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<br /> RSE, INCORPORATED
<br /> ENGINEERS/SOIL SCIENTISTS
<br /> 5708 Odana Road, a is 471Wisconsin 53719
<br /> No. 11Q,c1-0te' . Well and Septic Inspection Report Date 2-7.1-1d4
<br /> Name R04021 4 Q►io 14DGFT' Problem 1.1oi3G
<br /> Address 41.%9 12A095gene 5't'' Maint. o(lc.rc NVIAT 'Z 494
<br /> City ORE-d‘o15 t W1,1 _ Age l__g_ I Bdrms 5 0 People 4
<br /> Phone (1;o8Hi% -1.938 Appliances: WS WM J OW •GD J Other
<br /> Legal Desc. w !th.L1 Sec 16 T 5 R to (W ori,E) Twsp Run.iwo County be.i4t
<br /> Septic Tank: N _i_Size l000gal. Type 'PRk t.SC Level 1.440.>Dw1.1
<br /> \ Pump Chamber: Size ,p1/h General Condition N/A
<br /> Absorption Area: Type C1) Size tO x � • teb0 sq" Depth 3" - 4a "
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<br /> Effluent in Vent _" Cover Nat'l Nnn,F Clogging Mat tVOttC-
<br /> C)
<br /> General Condition i�c6l.►.aST/MO FfFt-u�M` /R.c�G-K- (-LOW /�1(T (>T INT$F�
<br /> � ; Soils: Boring Oescription(1=SoTO 0-to" ,o4e4/4 SA1.104 t.OMA, 6-lt•" i&R.5I4
<br /> 1 >.t,a.,.t., Snt.lt1, lb-IV W` a,A14 Mul SAtvaj lorvti--7 SANat CU*/ Li. ,29.40"It7-1144
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<br /> ,---.\ Restrictions Nb )
<br /> \'' cite: Slope • % Surface Drainage fp►iR_ it._. Other -• _
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<br /> Well: Type of Supply ' in,rc' Type of Well tR 6i Contractor uK .
<br /> ��■ � Install. Date uNlc... Casing Dia. (Q i "'Casing Depth WAIL. Depth to Water u,1,1IL_
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<br /> v\. tlal l.Depth wt._ Sample Taken Time l'•' _!?Sampling Point j$,lJ2.e-a .Vr.
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<br /> Recommendations: S•-tSti -'t 1C. tai Ell(Pi t r-,e'T -)(Sirtc _l / 1fikW
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<br /> IcR0.in4i:3115 i1 A ; l fe(6 t Ir r utmc ti iAtiu 1311214 u>OIALh SoLi1 Y Pacer
<br /> Technician: �..■: '44
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