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Wisconsin Devalm>enl of Commili ce SOIL EVALUATION REPORT Page-j—of=3 <br /> Division of Safety and Build ingc <br /> in accordance with Comm 85,Wis. Adm. Code p <br /> Attach complete site plan on paper rat less than 81/2 x 11 inches in size.Plan must County <br /> Include.but rat irntted to:vertical and horizontal reference point(SM),direction and <br /> Percent slope.acerb m or diirwduns,north arrow,and location arid distance to nearest road. Parcel LD. <br /> O�0 47/ $O 0 A 010 0 <br /> Please print alt Information. itevewea by Dale <br /> Personal inlamation you provide may be used for sewMary,p xpmn(Pnvwy Law.a.15.04(1)Imp. z �G <br /> PropeertyOwner Property Location <br /> Z)011 6 e h Nr A - Gov.Lot 114 WS JOT qO N R /6 E(or)q <br /> Property Mnees Mailing Addrilies Ld# I Block# I Subd.Name or CSMAa �.(4(f ���1-Ir• <br /> 3 ,� Are 1 PS <br /> City State Zip Core Plane Number ❑City ❑Wage g(Town Nearest Road 7 S <br /> W,L <cis. tnV 56093 (576 7) 03S- 7761 E/an Pr10# ecf /��G <br /> ® New Construction Use:® Residential/Number of bedrooms A Code derived design flow rate 3e0 GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material GIaewa l Ar/{+ Flood Plan elevation ifappicable _./ 1,4 R <br /> General owrrharas <br /> and recommendations: <br /> 41 106enrn It //&+r Zea 3 No tooth Obswpva, . <br /> Boring# ❑ Boring <br /> ® Pit Ground sumacs eev. 96, 7 ft. Depth lo limiting factor 3 6 n sou Application Rae <br /> Horizon I Depen I Dominant color Reaox Description Texbre Structure coraudencce Bwndary Roots p" <br /> in. Mord Qu.Sz. Cora.Cola Gr.Sz Sh. 'EH#1 •EfM2 <br /> I 0-3S*-R4/j� ,f /MJ6K / GS JF 7 /• 6 <br /> d1 3-13 7.S'r1?"/(p — /FJ doft sdh r" 1 6S r. »r .S /. 0 <br /> 4 3 -ti4 �sr�?y/y fto[ SyR�Y ids . ass ,, ,e,, <br /> S Y2J-6� .s #f y/y 7FJ M iAk m l — f Aa <br /> w /fit ft ''0t4 ve bared lfe -r <br /> Borl g# ❑ Boring <br /> ® Pit Ground surface deny. 514.3 R. Depthloli iliN favor > in. <br /> SON Application Rate <br /> Hortzdn DqM Ddmimant Color Redox Description Texture Structure Consistence Boundary Roots GPDM <br /> in. Munsd Qu.Sz. Cont.Color Gr.Sz.Sh. 'Ef#N '002 <br /> / a- 4 7.S--T1? "/- — is /w,s4,t . 7 16 <br /> -/rr ZSY/f 1/i — /FS dTsbt t es 2<6 <br /> ;,", 41e nrf; <br /> Eftwd M a BOD >301220 mg&and TSS>30<150 mg& •Effluent#2=BOD <30 mg&and TSS 1_30 nqL <br /> CST Nam,(Pease Prim) Signature- Signatu�re� CST!amber <br /> aw4 4>y qg O <br /> Address Date Evaluation Conducted Telap ham Number <br /> 47760 /Rr., yf GJebsfsr w1 ttld93 -��-aA 7/s- P66—�,vf7 <br />