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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of`1 <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 8 1/2 z 11 inches in size.Plan must County ,P <br /> include,but not limited to:vertical and horizontal reference point(BM),direction andper( I.D. 07 -HOJ.Sd 7-S' <br /> percent slope,scale or tllmensions,north arrow,and location and distance to nearest road. oS-oD a - A9 O o p <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property location <br /> Jo G( 4141d a n u GovL Lot d 1/4 1/4 S ,,7 90 N R /S E(odd <br /> Property Owner's Mailing Address Lot# Bbck# I Subd.Name or CSM# <br /> 9707 s. Go !z® N <br /> city State Zip Code Phone Number ❑City ❑Villa e 7 O <br /> g ®Town Nearest Road d 6 8 <br /> 8e/aif- WZ SJS'I/ (Go )/134- 396d .la�Ksovr pr.Yl �o/• <br /> ❑ New Construction Use:® Residential/Number of bedrooms A Code derived design flow rate 300 GPD <br /> Replacement ❑ Public or commercial-Describe: <br /> Parent material Lf fie.e r a 1 Flood Plain elevation if applicable ft <br /> General comments c//. /Q �/ <br /> and recommendations: �. lv s • 'e /L�f/• LV <br /> M a(Pe. OS 3F5 8-3 63 D - tAal1 „ecCi' +.Y S&--'C <br /> I Boring# Boring <br /> / ® pit Ground surface elev. 4S'O ft. Depth to limiting factor 7 8""{( in. <br /> Soil licetion Rate <br /> Horizon Depth Dominant Color Redox Description ITextum Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont ColorGr.Sz.Sh. •ER#1 'Eff#2 <br /> / 0 C4 -7 3/4 :�s6)e dl < s 3m 7 r/o`>` 3,t 7.5-111? -0y 5 X'" , 7 !. 6 <br /> osti <br /> Boring# Boring© Pit Ground surfaceelev. 9 Y. / R. Depth to limiting factor 7 71� in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. I •Eff#1 •Eff#2 <br /> / <br /> 10- 4 -7.sy/a %r — /S /n,s6k / cs 3w1 -7 /. 6 <br /> o� 4- 36 7srfRy/y — /,S d�s6k- i, 1 Gs 3M . 7 /. 6 <br /> 3 6—9P 7Sfiz 4/G — s e s4 . 1 65 IM 7 /. 6 <br /> �l 7A sJy — s ms .� / — — . 7 /. 6 <br /> ERtuent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOD <30 mg/L and TSS<30 mglL <br /> CST Name(Please Print) - Signature /� CST Number <br /> /n <br /> J" es sL�anfe/s S0 ,...w 4 734do <br /> Address Date Evaluation Conducted Telephone Number <br /> 7760 f4 3S Gt/e6s fw v2 54&93 �' 3 — /� lir- r66- 4/.T7 <br />