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Wisconsin Department of Commerce SOIL EVALUATION REPORT page I of <br />Division of Safety and Buildings <br />in accordance with Comm 85, Wis. Adm. Code <br />Attach complete site plan an paper not less than 8 112 x t 1 inches In size. Plan must C"ry <br />include, but not Ilmited to: vertical and horizontal reference point (BM), direction and Parcel I.D. <br />percent slope, scale or dimensions, north arrow, and location and distance to nearest road. <br />Please print all Information. Reviewed by Date <br />Personal iMOrmetion you provide may be used for secondary purposes (Privacy law. S. 15.04 (t) (m))• <br />Properly Owner Property Location l <br />Por. 4 /7 l -n a G0v`L Lot sGV 114 N� 1/4 S <br />Property Owner's Address g T 3 9 N R/ E (or) <br />"� Lot # Block # subd. Name or CSM# <br />19 3 Nus on d - �4 I � S <br />City State zp Code Phone Number <br />DAi bZAe SY830 716 O Cay � Village <br />®Town Nearest pow <br />( ) (oS(a 3/�`� _- Rask 1 Gx d.. ir. /% R1. <br />® New ConstNCbw Use:0 Residential / Number of bedrooms Code denved design now rate 306, <br />GPD <br />C:1cem <br />Replacement C3 Public or commercial - Describe: <br />Parent material _ G/wore ( Flood Plainevaticn if applicable <br />R. <br />General cart.ttents 5�y S. e /,e v, y P p •t'' CC// 4' l ..i led 11,1 <br />and recommendations: l o w t r c t I/ q 3 yo q 3.9 <br />Qdrrnp Z l Al .3' cy Mori yo)t S rr band's fs s'rR y/3 <br />Boring # u ..w,,,y e?I/- <br />® Pit Ground surface elev. R Depth 10 limitino factnr Q� <br />Horizon <br />3 <br />Depth <br />in. <br />d -S <br />a4-3.� <br />-1� <br />Dominant Col <br />Munsell <br />7•s�4 3/k <br />7.5- Y/1 4A, <br />SYS s/3 <br />7 v <br />7-3- Y/Q �' <br />Redox Description <br />Qu. Sz. Cont Color <br />-- <br />— <br />-K1-C --•srR % <br />Texture <br />rs <br />/S <br />C <br />rrl S <br />Structure <br />Gr. Sz. Sh. <br />1,ns6k <br />/msbk <br />3m *bk <br />b /f <br />o S 5 <br />Consistence <br />►�, ! <br />y► -1 l <br />mrrf; <br />m <br />.-► ►1 <br />Boundary <br />�s <br />GS <br />cs <br />G 5 <br />G S <br />Roots <br />3cO <br />3co <br />t 16' <br />-- <br />— <br />Soil Anolication <br />GPD/fF <br />Rate <br />�7 <br />- 7 <br />, 7 <br />-7 <br />/- d <br />/rd <br />. 3 <br />/.'. <br />36�5� <br />7•-f%R <br />mS <br />Osy I / <br />GS <br />I <br />' <br />+ <br />E <br />3onna # ;❑T Boring q <br />w Pit Ground surfara plpv rS 6 F� M--- G 1 <br />Horizon <br />a <br />3 <br />Depth <br />in. <br />io-y <br />ly-ao <br />a o� <br />Dominant Col <br />Munsell <br />�.s-Y23/� <br />7sYRy/y <br />-1-yR % <br />Redox Desc iption TextureFGS <br />Qu. SZ. Cont. Coicr I <br />I /S <br />-- j /s <br />FIf PR f/9 � c <br />ucture Consistence Boundary <br />Sz. Sh. <br />I+�,s6k.7 <br />�,>7s6 l I .Gs <br />3rn mi k I <br />J Sod aoclicadcn Rate I <br />Roots GP4/tE <br />I •E` -V I •Eff#2 <br />-3C0 1 , 7 /, d <br />Tele0honeNurricer <br />3 £I <br />7s YR % <br />-- 11 SI <br />m -S k! <br />S <br />36�5� <br />7•-f%R <br />mS <br />Osy I / <br />GS <br />-- I . 7 I /rot <br />nt #1 = 800. > 30 < 220 mg/L and TSS >20 < 150 <br />k_a i Mame (h"n�en Pant% <br />Address <br />21760 /,(,r✓ 35 <br />Signature <br />—ueni T2 - BCD < 30 mglL and TSS <'0 mc�L <br />p_ <br />CST Numoer <br />Date Evaluation Conducted <br />Tele0honeNurricer <br />6 -0?- a 3 <br />�Ztt>) Bt4 - Z1i6 <br />