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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page_of_ <br /> Division of Safety and Buildings <br /> in accordance with C amen 85,Wit, Adm. Code <br /> County (�.....,,e Y/" <br /> Addle complete site plan vertical <br /> paper not less Nan 81/2 n 11 pint( M size.Plan most <br /> percent but not limited to:vertical antl horizontal reference point fist direction and Parcel I.D.o� o JJ 1 yr /G Sr,r <br /> percent slope,scale or dimensions,north artow,and location and tlistance to nearest road. OJ]000 <br /> Please print all information. Reviewed by>/ Date <br /> Personal information you 0ravi4e may be used for awardery in"sas(Privacy Law.S.1504(1)urd. <br /> i3 <br /> Property Owner Property Location <br /> /&o,, 54n ar 54�, an Govt Lot 1/4 1/4 SSS T. y/ N R /b E(or& <br /> Property Owner's Mailing Morass Lot# Bbck# I Subd.Name car CSM# <br /> tol03N C 5A4dew LAlie.' 0,- <br /> City State bp Case Ptone Numter ❑City ❑Village 2Town Nearest Read Jer 33 <br /> t"' t.4./1<t / N 5a-01P ( <br /> ❑ New Constuchon Use:® Residential I Number of bedrooms 7 Code derivetl design flow rate ' J O GPD <br /> 29 Replacement ❑ Publicorcommercial-Describe: <br /> Parent material G/A C1A / rD; --Y Flood Plain elevation if applicable y/ly %. <br /> General comments SY-,r. <br /> and recommendations:. <br /> Boring is ❑ Boning <br /> ® pit Ground surface slay. 9y. p ft. Depthto limiting factor 7 7) in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Reflex Desuipton Texture Stluchure Consistence Boundary Roots GPD/IP <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.1 'ERIt1 I 'Eff#2 <br /> es s..r . 7 /. /o <br /> of, J"eb/e ,.., 1 e< S .z/•+ . 7 /. 6 <br /> -J5 7SYR y/G S os G H I 4 /_ -7 /. G <br /> y-7L 7svRs/9 — 9 oSG — -7 /. G <br /> ® Boring# ❑ Boring <br /> ® Pit Ground sudace elev. z/ A ft. Depth to limiting tactor 77 b in. <br /> Soil liptort Rat¢ <br /> Horizon Depth Dominant Color Redox Description Tetdure Structure Consistence Boundary Roots GPD/IF <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. 'Eft#1 -ER#2 <br /> 0-3 7,14173// — /S /m36/l I 6 .5 - .r— . 7 /• L <br /> 76d , 7 /. L <br /> p -sb 7syR /F — s oSG o- 5 dm -7 /, 6 <br /> 7k 7_5-v/7 <br /> 'Effluent#1=BODs X30<220 '1 and TSS>301150 ri 'Effluent it2=BOD <30 ngfi antl TSSc 30 mgt <br /> CST Name(Please Part) - Signatur ! CST Number <br /> James SL�nn1g/s 734dD <br /> Addmss Date Evaluation Conducted Telephone Number <br /> � 7�60ffi 3s L(JeP'5y, .- w2- S48e3 7-�N-/3 lis- X66- v/S7 <br />