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i ` r <br /> Wisconsin Department of Commerce SOIL EVALUATION REPORT page I of J <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 8112 x 11 inches in size.Plan must County 43"e n'e <br /> Include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north screw,and location and distance to nearest road. nJl O - of 3/'/- O 6 300 <br /> Please print all Information. Reviewed by Date <br /> l <br /> Personal Information you provide may be used for secondary Purposes(Privacy Law.s.15.06(1)(m)). lMl•� (, �6/v <br /> Properly Owner Property Location <br /> /')&A kl&htee GovL Lot SW 1/45L✓1/4 S /`IT '/o N R /b E(or9 <br /> Property Owners Mailing Address Lot# Blocic# Subd.Name or CSMA <br /> S 3 98 S. G 7,, 57o• <br /> City State Zip Code Phone Number ❑City ❑Village gTown Nearest Road <br /> Calie 6tn►✓e 1,41AI ISSO/6 (los/ 4Is9- fOd.-. 0+/c/4o (Jr e- <br /> ❑ New Construction Use:m Residential/Number of bedrooms 3 Code derived design flow rate 0 XV GPD <br /> ❑Replacement ❑ Public:or commercial-Describe: <br /> Parent material G/a c/a/ Ori Fr Flood Plain elevation 8 applicable fL <br /> General w 94. j/ <br /> and recommendations: Syj. e/e✓• uplptr 9S ( 9S , <br /> n1;d. 94 sv ( 93.50 6e <br /> Gower 9(.90 C9I 73 6a 74too) <br /> Boring# ❑ Ing <br /> © Pit Ground surface elev. 9s Y ft. Depth to limiting factor ) 80 in. <br /> Soil Application Rate <br /> Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GI <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eft#2 <br /> o-N 7.SYR ?/#. — /S /�s6r ,rt / Gs 3co 7 4451 <br /> oL 41-A4 7..S "v/y — /S /.es6/c rr+ l GS 3co . 7 1. 6 <br /> SO 7.Sf/7y/y — s/dr o rv+/ . 7 A 6 <br /> Bori # ❑ Boring <br /> ofr19 <br /> © Pic crerina surface elev. 9S p e. Depen to limiting factor > 78 In. <br /> soil Application Rate <br /> Horizon I Depth Dominant Color Redox Description Texture SbucMe Consistence Boundary Roots GPDM* <br /> In. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •Efl#1 •Eff#2 <br /> l o-y ;"S- / P/L 7, . 7 ./. 6 <br /> el-'Ag -7s9R `// /S /w,s6k Yr+ l CrS 3co 7 /• 6 <br /> 3 d8-so 7ara4/v S/6r p », l Gs a ., 7 /, <br /> Eftttent#1 =BOD >30:5 220 mglL and TSS>30 c 150 mg/L •E1Buerd#2=BOD 130 mI and TSS 5 3D mg& <br /> CST Name(Please Print) Sign hire CST Number <br /> J'k m es S. 04"I "e/t J D" d 7:r c/d 0 <br /> Address Date Evaluation Conducted Telephone Number <br /> ).7760 /fw 3s' u/ebsfer GflL Sytt93 /o-/�- or 7�s 8�m- v/s 7 <br />