#1 =BOD -30:5 220 mg/L and TSS>30<t50 mg/L E"uent 42=BOO <30 mg/L and TSS <30 rng1L <br /> CST Name (P,-�PrW*% Signature _ �_ '� 0 <br /> CST Ntmber <br /> rJqM�3 5. �y-rv/6/s �.a�rnlcr .S Q �.7 3 yetAddress <br /> Date Evaluation Conducted Telephone Number <br /> Z1�603 dtile/ W.' S` 3 — 3/-0� (��; _ yj,7 <br />