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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 �7 <br /> County <br /> Attach complete site plan on paper not less than 8112 x 11 inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 07-040•A•Vo v'43V-6 <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. /5-pQp-04 i o•o <br /> Please pirint all information. Reviewed by Date <br /> Personal information you provide my be used for secondary purposes(Privacy Law,s.15.01(1)(m)). <br /> Property Owner Property Location <br /> Je F� sore '*Ii •ee.5 Govt Lot 1/4 1/4 S 30 T Ho N R /G E(or)(9 <br /> Property Owner's Mailing Address Lot# Bbd(# Subd.Name or CSM# <br /> / 3 3 /7Iw//an ei,-,* °lata qCity State Zip Code Phone Number ❑City []Village m Town Nearest Road &73y <br /> 5f• f� ^ 1 MA' SSS071 ( Gt!)d63- 7.586 OalcG ,el I G.orc?a/ .q <br /> ❑ New Construction Use:® Residential I Number of bedrooms -7 Code derived design flow rate 4S0 GPD <br /> ®Replacement ❑ Public or commercial-Describe: <br /> Parent material '5c/4c/oL/ /7 e'- Flood Plain elevation if applicable H/iq ft. <br /> General comments <br /> and recommendations: Cr..tr Go n ro y on J%t r <br /> �'S>�•'*a Sl•�[3 of }lord,( Sn6e <br /> µa#W as 96 B ; t6rlsbot Sattpl <br /> F Boring# ❑ Boring <br /> pit Ground surface elev. 4S•3 ft. Depth to limiting factor a o in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. `Etf#1 •Eff#2 <br /> / O- 8 7SY.84/J- — /S /rmSbk /•vtl GS 3m . 7 /,(a <br /> d a- ao 7SY/2 r//y — /FS d� sb/- / I GS Seo . S- /, o <br /> 3 xo-36 5`+R ./>r cA'4SNRT/8 IFs f-sS /e S- <br /> 4 36-s-6 7sy ,z F,> s a,z �� �� Alt/c ,• - - k 3 <br /> ® Boring# Boring <br /> © qS• a pit Ground surface elev. ft. Depth to limiting factor A/ in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDI(F <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. 'Eft#1 `Eff#2 <br /> / O- g 7•S'4iZ 3/ /S /in tb/� r+ 1 cS 3m . 7 /, (o <br /> •l Y-AI 7.s-tiR '�/y //-S olms6/< �.-.1 GS Seo • .S� /•o <br /> G,1.! 5- z% KGs ,t,ns4 S- /, <br /> y 38- 4 7•SvRS/ — C de..96/c Mtcr — - •a) •� <br /> Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg& •Effluent#2=BOD <30 mglL and TSS<30 mglL <br /> CST Name(Please Print) - S' CST Number <br /> JCNMes sa71eis nature s�ctr 734)D <br /> Address Date Evaluation Conducted Telephohe Number <br /> ?�/OO ffw 3S Gt/P bs>Srr wT S48s3 /! - t/— / / 7ir- 8db- 4/S7 <br />