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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / 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 U!'Neif- <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. Oct —`l k QQ— /0;iaa <br /> Please print all information. Re5p!5 Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). in b3 <br /> Property Owner Property Location <br /> Pau L, 13ea.rJ Govt.Lot Mw 1/4 SE 1/4 S l9 T 50 N R /b E(o1�w <br /> Property Owner's Mailing Address Lot# Block# I Subd.Name or CSM# <br /> 601 Ca.r(Smh Pkwy 5µ.+t 630 <br /> City State Zip Code Phone Number ❑City ❑Village 0 Town Ne st Road <br /> MIriAe.fonko MN 1SS30 - I ( ) 4 'J <br /> 4f F <br /> M New Construction Use:® Residential/Number of bedrooms_� Code derived design flow rate 3LY� GPD <br /> ❑Replacement ❑ Public/ commercial-Describe: <br /> Parent material r�/41,'141 N/"Iet Flood Plain elevation if applicable <br /> General comments <br /> and recommendations: <br /> '7Y3 <br /> Boring <br /> � Boring# f�I <br /> tit Pit Ground surface elev.Z_ft. Depth to limiting factor ;?X) in. <br /> SoilADDlication Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> Z 37 -Y y/ GF5 D 1 B S <br /> 7-70 7-6Y61# F44 L <br /> Boring# ❑ Loring <br /> m Pit Ground surface eiev. 970 ft. Depth to limiting factor 77Z in. Soil ADDfication Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW <br /> in. I Munsell Qu.$z. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 <br /> I <br /> - 6 -3 175he?12LS 117144 IVz e15 Z/n -7 <br /> g z �s d iF <br /> Z 75 V <br /> Effluent#1 =BOD >30<220 mg/L and TSS>30:5 150 mg/L 'Effluent#2=BOD <30 mg&and TSS 130 ntg/L <br /> CST ame(Please Print) gnature CST Number <br /> 701&4.y- <br /> Address Date Evaluation Conducted Telephone Number <br /> ?776J �w �� �i �r/ lir' 2-1� kZ32 - Y„ <br />