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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page [ - 3 <br /> Division o(Safety and Buildings of <br /> in accordance with Comm 85,Wis, Adm. Code <br /> Attach complete site plan on paper norless than 8 112 x 11inches in size. Plan must County <br /> Include,but not limited to:vertical and horizontal reference point(8M),direction and Parcel LD. 0 7-0 -K 6-.a2-3<j'- 6 a -3 <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Please print all information. Reviewed by Date -- <br /> personal I formabq ou p vid' may ba used for secondary purposes(Privacy Law,S.15.04(1)(m)) <br /> Property OW r '+ Gb.tc aakr Property Location ,0 c— - r2 L� <br /> r . r V.otlox`2�l3�' <br /> f Q w e4wAl Govt.Lot S'E 114,5 Lr]114 S.2<( T 317 N R 14 E (o W <br /> Property O er's Mailing Address 51017 Lot# Block It I Subd. Nam or CSM# <br /> y o 7 3TZ`i <br /> Ste e, hone S,N — <br /> a ip Code Pumber uv&0 <br /> I ! Z ❑City El own N/e�ares/t Road W <br /> yam( New Con!truction Use: Residential/Number of bedrooms Code derived design flow rate GPD <br /> ❑Replacement n Public or c merci I-Djescrib�ejJ_ �1 <br /> Parent material �..7Cl�- ('/ [-r Flood Plain elevation if applicable <br /> - <br /> General comments <br /> and recommendations: L511/ <br /> 51 wr 1�v 96.116 <br /> MSW Qs 4311b - (5146oI„t -�ueLrZ� <br /> 11 15311 <br /> # � Boring <br /> 11S"`pi( Ground surface elev.g_���ft. Depth to limiting factor_�Q � in. <br /> Soil Application Rata <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu,Sz. Cont.Color Gr. Sz.Sh. 'Eff#1 'Eff#2 <br /> l5 <br /> I <br /> ❑ <br /> Boring# Boring q c-'/ <br /> --pry Ground surface elev._L y_if Depth to limiting factor✓ _C�__—in, Soil lication Rato <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> In. Munsell Du.Sz. Cont.Color Gr. Sz.Sh. 'EfNt1 'Eff#2 <br /> 7 <br /> pip E ue #1 : 00 >30 1220 mg/L and TSS>30< 150 mg/L 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L <br /> Signet a CST Number <br /> CST Nomaij Plsoso P t) �ZT� -- <br /> Date Evaluation Conducted Telephone Number <br /> Address 7�� <br /> lh�� <br />