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Wis.Dept.of Safety and Professional 3ervlces ,SOIL EVALUATION REPORT Page , of
Division of Safety and Buildings ((��
irtcardance witn,4R(S 385,Wis. Adm. Code
DUN ►,R -� County
Attach complete site plan on paper not ::s ( A� to size.Plan must " `r,(®/)(
include,but not limited to:vertical and ••'e`kW e point(BM),direction and P rpel J.D.
percent slope,scale or dimension50s 0' -rrow,and location and distance to nearest road. - h .)(32- 2.0s - 45—c 80
Please print all information. e ewed%by Da C
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). /�` I / �iJ
Property Owner Property Location
Govt.Lot,,,---yi/ 1/4.5X 1/4 S/7 T�n N R i9 E(ore
Property Owne s Mailing Address Lot# Bloc # Subd.Name or CSM#
/,--73 fi� ,,57.5` I A,
City to Zip Code Phone Number ❑City ❑Village ®Town Nearest Road
1
/./.L2VAI I tt,)7r i_ /le I ( ) '�l?si,--4-- } I /`/ S/
New Construction Use:121 Residential/Number of bedrooms ? 7 Code derived design flow rate i GPD
❑Replacement ❑ Public or commercial-Describe: /
Parent material /° ° /�', y><sv Flood Plain elevation if applicable /1 ft.
General comments cr
..g / Wis` 1 -`5 �4. 4' 'f
and recommendations: /ho�i:�v s�s�r---. .�- �.1 c.°'w
d g "-:7 t&+_.er w&0, --) tk$ qe+^k_ 104j
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0 Boring
/ Boring# ® Pit Ground surface elev. 9 7 ft. Depth to limiting factor //2 7 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. n *Eff#1 *Eff#2
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ai_9c...46/4,1 st .114'`'.
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Boring# 0 Boring
® Pit Ground surface elev. /4,_?, 5� ft. Depth to limiting factor /ne2 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPD/ft 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *.ff#2
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q
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*Effluent 1 =BOD 5>30<220 mg/L and TSS>30 <150 mg/L *Effluent#2=BOD 5<30 mg/L and TSS <30 mg/L
CST Name a Prin �J Si natu/7,) /C-ST Number
( (1/ .o,.k1t;// g �l' � (-- -,2 CSC%�
Address /� Date Evaluation Conducted Telephone Number
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SBD-8330(111 1/111
Property Owner A, ,n1,n,E,PSpr,.) Parcel ID# Page c— of
Boring# ❑ Boring
J ® Pit Ground surface elev. 16?,3 ft. Depth to limiting factor /_ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence :oundary Roots GPD/ft 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. * ff#1 * ff#2
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M M1111=11.1. IIMEM
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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 2
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/ft 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
*Effluent#1 =BOD 5>30<220 mg/L and TSS>30 <150 mg/L *Effluent#2=BOD 5<30 mg/L and TSS <30 mg/L
The Dept.of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format,contact the department at 608-266-3151 or TTY through Relay.
SBD-8330(R11/11)
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