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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page-L of <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 <br /> 7;7— <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. D301- '? 195-^02-n0 © <br /> Please print all Information. Reviewed by Date <br /> Personal informa5on you provide may be used for secondary purposes(Privacy 4w,a.15.04(1)(m)). L—LIZ1,21-0.7 <br /> Property <br /> y7Omer Property Location) v� <br /> V EAR'—m � GovL Lot � "Al/.O 1/4 Socy T N R //, E( W <br /> Properly rs Mailing Address Lot# Blodc# Subd.Name or CSMA <br /> 7/ 7 /Yh4RKi/iN� RD ��. 4042 <br /> City State Zip Code Phone Number [I city ❑Village T 4earest Road <br /> > i MJ I -44567a i (�) P"-,2;z-/ 51,;1s� 4, <br /> O'New Construction Use: Residential I Number of bedroom 4' Code derived design flow rate GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material 4-/4d)4,(- 25AW7 Flood Plain elevation if applicable ft. <br /> General comments <br /> and recommendations: S�S.�� �(e�cr /on; 92b -� 97 '75 <br /> PI1 <br /> I �1 o�-o3z-l-'11-/G -.?4-5- /5•z5G -oyccoF-1o <br /> Boring# .[❑7I Boring r u <br /> lal Pit Ground surface elev. 9g.9 ft. Depth to limiting factor,.,? 4 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary I opts GPD/ff <br /> in. Munsell Qu.Sz. Cont.Colo Gr.Sz.Sh. 'ER#1 I 'Efi#2 <br /> 6-0 797yP j LS e-�S 2L s6 7 r2 <br /> M L -7 (r Z <br /> Boring# ❑ Boring 1 N <br /> Pit Ground surface elev. 99.0 ft. Depth to limiting factor in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary F oots GPDM <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Ef1#1 •Efl#2 <br /> 9=& ?,yye 3 /- 5 GS ttij L Sv 1417 -7 /r <br /> -5-2-0 rv4- — r 7 4 Z-- <br /> Effluent <br /> Eeluent#1 =BOD >30<220 rnWL and TSS>30:5 150 mg4 •Effluent#2=BOD <30 rtg2 an TSS<30 mgt <br /> CST Name(Please FNM) - - - CST Number <br /> ® v /Q iLrGA,,Z 1,&7 4:2 <br /> Address Date Eval u Telephone Number <br /> A,7/ 3 <S. 579 - ,PC 3�t,ryrv/,�j !-Ji 5Y 9:,?0 7 <br />