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Wisconsin Department of Commerce SOIL VALUATION REPORT page ! of 3 <br /> Division of Safety and Buildings <br /> in accordance with Comm S!,Wis. Adm. Code county <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must <br /> Include,but not limited to:vertical and horizontal reference point(BM) direction and Parcel I.D. 010 9.22,55 02 000 <br /> percent slops,scale ordimensions,north arrow,and location and distance to nearest road. /b,�O2o 9125 0 Bob <br /> Please print all information. Reviewed`rylb Date <br /> Personal Int« sflon you provide may be used for secondary purposes(Privac f Law.a.15.04(1)(m)). <br /> Property Owner Property Location <br /> %owr MA �,;4 GovL Lot 5w 1/4 N` 1/4 S Sol T -/O N R //o E(or)IV� <br /> Property Owner's Mailing Address Lot# Block# I Subd.Name or C" <br /> 1g68 E^f/e Acle- Lone a9440 d. )eer"es Estefes <br /> City State Zip Code Phone Number ❑City ❑Village JZTown Nearest Road <br /> :fArjftf Area I V.4. I old/•s3 (703)Sb'i -33415 0,4K/and Gnco/n se <br /> ® New Construction Use:B Residential/Number of bedrooms Code derived design flow rate 4-f"0 GPD <br /> ❑Replacement ❑ Pudic or oofrxnerdal-Describe: <br /> Parent material G/.e lir/ �r�f` flood Plain elevation If applicable N�/� ft. <br /> General comments <br /> and recommendations: sh- • a%' �A. AD gZ• s �0 9s� 70) Gr. 9 Lenrmy on - sr)`e <br /> MWO As M604*&A 5nuD <br /> a Boling# o Boring <br /> ® Pit Ground surface elev. `>'G.S'ft. Depth to limiting factor > 90 in. <br /> sal Rate <br /> Horizon Depth Dorninant Color Redox Description I e)mre Structure Consistence Boundary Roots GPDfiF <br /> In. Mussel Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1I 'Ef#2 <br /> 1. 6 <br /> st /1-aS 7.s'rA' `Y4 t</s �,„sbk rrh I S 'A <br /> 3 �s=351 7.sbRr/q — os� l GS — 7 1. 6 <br /> Shit s/ /. a//.c 6.n s <br /> 79- 90 7.SYi7-91, S osG .., / — — . 7 /. 6 <br /> PBadrng# ❑ Baring© Pit Ground surface elev. 9S. 7 ft. Depth to limiting factor > f# in. <br /> sol ication irate <br /> Horizon Depth Dominant Color Redox Description rexture Structure Consistence Boundary Roots GPDW <br /> In. Mussel Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'EfFQ <br /> / O-FO 7.S-'r/tIY S 05 e- -3^7 . 7 1. 6 <br /> e-a16 7.•ry/t'09 S A Ms 61e s., l G 5 A^I S— /• O <br /> G-84 7s-fR�', S b36 «^ d Gf — 7 40 <br /> Effluent#1 =BOD >30:!220 mg1L and TSS>30<150 mg& •Effluent#2=BOD <30 mg1L and TSS 130 rug& <br /> Nam CST NaMeaae Print) - - S - CST Number <br /> Ja..nes S, 0,%nre/s f�� �� a(73z4,iO <br /> Address Date Evaluation Conducted Telephone Number <br /> 77 3s cde6sfer 'w� SS'B9J 3—d1-b7 71s--966- e//S7 <br />