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Wisconsin Department of Commerce SOIL EVALUATION REPORT <br /> Division of Safety and Buildings Page�_of_ <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County C h`0— <br /> f�, <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D. <br /> ae�S- 410115- os— 00 <br /> Please print all information. Review DaQ �J(,. a3te <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). /JV 1 , I <br /> Property Owner Property Location /C <br /> .Dale Peier-So h Govt.Lot. uW 1/4 5k✓1/4 S J,S T 40 N R /k E(or) <br /> I <br /> Property Owners Mailing Address Lot# Block# Subd. Name or CSM# <br /> #519 west Pon►f 1►14. I/ 1 A �S <br /> C State Zip Code Phone Numoer ❑City ❑Village 5• 9 ®Town Nearest Road <br /> n pk^ k/l SyBD/ (��S)613s- 76.1 1 west Po/►JL Rel <br /> © New Construction Use: Residential!Number of bedrooms J` Code derived design low rate GPD <br /> ❑Replacement ❑ Public or commercial-Oescnbe: <br /> Parent material l,1A era Or,i tC7� <br /> Flood Plain elevation if applicable A011 ft I <br /> General comments r~PO K v C el/ 9y <br /> and recommendations: SAS. C/d <br /> /ow re C-C// �I 6 <br /> Boring tt ❑ Boring o <br /> Pit Ground surface elev. 9.7•q ft. Depth to limiting factor 7 >� in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots I GPD/fF <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. 'Er'#1 -E,f#2 <br /> / 6-3 7--s-M -- /S /ins6k ! Cs 3 m . 7 /. d <br /> d 3- 3d 75-r? �'4 Fs 0s sS <br /> , 7.L 7ryR ��G r, I Gs 3M •S <br /> 3 , 5 <br /> j ( ` <br /> I <br /> Borino# ❑ Boring <br /> �J J pit Ground surface elev. �7 ft. Depth to limiting factor 7-4 in. <br /> Soil Acciication Rate <br /> Horizon Depth Dominant Color) Redox Description Texture Structure I Consistence I Boundary) Roots i GPO/fF I <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. ( 'E f�1 'E-" 2 <br /> 0-3 -7,3"M 1 /S I Irr,sik <br /> 13-As 1 7 s-yR "/y _ <br /> os G I <br /> wlahk wee 1 bs I � S- ( • 7 <br /> 7A-7( 7.sY/j =/q f'/f s-' <br /> j a j o I <br /> j <br /> Effluent 91 =8OD.>30<220 mgil-and TSS>30< 150 mg/L 'Ef!uent T2=BCD <30 mg)L and TSS<30 mg(L <br /> CST Name (Pl-� Pkntl S' nature <br /> CST Numoer I <br /> J)t9MEs <br /> Address Date Evaivation Conducted Telept•,ene Numoer i <br /> `7- - �!/57 <br />