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'p . , <br /> 773 <br /> Wisconsin Department of Commerce SOIL EVALUATION REPORT Pape 1 of 4 <br /> Division of Safety and Buildings In accordance with Comm 85,Wis.Adm.Code Levake Soll Testing <br /> County <br /> Attach eorrMate eta plan on paper not lees than Mx 11 inches N size. Plan must Dane <br /> Include,but ml linked to:vedical and harbor/1d reference point(BM),direction and <br /> percent elope,scale or dimensions,north arrow,and location end distance to nearest road. Parcel I.D. <br /> Please print all Information. Reviewed By Date <br /> Personal intonation you amide may be used tor secondary purposes(Rimy tas,s.15.di(1)(m))• I <br /> Property Owner Property Location <br /> Belovarac,Dan Govt Lot NW 1/4 SE 1/4 S 23 T 7 N R 12 E <br /> Property Owners Mailing Address Lot I Block I Subd.Name or GSM,/ <br /> 2599 Highland Rd. 1 10919 <br /> City State Zip Code Phone Number J City LI Village j Town Nearest Road <br /> Cambridge ( WI 1 53523 I Deerfield I Fair Oak Rd. { <br /> id New Construction Use: ill Residential/Number of bedrooms 4 Code delved design flow rate 600 GPD <br /> J Replacement :,=j Public or commercial-Describe: <br /> Parent material Flood plain elevation,if applicable NA <br /> General comments <br /> and recommendations: Site passes for 3-6584'seepage cells with an At-grade or mound replacement <br /> 1 Borings A Bring <br /> 16 Pit Ground Surface elev. 93 ft. Depth to limiting factor 45 in. Sol Application Rate J <br /> Horizon Depth Dominant Color - Redo%Desa(p(Ion Texture - Structure Consistence Boundary Roots GPDAI& <br /> h Mussel Gu.Sz.Cat.Color Gr.Sz.Sh. •EIfI1 •EMI2 , <br /> 1 0-14 10YR 3/2 sin 2mgr mfr cs 3f .6 .8 <br /> 2 14-45 10YR 4/4 d 2fsbk mfr cs if .4 . <br /> 3 45-60 7.5YR 4/6 fif 7.5YR 5/8 sd 2msbk mfr gw — .4 _Go <br /> 4 60-84 10YR 5/4 D I <br /> 7.5YR 7R/8 s <br /> Osg ml — — <br /> .7 I.Z <br /> Redox coloring appears in the form of spots. <br /> 2 Boring 13 B°nng <br /> 1 Pit Ground Surface elev. 92.9 ft. Depth to limiting factor 36 in. <br /> � Sol AppscaGan Rate <br /> Horizon Depth Dominant Color Redox Desapion Texture Sinit re Confidence Boundary Roots GPOi* <br /> h Wed Gu.Sz Cat Color Gr.Si.Sh •Effi1 •Effs2 <br /> 1 0-12 10YR 3/2 sit 2mgr mfr CS 3f .6 .8 <br /> 2 12-24 10YR 4/4 d 2fsbk mfr cs If ,4 • (O <br /> •3 24-36 7.5YR 4/6 fif 7.5YR 5/8 sd 2msbk mfr gw --- .4 ,b <br /> 4 36-84 10YR 5/4 D I0YR 78 S 092 ml — — •7 i <br /> Redox coloring ioring appears in the form of spots. 1 <br /> •Effluent f1■BOD5>30<220 mg/L.and TSS>30<150 mg/L •Eflfuert I2 in BOOS 130 mg&and TSS<30 mprL <br /> CST Name(Please Print) Signature: CST Number <br /> Jeffrey T.Levake J~'7 23EvaluConducted EvaAraon Conducted Address Wake Soil Testing is D Telephone Number <br /> P.O.Box 568 lake Mills,WI 53551 9/15/2004 920.9884567 <br />