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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page--I_of 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 812 x 11 inures in sae.Plan must County <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. O 3d 9/41 S Od H D O <br /> Please print all infonnadon. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Lew,s.15.04(1)(m)). 9 <br /> Property OwnerProperty Location <br /> GGr-r, Y <br /> TU e l Govt Lot 1/4 1/4 S 3 S T y/ N R /(o E(oro <br /> Property Owner's Mailing Address Lot# Block# 1 Subd.Name or CSW <br /> (0607 `/ewe r i4 SNR A6RM7 3743,71 <br /> City State Zip CadePhone Number ❑City ❑Village <br /> n bµr w, S fJ 0 ®Town Nearest Road <br /> DA <br /> y (��.r ) bS6- S <br /> 7c�6 - wiss I F/iw.rfir. <br /> ❑ New Construction Use:0 Residential/Number of bedrooms�_ Code derived design flow rate _7100 GPD <br /> E$Replacement ❑ Pudic or commercial-Describe: <br /> Parent material ir✓itr-i w./ (fir:(f Flood Plain elevation'd applicable A01 ft <br /> General comments <br /> andrecommendations: Sys• /�'�• 9/• DD 1(& 9S.at'i) <br /> Ma0f4d 65 Or - re-n / {y /Q <br /> Boring# ❑ Boring <br /> ® pit Ground surface elev. ft. Depth to limiting factor 7 Ido in, <br /> Solt cation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF <br /> in. Munsell cru.Sz. Cont Color Gr.Sz.Sh. •Eft#1 •Eff#2 <br /> / m-J 7.S11,Z J4 — /S /"JA* <br /> .rt / c s 3.n 7 /. 6- <br /> 7- 44 7-44-11-'? fs'y _ S a.,sG <br /> 1 pfd- 7.S yi2r/y — S Oda_ ( _ <br /> Borg# ® ung <br /> ❑ Pit Ground surface elev. 96.0 ft. Depth to limiting factor 96. in. I kation Rate <br /> Horizon De <br /> pih Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff <br /> In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Efl#1 •Eff#2 <br /> / _ 3 7 _ i S . 7 /. 6 <br /> EflWent#1 =BOD >30<220 mg1L and TSS>30<150 ffKA •Effluent#2=BOD <30 mglL and TSS<30 mWL <br /> CST Nemo(Please Pdm) Signature CST Number <br /> .Junle.s s/�In/e/s SQaw 73wJo <br /> Address V Date Evaluation Conducted Telephone Number <br /> et 7760�-- 3s �e-bs lrwr wr- S48t3 8-d v-o q 7�s'_ �(,b- 4iS7 <br />