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I <br /> isconslnDepartmentofCommeres SOIL EVALUATION REPORTCivtsion of safety and Buildings ?ale cr 1 <br /> in accordance with Comm 35,WIS. Adm. Code ( t <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must Courr/ <br /> include.but not limited to:vertical and honzontai reference point(BM),direction and <br /> percent slope,scale or dimensions.north arrow.and location and distance to nearest road. Parr�.y <br /> Please print all information. Reviewec by Cate <br /> Personal informs/ion you Pr 1(14 may be used for s Wdary purxsas(Privacy law.s.15.001 <br /> ( )(m)1. i <br /> Prop"Owner r Property Location <br /> r� GovL Lot 11/4 —1/4 SZ T N R 1'7E(or) <br /> Property Owner's Mailing Address lot x Block SutM.Name or CSMr <br /> C tY State Lp Code Phone Nwro—ar <br /> ❑City ❑Village Town Nearest Road <br /> (� New Construc:ion Use:❑ Residential/Number of hecrooms _ <br /> Code denied design do«rate_ y� GPO i <br /> C3 Replacement / C1 Public or commercial-Describe: <br /> Parent material h I r�"n Ti 11 <br /> Flood Plain elevation if appiicacle <br /> General comffwlts ft. <br /> and recommendations: <br /> F-11 Boring# 0 sorkv <br /> 140 Pit Grid surface elev. 9 ,o fL Depth to raytiting factor Z/ in. <br /> Horizon Depth Dominant Rix Z-091 <br /> litatiat Rate <br /> Dasaipddn Texture 8inxtre Consistence Boundary RootsPOM <br /> in: Monies Qu.Sz. Cont Color Gr.Sz Sh , ( '0#2 <br /> t o- X'SY0e,1Z 25 /rrn6 F 7u. . ,2 <br /> Z —Zm 767 <br /> S •8 <br /> I <br /> I I i <br /> I <br /> zo <br /> Ip Pit Ground surface elev, l CJ.CJ R Depth to limiting factor tn. <br /> Horizon Sod Application Rate I <br /> Depth Dominant Chlor{ Redox Desuiption ( Texture Stnrca,re Consistence) Boundary Roots GPON I <br /> Q1 ,sew I Qu.Sz Cont.Color Gr.Sz.Sh. I 'E'!s; I 'E'*2 <br /> 5 Z 1--- i l 5 m k 45 ! e F I .7 <br /> F5I i .ss I vF ► . 1 9 <br /> I <br /> Eluentx1 =BOO >30 1220 mg1L and TSS>30<150 Mgt Eluent 92=800,<30 mg/L and TSS i 30 mcA <br /> CST Name(Pea o4itwiCST Nurnaer <br /> '(� <br /> Address <br /> �J�7 <br /> Date Evaluation Cancured Teleprcne Ntmcer <br /> ZI7�0 3 tivadg�e/ t U.' S< 3 7-Z3—v �71F 7 <br /> t <br />