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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page_L_of3 <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 8 7/2 x 11 intoes in size.Plan must County 13µr A ti-tf <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 0-1 o r d i Vd` /Jr-,t 7 4 04 <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. e o of r o o e ro/14tY5 os}aD <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.07(1)(m)). 13 <br /> Property Owner Property Location <br /> ELVArna.r•n Ww ACS Govt.Lot ,1 +PA/a SE 1/4 S ,1•3 T 41 N R IS- E(or& <br /> Property Owner's Mailing Address Lot# Block# Subd.Nene or CSWZ?/3 9 W. a L/< /7d• 3A4 <br /> V. I P a,t 3 <br /> City State Zip Code Phone Number ❑City ❑Village Town Nearest Road 7l f/J 7 <br /> Web ger W5- k 89?I ( ) UAC kf,., I w. 134-ss 4k iad <br /> ❑ New Construction Use: Residential/Number of bedrooms 3 Code derived design flow rate �/SO GPD <br /> ®Replacement ❑ Public or commercial-Describe: <br /> Parent material _ G/4G i K 10,1 C r' Flood Plain elevation if applicable /VFW ft <br /> and recommeral endations: 1W • e/c✓. w�f< ^ 9J -7091.9f� 96• zo) `'C/ <br /> /.7P+r•' 9l.-717 C9/.3'� >S �3•�) <br /> A8'N4 83 4-7451 o Gr+ycara�• ��,,, >•� <br /> Boring# Boring <br /> pit Ground surface elev. 9`• ft. Depth to limiting factor 80 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff <br /> in. Munsell Cu.Sz. Cont Color Gr.Sz.Sh. •Eff#1 I •Etf#2 <br /> / e- 3 7.ryM-11A — /s 1, .061e . 7 1.4 <br /> d <br /> 3-.1 9 7.SYR 4/,4 �•s d '''esk ,,, 1 46-S Ice 7 A/, <br /> 3 3f-" 7.syR e/G — f asG / G s J i+r 7 A 6 <br /> Boring# Boring <br /> © Pit Ground surface elev. gy. 7 ft. Depth to limiting facto > 74 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> in. Munsell Qu.Sz. Cont.Colo Gr.Sz.Sh. •Eff#1 •EB#2 <br /> / e - 4 7.ryR-Y/t — /s ir.,a6X ,., / ct -3 + 7 /. 6 <br /> 9- 3,t 7. Y/4' — /S dMjrh < 6S ace . -7 /•6, <br /> 3 3,f• fir 7syR%G — s case M + a s .t M . 7 A /o <br /> tl 9W- 74 7.s yr? %A — s o s L r„ 1 — — 7 <br /> •Effluent#1 =BOD >30<220 mg(L and TSS>30<150 ntg/L •Effluent#2=BOD <30 mglL and TSS 130 mglL <br /> CST Name(Please Prima) _ - Signature / CST Number <br /> jC%M es 5 Del,7 o lS 5- G .w � 734)0 <br /> Address 11 Date Evaluation Conducted Telephone Number <br /> � 77(00/fw 3.5— Gtleb3 fur wr S9Ps3 -/� /D lis- P66- 4/S7 <br />