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/ Wisconsin Department of Safety and Professional Sawices ORIGINAL <br /> Division of Industry Services <br /> SOIL EVALUATION REPORT Page_of_ <br /> in accordance with SPS 383,Ws. Adm. Code <br /> County OµY„e.� <br /> Atlach complete site plan ve paper not less than 8 fer x 11 inches M size.Plan must (� <br /> include.but <br /> pe, limited dimensions, <br /> orthannow,ontal and location <br /> point(distance <br /> nave Parcel ID.07-oa0-J-VC-/017000/S <br /> percent slope,scale or dimensions,north arrow,antllocation anddistance to nearest roatl. - WA/. b/7000 <br /> Please print all Information. ' ' Reviewed by Data <br /> Pere nal tnlormalion Ira nmvina may in.aaad for sacordir, .pir,-(Pr,,,y taw.s.1504(1um). 42B11- <br /> ProppertyOwner ,,/1 Property Location <br /> /l lLa /T <br /> h <br /> 6d Gm Ic Sem Govt.Lot SE 114 w 114 S L0 T S'O N R /6 E❑(or® <br /> Property Owner's Mailing Mdress Lot# I Black# Subd.Name or CS1Mt :. <br /> d,4756 E. rWllew Rd.' .7 Lapuwrs 4tv. V/cc.v6E of: w <br /> City State Lip Code Phone Number ' ity V llage Y Town Nearest Road 76 T4 <br /> D'mbu.• ' 11 S-YS30 � (v/S) sol <br /> ® New Constmction Usef'Residential/Number of bedrooms d Code derived design now to 3Do GPD <br /> 13 Replacement ❑ Public or commercial-Describe' <br /> Parent material 4,/6 c 1 e/ /)•-:H Flood Plain elevation if applicable /✓//9 t. <br /> f <br /> General comments Sy1• a/< p✓• l4•7 <br /> and recommendations: <br /> Boring# ❑ Boring <br /> © Pit Ground surface die, 96. 7 f1. Depth to limiting factor_] 9y in, <br /> Soil Appl.fican Rate <br /> Horizon i Depth <br /> -rt Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM <br /> In. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'EtMt 'E@#2 <br /> / O- W 7..SY7t�/1. /$ /w. 'b I, .•. 1 GS 3/n ._7 /-6 <br /> '1-341 7.JYr2'//Y — /rJ dm fb/e MI 5 3ee� ,S /.O <br /> 3 34- 7,9/2 y/L <br /> y sl-WT, <br /> SYz r)y r coJG <br /> Boring le ❑ Boring <br /> © Pit Ground surfaceelev. 'I'S"- 7 0. Depth to limiting factor J 7y in. <br /> Sotl Application Rate <br /> Horizon Depth Dominant Color Redox Desnidion Texture Structure Consistence Boundary Roots GPD/P <br /> in. Munsell Cu.Sz. Cont.Cobr Gr.Sz.Sh. 'Efill 'ER62 <br /> 71712 MA /.S /car s b/! / G J 3r•+ . 7 /. 6 <br /> W-3l -7.- -Y/? /FS o(...r S/a ... I GS 3t> . J- AID <br /> J 1v- 41 7r1,B s os6 ..•. r 6S 3 e /. 6 <br /> L/ %- Sr/ 7-SYl1 y/O /FS <br /> -71f 7s3R 9ti — .S <br /> 'Effluent#1 =SOD,>30 220 mgd.and TSS 130<150 mgIL 'Effluent 42=BOD•<30 mg/L and TSS<30 mg/L <br /> CST Name(Please Print) Sign m CST Number <br /> Jd.-r'rs S �u.„, -e/J S �c+.-..�� .f;7:3?Yrfo <br /> Mdress Date Evaluation Conducted Telephone Number <br /> }'77Bd N.r.. �- (.t/-G.bslr-- G.➢.i d`Y,S�3 9-dY- IY ” 7/3<rf66- � 7 <br /> S11283331BU71137 <br />