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WlsconsinDepaftrnentofCommerce SOIL EVALUATION REPORT Pap--Lof 3 <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County &e n 7f <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north avow,and location and distance to nearest mad. ©a f <br /> Please Print all information. Reviewed by e Date <br /> Personal infomution you Provide may be used for secondary Purposes(Privacy Law,a.15.06(1)(m)). <br /> JJ -IU -OS <br /> Property Owner Property Location <br /> kei+hv- O/nne McN Govt Lot p� 1/4 1/4 S /d T 410 N R y E(or <br /> Property Owner's Mailing Address (.oj# Block# Subd.Name or CS <br /> 300,4 S . 3 /sr' Sr.est of esrn (/, <br /> city State Zip Code Phone Number ❑city []village ®Town Nearest Road <br /> La CroA!r a tm7' 16'116o/ 1 ((pej ) 7gg' 4'35y Ca✓'s0.1 l7aP <br /> ❑ New Construction Use:® Residential/Number of bedrooms_� Code derived design flow rate e O GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material e"&c d a / Oe"Fr- Flood Plain elevation if applicable /l R <br /> General comments <br /> and recommendation: sys. e/rd bPf9y. 70 (7 `Nn fe 9730 <br /> /aw to 93- 70 ��o g6.7l5) G� <br /> Boring ng <br /> FT1 # ® pig Ground surface elev. 90' 3P� <br /> ft. Depth to limiting factor�_in. <br /> Soil Application Rate <br /> Hon zon Depth Dominant Color Redox Description Texture Structure Consistence Bound ry Roots GPD/IF <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sr-Sh. •Eff#1 'Eff#2 <br /> / o-ef ZS YR MA — /.ns6/c irr . 7 1. 6 <br /> 9 .t8 7srR y/y — / f /�rssk / Gs eco . 7 /•6 <br /> 3 A8-qP 7.sYR 17 — S o r» f 6: ,5 Sin , 7 1. ,6 <br /> F Boring# ❑ Boring <br /> ® Pit Ground surface elev. '1(-- 7 ft. Depth to limiting factor 1 4 in. <br /> Soil 'cation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bound ryRoots GPD/ff <br /> in. Munsell Qu.Sz Cont.Color Gr.Sz.Sh. 'Eff#1 •Eft#2 <br /> l e -Y 7sY-/?4 � /s /r.r56/- ,,l cs 3,, .7 A9 <br /> a y- so 7skr17% — /kos )mx4k <br /> ? <br /> SLI-7A 7.SYR /FS o(r,s6/� <br /> 'Effluent#1=BOD >30<220 mg1L and TSS>30<150 mg/L •Effluent#2=BOD 130 and TSS:5 30 nlWL <br /> (ST Name(Please Print) - - Signature CST Number <br /> Jn4nfe3 s Jf of� I ak7avde <br /> Address Date Evakidon Conducted Telephone Number <br /> x.7760 few .Zs w�e.r{<- wr sy893 _�-es �/5-�66- �/s7 <br />