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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page �_ of--3— <br />Division of Safety and Buildings <br />in accordance with Comm 85, Wis. Adm. Code <br />County <br />Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must <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 location and distance to nearest road. O A $— y /O `/ — O X 7'00 <br />Please print all information. Reviewed b Date / <br />Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). <br />Property Owner Property Location G I <br />DA v e SO bas k i Govt. Lot S w 1/4 N W`1/4 S 9 T y p N R/ y E (or(W.) <br />Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# <br />9006 (54,-7ee,- /''Lf -6 <br />City State Zip Code Phone Number ❑ City ❑ Village © Town Nearest Road <br />io4ls <br />-rvl v e ✓ Gro v if 1�7/t! SSD7� ( 6-5-7 }SSSr -'75' 70 Sco 77` �',^o m i e h'cf - <br />❑ New Construction Use: ® Residential / Number of bedrooms _� Code derived design flow rate 36a GPD <br />❑ Replacement ❑ Public or commercial - Describe: <br />Parent material G/mac r a / /Jr r' Flood Plain elevation if applicable /VFW ft. <br />General commentse� yy• 9 to <br />and recommendations: Sys. � 1'e v. PP <br />/Owe ✓ 5 j. 4 4. <br />FBoring # <br />t' <br />❑ Boring <br />® pit Ground surface elev. 17S -A ft. Depth to limiting factor -�' 76 in. <br />Soil Aoolication Rate <br />Horizon <br />Depth <br />in. <br />Dominant Color <br />Munsell <br />Redox Description <br />Qu. Sz. Cont. Color <br />Texture <br />Structure <br />Gr. Sz. Sh. <br />Consistence <br />Boundary <br />Roots <br />GPD/fe <br />'Eff#1 <br />'Eff#2 <br />l <br />o-3 <br />7. SYr? 3/r- <br />— <br />�S <br />o <br />ft / <br />c s <br />3 Al <br />, 704 <br />/, 6 <br />16 <br />3?-'X'q <br />;7. -5- 'r R #A/ <br />— <br />F_S <br />a <br />1 <br />G S <br />3 co <br />31 <br />.7 <br />3 <br />ao-60 <br />-7s-'/Ry/b <br />ZY <br />GD- 71, <br />7, <br />Boring # 11 Boring <br />Pit Ground surface elev. 96 ft. Depth to limiting factor > 8'45' in. <br />c..ii A—fi—fL— P-7.7 <br />Horizon <br />Depth <br />in. <br />Dominant Color <br />Munsell <br />Redox Description <br />Qu. Sz. Cont. Color <br />Texture <br />Structure <br />Gr. Sz. Sh. <br />Consistence <br />Boundary <br />Roots <br />GPD/fF <br />'Eff#1 <br />'Eff#2 <br />l <br />0-4 <br />7. s -'r f <br />— <br />/S <br />rv) 1 <br />CS <br />" <br />.7 <br />16 <br />Y- 30 <br />7.5 -i; -R `//6 <br />— <br />-5 <br />o <br />j-.-, l <br />G .S <br />31 <br />.7 <br />' F-Muent #1 = 5005 > 30:< 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L <br />CST Name (Please Print) Signature �) CST Number <br />UQn -P d 73 `/o40 <br />Address f Date Evaluation Conducted Telephone Number <br />x-7760 93 le - /9- eel <br />