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%meconsin Department of commerce SOIL EVALUATION REPORT <br /> Division of Safety and Bindings Page I Of <br /> in accordance with Comm 95,Wis. Adm. Code <br /> Attach Complete site plan anCotxt <br /> paper not less than 8 112 x 11 inches In size.Plan must h /J�j <br /> Gt,Y h f/ f" <br /> include,but not lirtuted to:vertical and horizontal reference point(BM),direction and Parcel I.D. d 1 Y- <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. of - 34-44 03--Wo <br /> Please print all information. Reviewed b Date <br /> Peraanal irtlonnadpn you prwae may ha used for seeeneary pwpoaaa(Privmy taw.S.15.04(1)(m)). <br /> Prop"Owner I o3 <br /> Properly location <br /> P4 <br /> ner S eGov.Lot AIW 1/4 5+ 1/4 S d g T 39 N R 17 E( <br /> Address <br /> P �Ohtsteh � lot# Block# Subd.Name or CSM# <br /> //GO G res�dlew GY: <br /> Cihr state Code Phone Numbx p city ❑Village ®Town Nearest Road <br /> r1Ta le weoe>0 hi I SS/19 1 ( ) 1 L/ c /n I S.n i th Rel <br /> ® NO Construction Use:® Residential/Number of bedrooms Code derived design flow rate 300 <br /> GPD <br /> Replacement ❑ Public or commercial-Describe: <br /> Parent material C-/acral /Jrt¢Y <br /> Flood Plain elevation if applicable N//'f1 ft. <br /> and reGeneral mnacos s, (f m v. 9 w. <br /> and recommm 5Xendations: 9 <br /> Boring# ❑ Boring <br /> ❑ Pit Ground surface elev. (S / R Depth to limiting factor g in. <br /> Horizon Depth Dominant Col Redox WRxts <br /> cation Rate <br /> Description Texture Structure Consistence BoundDrff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. rn l c swil �srn6f e St, h1t�i CS3 <br /> i <br /> Sorin# ❑ Boring q a <br /> 1 i Pit Ground surface elev. 9S I ft Depth to limiting factor y ! in. <br /> Horizon Depth Dominant ColorSoil Aoclication Rate I <br /> Redox Description I Texture Structure Consistence Boundary RootsGPD/fF I <br /> in. Munsell Cu.Sz Cont Color Gr.Sz.Sh. � 'E"�1 •E.»2 I <br /> o-y 7.5Y 3/d /s fmsbk ml i CS 3Cp .7 <br /> I. 4- 49 7.Sy/( y/ — /S /rvis6k rn ) . GS 13to . 7 I /, <br /> 41-Sy 7.SYR G act SYR r/* rt, <br /> sy- 60 SYR r/3 fif S'YR r/8 <br /> Effluent 91 =SOD >30<220 mg/L and TSS>30<150 mg/L Eluent R2=800 <30 mg/L and TSS<30 m L <br /> CST Name (Pb—o'"'rh Signature - <br /> JawleS S. 6A)l arl S S Q x� CST Numaer <br /> d �39dU` <br /> Address LqDate Evaluation Conaucted Telephone Number <br /> Zm6D 3 d s><e� l,U. 5` to- to— b �7l0 - x/57 <br />