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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of g <br /> Division of safety and Buildings <br /> in accordance with Comm 85;Wis. Adm. Code county <br /> Attach complete site plan on paper not less than 8 12 x 11 inches In size.Plan must lith t <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 07 oA 1T A 40 /4 vl -oJ- <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Ds/ O(YOOO f on/ZAG) /!5 O <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Lew,s.15.09(1)(m)). <br /> Property Owner Property Location <br /> /®,*l /G 1 e[t'f Govt.Lot f 1/4 1/4 S rl,A T y0 N R /-f E <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> gJ•6 AnArrorH S:< V 1 e.436 <br /> city State Zip Code Phone Number ❑City ❑village ®Town Nearest Road <br /> ReseuJllr yxN SS1/3 ( ) -S4o714- Ce /?c! A <br /> ❑ New Construction Use:m Residential/Number of bedrooms 3 Code derived design flow rate ySo GPD <br /> ®Replacement ❑ Public or commercial-Describe: <br /> Parent material 5:14 c y a( 0.0 i Kf- Flood Plain elevation if applicable N//4 ft <br /> General comments <br /> and recommendations: S7�f' �'/E iJ R A• o D � 9/• 57 {� 9 3.80 <br /> dPPU as 439 D ' GrdY Co14.-Aenah a Col« IcY. <br /> © Boring# ❑ Boring <br /> ❑K pit Ground surface slay. 9(/• 0 ft. Depth to limiting factor �y in. <br /> Soil ADDlication Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF <br /> in. Munsell Ou.Sz. Cont Colo Gr.Sz.Sh. •Efl#1 I •Efl#2 <br /> / o - 4 7.SIt? 31' k / f /. S&Ac / e 3.+ . 7 1. 6 <br /> d H-dir -7.S-11z y/ti /s At j4le �, I G 5 lea . -7 L <br /> 3 }Q- <br /> -7.5-1K '/f, -- /s es G w. r G s bP"1 J. 61 <br /> Boring# Boring <br /> ® Pit Ground surface elev. `JS•d ft. Depth to limiting factor 7 76 in. <br /> Solt Application fiats <br /> Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eft#2 <br /> 4 7.Sti? s/ /J ImAb/e P I c57 3r+ . 7 116 <br /> .L °7- 34 7•s-w24/df 1S J,"SA/c A f jYs 3c0 . 7 1, 6 <br /> 3h So 7 s"+R 1* _ S of& w+ l G S AM . 7 1- (o <br /> 4 s0-76 7•Sti/?r!y s (SSG .+^ ( - . 7 4 6 <br /> •Effluent#1 =BOD >30<220 ng1L and TSS>30<150 rtg1L •Effluent#2=BOD <30 mg/L and TSS 130 nglL <br /> CST Name(Please Print) — — Signature CST Number <br /> JG/r1&-5 Sanre-/S V&tzf ,Q.c..-.� 73440 <br /> Address Date Evaluation Conducted Telephone Number <br /> 77lODfi`w 3S <br /> We, ;4, u'.rS`4897 lJ-A(— to 7/r rT66-- v/S'7 <br />