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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,W.s. Adm. Code <br /> County <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must urn f <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. 03.k- 70i- 0,300 <br /> Please print all information. Reviewed by Date <br /> Personal information you prowlde my be used for secondary purposes(Pnvacy Law,s.15.04(1)(m)). 19)7 105W <br /> Property Owner Property Location <br /> 6ar V rh-1156% Govt.Lot 1/4 1/4 S 35" T q1 N R/7-/6 E(or <br /> Property Owner's Mailing Address Lot# Bbok# Subd. Name or CSM# <br /> d 3°t/ Sya,<e Rol. 35' � <br /> City State Zip Code Phone Number <br /> ❑City ❑Village C@Town Nearest Road <br /> 0,3ce0/a, I wl -rl"k0 1 ( 7iS ) 755= 9y7 Swlq Chtnb<rr Gk <br /> ❑ New Construction Use:® Residential/Number of bedrooms 3 Code derived design flow rate Y•r� GPD <br /> ®Replacement ❑ Public or commercial-Describe: <br /> Parent material G/tee 1a ! Qr:fi" Flood Plain elevation if applicable <br /> General comments � C9b• 3 3 Gro 98.00) <br /> and recommendations: S,rf• elect, yvpsr 9S• <br /> /owsr 9v.ti ( 93. 70 by <br /> Boring# ❑ Boring •7 <br /> Pit Ground surface elev. 96.7 ft. Depth to limiting factor 7 79 in. <br /> Soil 'ptbn Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMr <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2 <br /> / <br /> 0-3 err? Vde- — !S 3.n . 7 1. 6, <br /> 3- 98 7..sYR Yop — S o dl GS ace . 7 /•6 <br /> 3 9P 7,X 7.s YR 4 S O ml — — 7 A6 <br /> ® Boring# ❑ Boring <br /> © pit Ground surface elev. a. Depth to limiting factor 7 7� in. <br /> Soil liation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMr <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I 'Efl#2 <br /> / <br /> 0-3 7•5-rR /,a, — /s /msd t / (fs 3M . 7 /.6 <br /> 3-SD 7•S9R 46 — S O all 65 . 7 16 <br /> 3 SZ)--7,L 7srR �9 5 rn / - 7 /.6 <br /> •Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOD <30 mglL and TSS<30 mgn- <br /> CST Name(Please Prim) Signattle CST Number <br /> AMPS •s• DAN/E"/1 s/ 73�} <br /> Address Date Evaluation Conducted Telephone Number <br /> 7760 f/w 3S Websftr OSS 7/S- yb�O- ells <br />