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040-1016-90-000 (2)
RA, I D vvamvm Department ofCommerce —'®°°'°SOIL EVALUATION REPORT p Division of safety and Bu&*W in accordance with Comm 135.Weiss. Adm. Code Allach ootrrpiete site plan on paper not less them 81rn x 1,lures in size.Plan must County sr. G R O %X_ W btrt not limited to:vertical and J`KX Nat reference point(Stag.direction and Parcel I.D. yo•/Q�(p 90• aa� slope.scale or dimensions.north amoW.and location and distance to nearest road. . &17) ) Please print aft informatfon. _ Date Persond Nrfonvwuon You provide mey be used for .S.15.04(1)(m)� ProperiyOwner y FO L 7, �Lo ,/4 SG,/4 S Z� PtopertyOwner's MailotgTAddress Lot# 81odc# Subd.Name or CSW T N R E( )W 5 Z/ -role e �� ST CROM COUNTY 7 I CRY State Cfly ❑ Town Nearest Road 3 •7a a Rog 70 w�2 iw ❑ New CM81ruction User Residential/Number of be&owms Code derived design flow rate C0400 ❑ Pubic or cmwwroial-Describe. Parent mdww 18 5 664 rie SAA p y Flood Plain elevation If applicable R ,GwwW comments recommendations: °vTG4l�i•S� Area )� Spot Tested suitable for a convendonai inground system(P.O.W.T.S.) F 71�# ❑ /o°•.a > 9P pit Ground surface elev. R Depth to Wnffi%factor in. Horkm � Dominant Rod=Description Texture Strtwb" Consistence Boundary Roots Soft G Rate In. Mur>sefl Qa Sz. Cord.Odor Gr.Sz.Sh. •Eff#i •EiF#2 0-It /0 YX ---- L/ O bK �d t cwt y3 f . Co • $ S p YA S . � ft# f❑ Boring /oo. a �y Pit Ground surfaos elev. �O Depth to"ling factory 9Q in Sol ApplIcalion Rate Horti mt Depth DomlnantColor Redox Description Texture Structure Consistence Boundary Roots GPM In. Munsell Qu.Sz. Core.Color Gr.Sr-Sh. *M1 •E1102 0 -8 3 — ZA* bK d.2 �v 3 16 Ll Pr . •s LS 0, S4 "Cl • 0 7 S •EN cent In BOD >30<220 noL and TSS 3-30<150 mgll •Effluent#2=BOD <30 ng&and TSS<30 mglL CST Name(Please (S member o • zx& 7S Address Date Evaluation Condudled Telephone t:umber Ulbricht & Associates a- 11 .' CJ 7/$ •77,2 • 3 q`{Z. 2812 10th Ave. Spring-Valley;WI 54767 ORIGMAL • ® r ®©® ,~ ®8 MA mmm Men .. MA c oO w �\ O v j A cn cr � IV� 11 j m Cl) 1j � kA 0<, O(D (%— �' CD <0) N w O C moo L G� � N w 0 c � p � D � � O I � Pf yN 0 Q `� o0 o w � C ! °o I N co cu c I y O I Y C W O_CL C 1L c ° _ O c u <1 c Z w O E u! rn W ' c "J O N c � N N 8 u I N W a m m a) I- CL Z n `o•a O z 'a c I Ui z v ° a w cn F- rn aci O a c E r_ I a)N o a om ru a 4 n= •► rn rn a d cL c o 3 C) Q O Z N -0 O Z N Z N •NO .. m c oj$ co c O O O a w � an. a �v o FL <n J o o U = rn rn Z _ rn C3 E N �. a N LO C _VV) 3 `v° C C 00 -0 O 'O -0 E O N d] N 0 c -o O Q yam. 0 3 E E to N N _ C a) W ~ to a) a) 'a O ny -a -o a LO • '' O O F— ! C O z Tl Z Z fn CC VI L � •i d d •• R d a C _ `Mw a a rr�� 0 I