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ORIGINAL <br /> V14sconsinDepartment ofConmerce SOIL EVALUATION REPORT Page I ot .3 <br /> Division of Safety and euldkW <br /> in accordance with Comm 85,Wis. Adm. Code �1 L <br /> - <br /> Attach complete site plan on paper not <br /> less than 81/2 x 11 Inches in size.Plan must County Urpei <br /> include,but not limited to:vertical and horizontal referenoe point(BM),direction and a-sy LD. <br /> percent slope,scale ordimensions,north arrow,and location and distance to nearest road. 0Zq -613 6h-,? 5-00 <br /> Please print an Information. Reviewed by Dace <br /> Personal intonation you provide may be used for secondary Purpose*(Privacy taw,S.15.64(1)(m)). 2M <br /> Property Owner Property Location. <br /> F N :eAe-1A-0 J "/2. - 6W 114 6jj 1/4 S �n T 541 N R /Y E for <br /> Property Owner's Mailingdress Lot 11 1 Block# Subd Name or CSM# <br /> Zg2O Ca e L <br /> City State Zip Code Phone Nemba ❑CiyVtflage ($Town Nearest Road <br /> Wa aAM 16534/ 676 )607-12gO /Citi /71r 44' <br /> �J New Construction Use:®Residential I Number of bedrooms 2 VCode derived design flow rate 1JOD GPD <br /> ❑Replacement ❑ Public o commemial-Describe: <br /> Parent material 6�4G�/,Z, V riiLA Flood Plain elevation if applicable ft. <br /> General comments /01 Il /et7l : 6r rjil� P/tr-(I $ff.'C Pry o�ayf�t {0 92.12 ( 3-Lkl't� <br /> and recommendations: <br /> 5st9' ON ge yv"�L'w,: 9,9,47 9470' <br /> XVW os -439 91C <br /> Boring# ❑fc�1 Boring <br /> � <br /> F1 IS Pit Ground surface elev. 9F7 fL Depth to I&Ntrg factor 7 71 <br /> in. <br /> SoJ Application Rate <br /> Horizon Depth Dometarnt Col Redox Description Texhae Siruchee Consistence Boundary Roots GPDff <br /> in. Munsell Ch1 Sr- Cont.Color Gr.Sz Sh. 'Eff#1 'Efta2 <br /> 0-jr 75Ye2 I /M /� lf5 F -7 1 z <br /> Z <br /> !-?—/ z / — rji ,4 45 liff- l.7 <br /> T/72 79-Le6l'el <br /> Boring# Boring <br /> ❑ Pit Ground surface elev. ft. Depth to Grilling factor in. <br /> Sod Application Rate <br /> Horizon Depth Dominant Color Redox Desc ption Tedure Structure Consistence Boundary Roots GPDIfF <br /> in. Munsell tL1.Sz. <br /> Zi Curt-Color Gr.Sz Sk 'Eff#1 *0192 75Yk'%'Z /Z- <br /> 3-4-4 7529 ,ry <br /> . 7 1.Z <br /> -X 75 l /11 '7 ( 2 <br /> ' <br /> Effluent#1 =BOD >30:5 220 mWL and TSS>30<150 mg& 'Effluent#2=BW,:E 30 mglL and TSS<30 mg1L <br /> CST me( R 1 nQer Sulawre " js <br /> Address Q� �/ �/ , Dale Evakwtion Conducted Telephone Number <br /> 270 (41►Jr n1/94J,4/1' tjr 3i n f-/�!O 7/5—e -6'070 <br />