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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page/of 3 <br /> Division of safety and Buildings <br /> in accordance with.Comm 85,Wis. Adm. Code p <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County 13 K r n e <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. Odtl 43/Y 07/00 <br /> Please print all information. Reviewed by Date <br /> Personal infomration you provide may be used for secondary purposes(Privacy Law,s.15.01(1)(m)). b.Jwn26� <br /> Property Owner Property Location <br /> Lynn 13 QGovt.W Al 1/4 NE 1/4 S /y T L/p N R /b E(or)© <br /> Property(Tuner's Mailing Address Lot# Block# Subd.Name or CSW <br /> 9/3S (3r!!E--u .-rd � Ph e <br /> City State Zip Code Phone Number ❑City (jVillage ®Town Nearest Road /02 SS <br /> Eden Pr^rr /na/ SS3Y7 (9Sd ) 9351- S300 Otic/." d LD Rd C <br /> ❑ New Construction Use:® Residential/Number of bedrooms X Code derived design flow rate y s GPD <br /> ®Replacement ❑ Pudic or commercial-Describe: <br /> Parent material G/Qc °` / �. Frt Flood Plain elevation Napplicable ft. <br /> General <br /> e eralcoommentsons: SYs• ale✓. upo•a 9r• 60 f6 9S•0) <br /> /e we 99. 60(6 gf,43� <br /> 06"p 25 344$ B - RGT'rUM A04Mp/ SANtj <br /> /❑ Boring# ❑ Boring <br /> ® Pit Ground surface elev. 9S. 6 ft. Depth to limiting factor -$_4 in. <br /> Sal kation Rate <br /> Horizon Depth Dominant Color Redox Description Textt re Structure Consistence Boundary Roots GPDN <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'E0#2 <br /> / o- Y 7.Sfr7 Y� — /-s /M-(A1A n1 / is 3rw 7 /. 6 <br /> 4t y�S`O 7.Sfldy )Mj;h/e m/ GS 3a0 7 /, 6 <br /> 3 s+-s9 7.S'f/'r/y GseP StR %G / / 044r6b/c -7 1. 6 <br /> 4 Sy- bo SY/7 y/q F/F SWTSJy vW/5 } • .r6/e ,1,✓F - - y !v <br /> Boring# ❑ Boring <br /> 0( pit Ground surface elev. 5s. 6 ft. Depth to limiting factor s`a in. SWI Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff` <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •EfT#1 'Eff#2 <br /> /-4' /..,0.6/< m l G s 3.., . 7 /. 6 <br /> Y-s-a 7 5-1f/7</y S d+r s 6/e l A.J S e o . 7 1. ,6 <br /> 3 �O-r6 SYR `'/1 CTd sYR % VF/s 'Am,'#ble fl GS - '! 6 <br /> 'Effluent#1-BOD >30<220 mglL and TSS>30 1150"KA 'Effluent#2=BOD <30 mg&and TSS 130 nlWL <br /> CST Name(Please prim) - Signature CST Number <br /> amps S66071e✓ /s S4-),-,� 734)0 <br /> Address V Date Evaluation Conducted Telephone Number <br /> X77(00//L 2s Web ?ore w.r S-401,3 6- 2 -06, lir- P6G- 4/sem <br />