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Vis. Dept. of Safety and Professional Services SOIL EVALUATION REPORT�r� Paae o; <br />Division of Safety and Buildings ` � f I <br />in accordance with SPS 385", Wis. Adm. Code �— <br />1 County <br />Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must 7 <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 !--cation and distance to. nearest road. ..p12�Z-!{ -ZZ-f /rj � -7C5-- OiF4*Z <br />Please print all information. Re I ved bN Date �7 <br />Personal information you provide may be used for secondary purposes tP&4tacy Lav, S. 15.041 (1) (m))- % 0 —;:57- 1 ) <br />Property Owner Property Location <br />6(44t 444141 Gov, Lot 114: 114 S ZZ't zd tV R /—E (or)9- <br />Property Owner's Mailing Address Lot # Block # Subd. Name or CSMIft <br />Cj,State Zip Code Phone Number ❑ City ❑village [Wown Nearest Road - <br />lJ t Lit,* ► 5� ► (!5'1 ) 2Y7-5ZIM 7-gCk6 ej 101,14 <br />e�-' <br />New Construction use: 77Residentia! I Number of bedrooms Code derived design flow rate �'c_ GPD <br />❑ Replacement ❑ Publommercial - Describe - <br />Parent material 6�4" RX114- <br />cl Flood Plain elevation if applicable /�•�/� ft. <br />General comments <br />and recommendations: <br />Boring <br />Borino <br />171< �7 <br />iCl pit Ground surface elev. 96' ft. Depth to limiting favor "! /Y in. <br />Soil Annliratinn Rate <br />Horizon <br />❑ <br />Depth <br />in. <br />Dominant Color <br />I Munsell <br />Redo:: Dascrption <br />} Cu. Sz. Cont. Calor <br />Texture <br />Structure <br />Gr. SZ. Sh. <br />Consistence <br />oundary <br />Roots <br />GPD/ft 2 <br />fi*1 ` <br />E ff#2 <br />1 <br />-1607.5101? <br />5 <br />1�- <br />G 5 <br />/m <br />Me <br />165 <br />.7 <br />! <br />Z <br />-141- <br />PL <br />S <br />f -- <br />.7 <br />Il <br />UZ <br />I <br />� <br />! <br />I <br />! <br />I <br />! <br />I <br />! <br />fi <br />fi <br />Boring <br />n (y <br />17L Boring pit Ground surface elev. ( Depth to Smiting factor 7 in. <br />Coil Annliratinn Rate <br />Horizon <br />Depth <br />in. <br />Dominant Color <br />Iviuns211 <br />Redox Description <br />Qu. 8z Cont. Calor <br />Texture <br />Structure <br />I Gr. Sz- Sh. <br />consistence <br />oundary <br />i <br />Roots <br />t <br />GPD/fl 2 <br />ff#1 <br />ff k2 <br />1 <br />p- - <br />5 <br />,3 <br />1 1r)lC7 <br />I <br />i cis <br />.7 <br />I1.Z <br />Z <br />-141- <br />PL <br />S <br />f -- <br />.7 <br />ILZ <br />UZ <br />t <br />i <br />1 <br />1 <br />* Effluent #1 = BOD � > 30 < 220 mg1L and TSS >30 < 150 ma/L ' Eff lent #Z =13UU < < 3U mg/L and I bJ < 3u mgrL <br />` CSTNa� �p�/¢ Signature , ^� �jST mber <br />i Address ( DateEvaluationConducted Telephone Number <br />SVS 1,0jr-1-7 7/5'-5'66-0202 <br />SSD -8330 (RI 1/11) <br />