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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3
Olvlsion of Safety and Buud)ngs
in accorrlanca with Comm 65, Wis. Adm. Code county R } 5r CM
Attach complete site plan on paper not leas than 8 112 x 11 Inches In size. Plan must ~
' include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D./
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. D 1~1 J
r e Date
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Personal informsUon you provide may be u d for ar+bdntl r>, urA~r!~ toy Low, 15.04 (1) (m)). ~d tJ
Property Owner : gb-WiC5 u.P rc t-1jl'Fb Property Location
C'iRIStI'PtN--A-- A~ S1AI
U 1l4 0 ~ 114 S ~p T Z ~ N R IS W
Qt2f►W PrC tt T~ !to F
Property Owner's mailing Address « Block # Subd. Noma or CSM#
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50 270'"x' ? _ - ~ 1'ENDt rJio~ 0
City State ZJp M~i Phone N-U I ❑ City ❑ Village Town Nearest Road /
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wooovlt ('Gi 5 ozu IS 7Leh c~fl 2-70PEE
New Construction User Residential ! Number of bedrooms 2 Code derived design flow rate GPD
-
,a ❑ Replacement ❑ Public or comrnerdal - Describe: -
Parent material ^ 'T) LL Flood Plain elevation if applicable L~1 •fl' _ _ R.
General comments 6 FZ
andrecomrnendstlons: M0 u;UD SYSTEM O.5 ~G1tDIN G(~ 01 g~,(.y~~' S
/.or s'D VIt_L r rA a~ adcCi~p. -el
~ ~ Boring
Boring #
Pit Ground surface elev. ft. Depth to limiting factor 'z{O in,
Soo A Ilcallon Rate
t' 2.C (I
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots *Elf# GPD/f?
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
r , p-q o x/z !r - r s 's 0.9
tl1 grl z f- s 2 - a.S a.6
3
3 541 - S Zq~- 0. S 0,8
5 o e it 3/ ut sl t rjf .5 14-f om o..
jo 3K
' C,7,a d r - o .s o.-r
3 10 Ic3)4 s
Z ~ ~ G
a Boring # Boring
Z Pit Ground surizce ebv. qq1 QS ft. Depth to llrnltlng factor In. Shc ttcatiost Rata
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPD/f Eff#2
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh.
w
z Q-IS 3s I yf- ds otS Z -f a.S .b
3 .-zt' - s tr - f . S
_MAf _r
' e no
' Effluent #1 = BOO > 30 < 220 rrWL and TSS >30 < 150 mg/L ' Effluent #2 = BOO 5 30 mg& and TSS < 30 mall
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' CST Name (Please Print) Signature CST Number
zZ 32-
A)AU 10 Address Data \ ucted Telephone Number
ress
WRg75 ID AVe, Rtv~ 'FAU-S WT 51422 06 -ZI-03 7t5 y~t~-1~t7S
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Property Owner AC-01E ! F, (.01Z.AINE Parcel ID # Page 2--of
3 _
Boring # ❑ Boring
Ground surface elev. _
a {~qf Pit 7..D_Is n. Depth to limiting fedor '~4 in.
Soil IicatIon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
' I I 070 '19, *r- L f-rn AS ab _rn 0.5 016
Z. 9-13 0 3i6 11 - r Z-6-pi .s
3 /s-z9 ~d 3 1 _M o.~ 0.:5
24- Qft,-V sl r 0.3 1).5
$ U D 4)4 fZ 5 0.14 16
❑ Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor In.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eft#2
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor M.
Sall A licabon Reis
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
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Effluent $11 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BODE < 30 mg& and TSS < 30 mg1L
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'rhe Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format. please contact the department at 608-266-3151 or TTY 608-264-8777.
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PATE: 06-~8-a3
06/06/03 TLIF 06:63 FAX 715 366 4680 im 402
CERTIFIED SURVEY MAP
Il•• LOCATED IN PART OF THE SOUTHWEST 1/4 OF TAE NORTHWEST 1/4 OF SECTION 6,
TOwNSNIP 26 NORTH. RANGE 1S WEST OF THE 4TH PRINCIPLE MERIDIAN, TOWN OF
e> 'CADY, 9Y. CRO11! COUNTY, WISCONSIN. ,
dp+'1 ~ `FOUND J/4" R[ROO L111ELd7tEA1+~dD8 JD I .
I r NW 1/4 CORNER DrmIEj..Il A70".
SECTION 6, TZ8N, R18w •A ' 1, '
f r,: 1 , 12td,93'
I I 133.00'
' gI p3' ai
1 ,
~1 1 I ROO N
`1l 1 1 = r-~ LOT 1 H
f►'i 1 f INCLUDING ROw
607332 A.f.
15.33 Ac,
I Eseau 3NS. RD
I I ied I" f' Is.~4 "a
t • ~l~Ur
1217.43' W
W ( 89'42'94" E
misc-All
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1ri-O I 89.4 A"
626.03' LOT~- 1NC`. DAa F. W =
OLu01NC ROW 13 1 E11c 7G06J , 4.11
As A9 LOT
N 69'x6' ' ' W INCLL26 flow ~IT 7,63 'g 1O21 l.F.
I 1 LOT 4 1i no
~ 46AO'
INCwarNO now
i . IL EXCLUDING ROW S[.t FROM
2 +7 a S AR. F tduNTT TIES
r EAST 1/4
~Y T2tcram 6N, Rtbw
907.29'
I FouI+G 1" IRON N 89'30 Oa" E 211,02' go,-95-
I PIPC WEST 1114 CAST WEST 1/4 LINE O PON O I LT~011~~+DA
SECTION A. T28N. RISW 1~!'!P~`8-T~EP ~ DS-Sen S am jp
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I I aSIMa 9Y twil
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NO?>£: OWNER: LEGEND:
fi SURVEY CONDUCTED AT THE * SET 3/4" Bt 1a" IRON
Q6^RINO6 ARE RCFERENCED To THE WEST REOUE6T OF THE OWNER: PIN WT. 1.50 LOS./F'T.
LINE OF tNE NW 1/4 OF SECTION 6, AO M CHRIBTE:NSEN -411p. COI,wNTY-6ECTION MONUMENT
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ASSUMED TO BEAR b 00'33'50, w. KURT 677 BE Ca BENDY ELIZET DRIVE (FOUND AS OTED)
HUOBON, WI 56016 100' 8WOLDINC 3ETISACK
LINE
WALES 1' WW WALES ° SOIL SORINC LOCATION
4e Ica lop JOINT DRIVEWAY EASEMENT l !
TMIs INs rRuMENT CR^FTEO OY BRIAN PERSON SHEET 1 OF 2 `I
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