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Home My WebLink About040-1306-04-000 (2) Wisconsin Department Comrl ECEIV,EN SOIL EVALUATION REPORT " Division of Safety and B ildings Page ` of in acwith Comm 88,Wis. Adm. Code Attach complete site Ian on paper n0Ot2es7�n County r SO 11 inc~es in size.Plan must include,but not limit to: �8nd horizonce point(BM),direction and percent slope,scale r dime s��i ��j�;7 -tion and distance to nearest road. Parcel I.D. U OFFICE Pleas@ pnn tlon. Reviewed by 'Date Personal information you provide may be used for secondary purposes(Pr'vacy Law,s.15.04(1)(m)). Property Owner Property Location u S 1/4 NE1/4 S � N R• T ?U ��t Property Owner's Mailing Address j E(or)W,; Lot# Block# Subd.Name or CSM# IS�v�s C��' State Zip Code Phone Num y ber V l`lN —)�L� � M LR)2 e 1.v I 5�1 j � ) ❑City ❑Village Town Nearest Road i New Construction Use:IS Residential/Number of bedrooms Code derived design flow rate_ Lt S Q — OO GPD ❑Replacement ❑ Public or commercial-Describe: Parent material G Lyme) V4 L_ �—U- General comments Flood Plain elevation if applicable t`) ft. and recommendations: n��C U }� ti�� f 1 u� C` � w i-m. )PJ R �✓L i2 'MA if O eZ-LS-To BE "iN.fN 9"Jp )Apyy_ © Boring# ❑ Boring �� ® pit Ground surface elev. o - ft, Depth to limiting factor L 0 b ,n, Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos Sol Application Rate W in. Munsell y GPI Cu.Sz. Cont.Color Gr.Sz. Sh. I - c�-\Z to tiz 3I -- �1 'Eff#2 vl6 VYA EBoring# ❑ Boring ® Pit Ground surface elev. _I o 1. 3 ft, Depth to limiting factor S in. Horizon Depth Dominant Cofor Redox Description Texture Structure Consistence Boundary Roots Soil Applicatic n Rate i in. Munsell Cu.Sz. Cont.Color GPDlftz Gr.Sz.Sh. 'Eff#1 'Eff#2 O -l-7 10`'L(Z31 - s� 1 Z`�' ��C Wl`�1� C� Z� • � •`t3 St ZSbk Vrtl� CS - �� I i Effluent#1 =BOD,>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 m CST me(Please Print) - s_ 9�and TSS<30 mg/L Na Arthur L. Wegerer ign tore CST Number 03— _ 1-- � Z1 L 1W� ov�- S Address Wegerer Soil Testing & Design Service 220254 421 N. I i a i n St. River r'al 1 s , t1 I 5 4 0 2 2 Date Evaluation Conducted Telephone Number \ �- -ZZ- p3 715-125-0165 Property Owner l- �7I✓)�31��- parcel iD# N�' tJ 1�1 jlJ G Page Z of [7q Boring# ❑ Boring ® Pit Ground surface elev. 11 L-2! �� ft. Depth to limiting factor �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz. Sh. •Eff#1 I •Eff#2 1 0-ZZ 101(Z3lZ � st ( Z�s b�Z wl`Pr cw Z`F - S Z Zz �o�i2�16 �1 bk eS — F-1 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/ft= in. Munsell Qu.Sz. Cont.Color Gr.Sz. Sh. •Eff#1 'Eff#2 ❑ 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/ft2 In. Munsell Qu.Sz. Cont.Color Gr. Sz.Sh. •Eff#1 'Eff#2 Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODS<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.6/00) PLOT PLAN Paffe 3 of 3 - Scale 1 ' =�0 ' t3 -1 B.1 J cu�_oE- sr�c Sv2 A-T W 1 C Tz M09 . i T- x-01 715-425-0165 220254 o3 - ztS - fir CST Signature Date Telephone No . CST No . Job NO .