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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 7 <br /> Division of Safety and Buildings <br /> In accordance with Comm 85,Wis. Adm. Code CountyAttach complete site plan on paper not less than 8112 x 11 Inches In size.Plan must Qu r n <br /> indude,but not limned to:vertical and horizontal reference point(SM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location aria distance to nearest road. 0 31k— S 3 19- 6 if 00 <br /> Please print all%ntofnlatlon. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy law•s.15.04(1)(m)). 67 <br /> Property Owner Property location <br /> r nk - n Melia, Govt.Lot .SLC 1/4 /VF114S .1ST 'Y/ N R/(,-/7E(or) <br /> Property Owner's Mailing Address. Lot# Block# I Budd.Name or CSM# <br /> d 8,6,Y 6Y.1 <br /> City State Zip Code Phone Number ❑city Village Town Nearest Road <br /> F erre �� .sy817 ( ) barn SY' <br /> ® New Construction Use:❑ Residential/Number of bedrooms Code derived design flow rate S8 GPD <br /> ❑Replacement © Public or commercial-Describe: Q w n K <br /> Parent material lr/0'a/.. / Or%ft- Flood Plain elevation if applicable —NA ft <br /> GeneraI comments <br /> andrecommendations: Sy-/- elm✓ 93. 9G �-Ea 95 70) <br /> ¢AAPPso 145 69AICAL)A - MCAAA&A CorlQlbx — jamby- Fe6wf TnOt- FRl!W r 7* -&hy Cde4 4u <br /> Boring# ❑ Boring <br /> Pit Ground surface elev. %6. 7 ft. Depth to limiting factor 7e in. <br /> Soil icatlon Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM <br /> In. Munsell Ou.Sz. Cont Color Gr.Sz.Sh. -Eff#1 I 'Eff#2 <br /> / <br /> 0- 7 7,5-3')?'/e, — /S /.n s 6/e lin l 4S 3 F . 7 1. 6 <br /> 7-/7 7S- If/? jkm56/'c l (r5 /� . S 1. O <br /> ? /7-34 -!5-)'R /y — is �, ; s - . 7 /. 6 <br /> <i y- ; 0 7 SYR /5 — S o S G / s — 7 1, 6 <br /> S 7o - �y 7-1. 1/2 %y /<-/Ps-R os a- t <br /> A ndi' aL <br /> ® Boring# ❑ Boring <br /> ® Pit Ground surface elev. 7 O ft. Depth to limiting factor 7 7G in. <br /> Sal lication Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/R <br /> in. Munsefl OU.Sz Cont.Color Gr.Sz.Sh. 'Eff#1 'Elf#2 <br /> 0-8 7syRJ/ — /S /,nab/< c.s 3.= /. 6 <br /> 3 ar 36 srn' %v /s 6r J.rs6 r r l 6 S — <br /> . -7 <br /> cJ D6' 76 7.tYi? s/y s oSG ,n I — — 7 /. 6 <br /> Effluent#1 =BOD >30:<220 mg1L and TSS>30<150 mrg& •Effluent#2=DOD <30 and TSS<30 mg1L <br /> CST Name(Please Print) Signature '• x`/ CST Number <br /> .Jit <br /> Address^�/ Date Evsklation Conducted pTelephone <br /> Number <br /> 7-0 7 <br />