Laserfiche WebLink
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page J_of 3Z <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County 6K✓nfff <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. G73a-- 5-3:y5,- O 4 too <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 9 <br /> Property Owner property Location <br /> /1/1 Q rl ro,h e-Z Govt.Lot A 1/4 1/4 S 3S T k/ N R /&E(or)g <br /> Property Owner's Mailing Address Lot# Block# I Subd. Name or CSM# <br /> /oI Faller S.I.- /(/ <br /> City State Zip Code Phone Number ❑City ❑Village ®Town Nearest Road <br /> SIne Kope ,"Al I SS379 I (9So1) L33~ V7fo3 s4wS5 Cr>inbrr✓ L!< / <br /> ❑ New Construction Use:ER Residential/Number of bedrooms 3 Code derived design flow rate GPD <br /> IN Replacement ❑ Public or commercial-Describe: <br /> Parent material lrlae r a/ D'-s"Ft Flood Plain elevation if applicable <br /> General comments b y �l / _ <br /> and recommendations: Syf• 'e/e 9 3 v O 9T. (o /Py" <br /> Boring# <br /> Boring <br /> © pit Ground surface elev. 96.0 ft. Depth to limiting factor 7 7� in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> / 0-3 7.51'?s/ti /S /," s6k orf l cf 301 . 7 1. 6 <br /> d 3- yS 7.sY/? i/' q — S o wr l 6S 3 co . 7 /. 6 <br /> sy. 7A ?.ss'/?r/y -- s o I — — . 7 /. 6 <br /> ILIBoring# Boring <br /> pit Ground surface elev. 9 T; 6 ft. Depth to limiting factor in. <br /> Soil kation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 <br /> / <br /> 0-3 77Sr-0 J/ti — /S /.r.S64- vn I c S 5.-9 7 1. 4 <br /> A _ So 7.SrR `/9 S o / 65 ace 7 1. 6 <br /> 3 so- 7A zsy? s/y Jr — - . 7 /. 6 <br /> Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD,:5 30 mg/L and TSS<30 mg/L <br /> CST Name (Please Print) Signature CST Number <br /> rw1 X%Lnl'e/S SO -7-;t 410A Q <br /> Addregs Date Evaluation Conducted Telephone Number <br /> .t 77 Nw 3s- web f°r c✓1"s5�e9s 7- /S os lis- A5 if yis7 <br />