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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 <br /> CO1nty (3urn e ff' <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 d O- J 06*)•- 0AL 3 00 <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property Location <br /> Lona Honer brink Govt Lot 3 /VW1/4 SE1/4 S /9 T 40 N R /P E(or)g_ <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> J(o9 Sic Boni 6 3 Jens n LµkG5A,ore l�'�rson <br /> City State Zip Code Phone Number ❑city ❑Village ®Town Nearest Road <br /> CGn tct, Al I w,1 I syi$j''i ( 7/S-)(46- S9/6 Oak n Co Rcl G(.. <br /> ® New Construction Use:® Residential/Number of bedrooms Code derived design flow rate 3 00 GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material 0-xcm l Uri Fr Flood Plain elevation if applicable N p ft. <br /> General comments <br /> and recommendations: Sys. e!t�• `/a r <br /> r <br /> Sdri►r ). R�/ar iters ,3 itA / tv 1�'r bwnc�s {s .n-4 �4 <br /> Boring# Boring 9 6 7 <br /> e Pit Ground surface elev. 5• ft. Depth to limiting factor > 6 in. <br /> Soil icafion Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> I o- 9 �srtZ 3/,I., — /S AM.Sk/c df 45 3 f 17 /4 <br /> ,t J-d 6 7.sY4 4/ — fs kMA6/c dsh 63 /vle , S" , q <br /> 3 .16-SO S'M Y4 — S 0.5 C. s"+ I 6- S — . 7 1(d <br /> Zf S-0-76 7•rSlj7 , 5 osG ,rI GS — . 7 I�of <br /> Boring# 0 Bones c, <br /> ® Pit Ground surface elev. /6• ft. Depth to limiting factor > ft in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Effff2 <br /> / 0-/0 7,5-kA z/,- I /S IMs1k d -,7 <br /> 40-�0 75'`rR y/4 e5 a,mpdk S` <br /> 3 -Sy rm 4/y — 5101 056- 7 r <br /> Effluent#1 =BOD >30:E 220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD 130 mg/L and TSS 130 mg/L <br /> CST Name(Please Print) Signature CST Number <br /> JAM 8-3 S• 17a'1-f1s SDA/ll� d 73yJU- <br /> Address Date Evaluation Conducted Telephone Number <br /> 1.7760 Hw S web-51t,- wrflt813 5-e-03 7/-5-- <br /> yIS7 <br />