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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page J of. z <br /> Division of Safety and Buildings <br /> in accordance with.Comm 85,Wis. Adm. Code <br /> County I?r~rnCY/ <br /> Attach complete she plan on paper not less than 812 x 11 inches in she.Plan must <br /> Include,but riot 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. C>7-012-2-4015-Z6-5 -ool- 03$00o <br /> Please Print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,a.15.01(1)(m)). !¢ dN <br /> Property Owner Property Location <br /> Jo e L, d t C-14 Govt.Lot / 114 1/4 S Jr T r/Q N R Ir E(or)& <br /> Property(Tuner's Mailing Address Lot# Block# Subd.Nacre or CSW •0,� pf d(� <br /> /y 6 9 m r tls tit• Al / V. /s Pint <br /> City State Zip Code Phone Number ❑City ❑Village ®Town Nearest Road <br /> INA4.9 h/>ed I AN f/ r/ 1 %S-1 )at/O- 757S- J.tG KSOn o V w r;K Rot <br /> ® New Construction Use:® Residential/Number of bedrooms 01 Code derived design flow rate 300 GPD <br /> ❑Replacement ❑ Pubtic or commercial-Describe: <br /> Parent material '14a i c/ (7r r il�f Flood Plain elevation if applicable 9 9d• D NAV -90 ft. <br /> General comments W1 A1140 /rdrellkr NX4A- Wur6sar.4,* .cony So"d �on►e <br /> and recommendations: M1Td; ShSa d0* 406 hwae Sr�Ffrae.rF (Jio E{r Fyr ra i f <br /> 8 <br /> 5644w: <br /> 4 w1n(• ZYk So/L Absof'bv. ee!/, �n less <br /> 5644w:4rr; l) .a rrrrarce. 76 GFi.r.4 SefsJrscK- is <br /> 9re•d,+.c b✓ �-+ of.SnkY l Igvr/ettyr, IoM• <br /> 8 an A•T.U rL rrllEsUed Ye /Edge 6ae- 57t or-*K ;Fo.%AbArAb're Cs/. <br /> Boring# ❑ Boring <br /> ❑ pit Ground surface elev. ?10-0 ft. Depth to limiting factor 3 o in. <br /> Soil Application Rale <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2 <br /> / <br /> 0-4 7SYR•r/A /3 /n1.06le '"1 s .7 /•6 <br /> d `Y-749 7.rYRy/y _ /S a,..1i,� .» i 4 3tro 7 /. 6 <br /> so S <br /> -1..r w? /v Gad rYR %rr a s� .»1 s ,c w+ • -7 /• <br /> 4 <br /> "-70 7XYiT-479 f ®JG <br /> r>re L4 0d 70ir <br /> Boring# ❑ Boring <br /> ❑ Pit Ground surface eiev. 9 90• D ft. Depth to limiting factor 36 in. <br /> Soil Application Rale <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I •Eff#2 <br /> / o- 4 7.sYP 3/A —' / /�,tAle M l G s 3..1 . 7 1. 6 <br /> d y- 76 7-SY.? '//9 — /s a4mab/r a„ 1 G S 3ca . 7 /, 6 <br /> 3 3L-so 7. rYRy/y G SY/? -578 s rusk , 1 s s✓r 7 /•6 <br /> Se-7 7•d•Y,'7s/S' Jt- µ � l — •7 <br /> G e GPk., -e <br /> Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mglL •Effluent#2=BOD <30 mg/L and TSS 130 mg/L <br /> CST Name(Please Print) Signature <br /> JGm es s Lit�, /s g S � / J o <br /> CST Number <br /> Address Date Evaluation Conducted Telephone Number <br />