Laserfiche WebLink
Wisconsin Department of commerce SOIL EVALUATION REPORT Page / of /I <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 812 x 71 Indies In size.Plan must Conry A10 <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Perces I.D. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 00.0 cf33 N Oa(oDQ <br /> Please print all infonnaBon. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property location <br /> /CD eN P4ofee5a n Govt Lot Nf 114S.6-1/4 Seel T YO N R /(, E(or)® <br /> Property Owners Mailing Address Lot# Block# Subd.Name or CSM# <br /> 70x`3 Ge• •r• Ave. E. <br /> City State Zip Code Plane Number ❑City ❑Village [gTown Nearest Road <br /> Tnre•' /rrwre mn/ I -rso>b 1 ( ) Onkta„fid cC. 0aw is 4 l A <br /> ❑ New Construction Use:la Residential/Number of bedrooms o_ Code derived design flow rate 3 00 GPD <br /> Replacement ❑ Pudic or commercial-Describe: <br /> Parent material 1/4 a• / Or r f'r Flood Plain elevation If applicable N/A R <br /> General comments s, e can ro y <br /> l le99•S'(o <br /> and recommendations: �r o- y <br /> a Boring# ❑ Boring <br /> ® Pit Ground surface elev. ft. Depth to limding factor in. Soilcation 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. •Ef#1 I •Eff#2 <br /> .s'tR4 J /rr I e 3 30e . 7 /• 6 <br /> 5 SVR y/y — If IA .16K .n/ 95 ace • 7 /- 4 <br /> 3 b-SO SYR '/3 "'IF /c if IMF 1 3 <br /> �f e • to 7Sy/? 9/ — /Fs J.nab,¢. .,, I — - •-f I. <br /> ..,rrA ban/s Sy/? �/3 a+ll3'ib%c/c .++43 ire <br /> Baring# ❑ Boring ITI <br /> ® Pit Ground surface elev. 9Q• Q ft. Depth to limiting factor 41 L in. <br /> 9 F[Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence BoundaryRoots GPD/IF <br /> In. Munsell Qu.Sz. Cont.Color Gr,Sz.Sh. •ER#1 'Ef#2 <br /> / <br /> d-Y 7.SS'Rs/ — l /,ns6/c / c s., . 7 /• 6 <br /> 5= F 7 X YR 0/1 7 /.,,6 <br /> b-30 SYR 14 <br /> Effluent#1 =BOD >30:5 220 mg/L and TSS>30:5 150 mg/L •Effluent Q=BOD <30 rrg/L and TSS 130 mgt. <br /> CST Name(Please Print) Signature CST Number <br /> 00.K1e S. o,an/ els S wef� 73 ol0 <br /> Address Date Evaluation Conducted Telephone Number <br /> 7766 H 3f Wc.b.s24eWS S+JB9 S-/9. Oto ->/s-BGG- 40/s7 <br />