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WiisconsinDepartmdntofCommerce SOIL EVALUATION REPORT Page of
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Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. 'C5
„nty S T 6<201 V
Attach complete site piano Psnorth f less than 8 1/2 x 11 inches in size. Pia ust
include, but not d v horizontal reference point (BM), directio(~ 9 Pa I D
percent slo s o arrow, and location and distance to neafestgtl~0 fb4~ f~ .2 t% Cic'~ v
e print all information. viewed Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m))., t / i b
Property Owner Property Location
T? I C~aii-A d I 'V\ Govt. Lot SE 1/4 56114 S,) T N R ) 6 E (orrfND
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
O 8 2 /P~P .
City State Zip Code Phone Number ❑ City ❑ Vllage gTown Nearest Rqad N )I
W a CJ 0, fie W L 1d'-_.~l80 Faf,~ G ll .Try, f3
❑ New Construction Use: ❑ Residential / Number of bedrooms -3 Code derived design flow rate GPD
E9.9pepiacement ❑ Public or commercial - Describe:
Parent material - 4 c~ e SS eoc het 7J~/ Flood Plain elevation if applicable
General comments
and recommendations:
ovt ~a~~occv- p6.S-
Moc~ d sy~~~ y7 s
❑ Boring
a Boring # Q7 d c~
pit Ground surface elev. ft. Depth to limiting factor oS 7 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 /0 Ye 3f- 0~ L (o
K MaD C s 6 u~ L) 3
a b vR 112 -7 Y C - o a
® Boring # ❑ Boring
Pit Ground surface elev. K,, S- ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fll
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2
0 l y 3( b vJ a J 8
13 3 0Y k D 7 .Sy2 s t-
ALL)
Id ID'Yk e P 7 a e O b
` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Prin
Signature CST Number
~b t , Pejje&0"\ 'q r) 0
Address 14 Date Evaluation Conducted Telephone Number
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~~4/ /0 9- ri.~ t.~ (1 t• LOT, S 7 -i3 71.57- 7W :3 :z 7 P
s s
Property Owner Parcel ID # Par-) of
Boring # ❑ Boring
F_71 pit Ground surface elev. S ft. Depth to limiting factor a s in. Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
a~
/ as 0YR k sb (I cL.o lop ,
SQL
_Yk j SY8 /0 C Q 7.5 -fe
T_ I
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. It. Depth to limiting factor in. Soil A plication 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 `Eff#2
Boring
F Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe
in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sh. *Eff#1 *Eff#2
` Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
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