Laserfiche WebLink
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page L of `3 <br /> Division of Safety and Buildings <br /> In accordance with Comm 85,Wis. Adm. Code County <br /> Attach complete site plan on paper not less than 812 111 inches In size.Plan must 800 Q <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 mad. O 3 A -' .�3 3 S—Date <br /> Reviewed b <br /> Please print all information. q �1 <br /> Personal infomiaaon you provide may be used for secondary purposes(Privacy Law,S.15.14(1)(m)). iC ✓' <br /> Property Owner Property Location ,-,4 lop fc if A <br /> e✓c n Nu vL s C h GOVL Lot 6 114 114 S 3S T 40't N R /6 E(or) <br /> 401 <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM#Owner's <br /> d bNoJ monde cv ole✓lce r¢ve <br /> Dec. 3 ee s7.5— <br /> city to Zip Code Prone Number ❑City Village ®Town Nearest Road ,?qf�O/• <br /> LakeV;llV InN S4­641Y I ( ) 3wrSs YYlafiten fir. <br /> ❑ New Construction Use:® Residential/Number of bedrooms Code derived design flow rate y-SO GPD <br /> ®Replacement ❑ Public or commercial-Describe: N�i9 R <br /> Parent material �/a c Iy -YF4 Flood Plain elevation if applicable <br /> General comments 5Ys . e le✓ - 9700 'Eo 97 90 /cj✓ <br /> and recommendations:. <br /> 40ed aS 3'31 D - 6ra /)n Sim <br /> 7 Boring# ring cf 9, 8 70 in. <br /> ® Pit Ground surface elev. ft. Depth to limiting factor > Soil ilcation Rate <br /> Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots •E GPD/FF <br /> Etf#2 <br /> in. Munsell Qu.Sz. Cont.Cola Gr.Sz.Sh. <br /> I O-y 7.Sg/Z -?�'� — /3 /MJdlc r. <br /> Z/— 60 7.9-Y17 'f/'1 — S 405G <br /> 7.5 <br /> SG7.srRJ/q �i•di S-'1R-Vir S 65 4f_ . 7 /. 6 <br /> Boring Boring <br /> ® ❑ 99. (o <br /> ® Pit Ground surface elev. R. Depth to limiting factor 78 in. Soil ication Rate <br /> Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots •EGPDflFEft#2 <br /> in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. <br /> / o- 4 7.X iR 3/A I.1 /msb/� rr l 4 t 3•n 7 1. 6 <br /> j H- 45 7SyR`I/4 _ S OS 3e& 7 <br /> 3 (,S-- 7y 7. sY/Zy�9 Cd�/sYRs7rr 5 DS4 <br /> •Effluent#1 =BOD >30_<220 mglL and TSS>30<150 mglL 'Effluent#2=BOD <30 ng1L and TSS<30 mg4 <br /> CST Name(Please Print) Signature CST Number <br /> Jame-s 56617re/1 .5o734)0 <br /> Address Date Evaluation Conducted Telephone Number <br /> _I77,�0 ffr. 3S li/EbSlrrr t r�= S4P-i3 ti-.1 0 lis- 866- 4/S7, . <br />