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026-1121-07-000 (2)
Wisconsin Department of Commer SOIL EVALUATION REPORT Page ~ of Division of Safety and Buildings th4Com 85, Wis. Adm. Code County C C r© ; Attach complete site plan on pap r noMnche in size. Plan must J include, but not limited to: verti and hc; e oint M), direction and Parcel I.D. Mandlocation D percent slope, scale or dimensions, ntion an distance to nearest road. 0 - 1Q1-0-7 Please print all info rmation. Reviewed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - c. PropertyOwne Property Location Property G I S Govt. Lot SW 1/4 1/4 S SCE.? T 3Q N R E (o _eU, Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1113 Hw 6y -7- 1 Pac~pA-9e Run City J l State Zip Code Phone Number ❑ City ❑lVillage ® Town Nearest Road NQW I~Ay"Gv%a 1~I W 1 SWd1-1 ('715 ) 24 6 - 813 kwc~mohO d (otk t+. IV New Construction Use: I( Residential / Number of bedrooms --2- Code derived design flow rate y50 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material T o l l Flood Plain elevation if applicable ft, General comments ftl&. ,'X Su j j 3 - S * 7S -r o. E W e k4 Foe e e- c. k S R - e and recommendations: 7.3 9?.7l I~ R 1 T. 1 (98.16) 1 • KNow•~ ; >r S;-Fe 1 : T.:2 (18.0t 1 SiTC T.4 'q7.O.'?'~ h 22-71 1 T ?(,.32*) J, t~ s l F ' Boring # ❑ Boring Pit Ground surface elev. . S ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I 0-~ 104R 3la L 1 ~C~ R Ss 0.a F , b a -1-13 10IRRjy L )FPL d F 16 3 13-18 1b 2 Sjq L 31'SdK CVj v F .5 12 y I%-aS 104RgIq CL am58CVJ 1vF -4 .(o h 54-loo Y Ik SL IF Boring # ❑ Boring CIO < jjyt R Pit Ground surface elev. / O ' Oaf, ff, Depth to limiting factor ~a y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 IoyR3/a L aF~R ds-, as a .s o $-18 1.5`IR4lb sL amsGK On CW 1 F .5 3 -1%-6a -7-5A '114 SL JF58K 6S%N C- VJ !1 .6 4v 4 I- ' `I+ Cor,+a►~s Po~l~ s o~ 7,SYk s~`1 L, * Effluent #1 = BODS > _ T > < 5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sigma CST Number Ov% C, -T. s ark u L <,Iz ~,l aal-7 L16 Address Date Evaluation Conducted Telephone Number a7h zoo-"% s+ S+ac- Prarve, W1 Sga26 10-Zo-ao -pis-2LI2-358$ SBD-8330 (R07/00) Property Owner N6Mt a1 at(s Parcel ID # Page of Boring D-1 Boring # r o ft. Depth to limiting factor / DD in. Soil Application Rate ~ Pit Ground surface elev. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I o-9 lo~l~'la 5L a ds~, as a .5 .°I a q-so ~.svR`11 SL. a 1-sa ds aW i r .5 .9 3 so- 54 `'Iq SL_ vtFS'S as,,, - .s .g - Boring # Pit Boring in. Ground surface elev. 00.71 ft. Depth to limiting factor /OC7 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I G -q WA K 3la L ~ F& R s~ as a V .5 3 a 9-4 wy9414 CL amsB rls6 CW IF .14 .b 3 d3- -1,sq ylq S L ► sa ds~ aW 1j r .y . b 30-Io s yR NIy --r-SL fF 8s - . b 15 YR spy E=S La erc Boring Boring # Ground surface elev. 01• Y ft. Depth to limiting factor /00 in. F,51 ® Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 o- oy s/ a 6 5 F F .a Yf a IMS- s ic .j .Au * Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L The 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. SBD-8330 (R.07/00) 46,11e- IJU~ t r pa~c -5 w.XIf S A XI T 3 rte, ► " ~ 17 V l W-O hi4 -r~PFt.~~ C.orncv~j a ~MOi.rK4 E3 t S pjo 0 o Nw v a r 3 -7 % PEM F 0 SAL.. t t04. tip ! ~ err) loy.9g' -Ft v, e Y, .P-, lbo,70 40 loa,77'