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WiscorisinDeparima<ltofCommerce SOIL EVALUATION REPORT � <br /> Division of Safety and Btitidhigs Of <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attafi complete site plan on paper not less than 81/2 x 11 inches in size.Plan must Coolly / <br /> inchde,but not limited tu:vertical and hodaonlal reference point(BM),direction and <br /> Percent slope,scats or diMensians,north avow,and location and distance to nearest road. P1111 LDL <br /> Q 2$ , y I el Q^,-) <br /> Please print all/n/lormadon. Reviewed p <br /> Personal Information You provide may be used for secondary purposes(Privacy Law.a 15.04(1)(m)). I at Sury COY <br /> • mp •7 oww Property Location <br /> K, vr- Govt.Lot 1M 1/4 S3 T Lk N R) � W <br /> Property Owners Mailing Address Lot# Block# Sufxi Nave CS CSM# <br /> /k /ewViliaga <br /> 004 At City �o ( )N 4 J umber � own Nearest Road <br /> Y6 1 <br /> New Comensnstrction Use g Residential/Number of bedrooms_ Code derived design flow rate ,�� <br /> ICt R GPD <br /> LQ� Public or oorrun,Aerdal-Describe: <br /> Parent material LS c• 4 1 /)r l f Flood Plan elevation ff applicable General comments M <br /> and recommendations: SE — 9.5r 99.0 <br /> Boring# ❑ Boring <br /> Pit Ground surface elev. E)O.O ft. Depth to limiting factor V in. <br /> Horizon ?*Eff#1 <br /> cation Rate <br /> Depth Dominant Redox Description Texture Structure Consistence Boundary RootsD/fF <br /> in. Munsell Qu.Sz ConL Color Gr.Sz Sh. ,Eff#2 <br /> Boring Al ❑ Boring <br /> ER Pit Ground surface elev. . ® 52-0 fL Depth to limiting factor _in. <br /> Horizon Depth Dominant Redox Description Texture Structure Sod Rate <br /> in. Munsell Qu•Sz Cont Color Boundary Rooms GPD/fP <br /> Gr.Sz Sh. 'Efl#1 'Efl#2 <br /> D 5 -j r3 / S <br /> CST Nanw'Effluent#1=BOD, 30:S�0 ( and T;14'71 <br /> •E ff2 and TSS<30 mglL <br /> (Please pi" - -CSTNumber <br /> Addreate +LtudTelephoneNumber <br /> PO Box 161; Gordon, WI 548381 -0 y 715-376-2278 <br /> VITA;1 .�„�EOi'3: <br />