Laserfiche WebLink
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 <br /> Division of Safety and Buildings <br /> In accordance whh.Comm 85,Wis. Adm. Code <br /> County Qw r n e'y'1' <br /> Attach complete site plan on paper not less than 812 x 11 inches in direction <br /> Plan must 020 bo O'Loo <br /> Include,but not limited to:vertical and horizontal reference point(BM),.direction end parcel Lp, <br /> percent slope,scale or dimensions,north avow,and location and distance to nearest road. o7 OA A r/o /i/6 rle 467 Ola 000 <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)). rntr OYl <br /> Property Owner Property Location <br /> Ra n qe Y.r H Govt Lot NE' 1/4 S t'1/4 S 16 T 4'O N R /b E(or) <br /> Property Owner's Mailing Address Lot# I Block# Subd.Name orT31AR` <br /> y70/ 84tsole/1 J9v<. Waih ow Ke. <br /> city State Zip Code Phone Number ❑City ❑Village ®Town Nearest Road 7037 <br /> Mals MA/ 1 Ss-vl9 (&1A ) XA9- s1'1d 0Ak/A„d. I R4Ia bow Ln' <br /> ® New Construction Use:® Residential/Number of bedrooms lk Code derived design flow rate 30,9 GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material G/a e.a Flood Plain elevation if applicable /L//,A fl. <br /> General commentsS s . e /e v. H. 70 ( 9•F,&7 696.5D)/ <br /> and recommendations: Y �i <br /> lower 93.10 03.40 -6 9¢•40) <br /> Mom d5 5449-1 AAenA A ; l aLxiak so:fs <br /> / Boris o Boring <br /> g# ® Pit Ground surface elev. 9!n 7 ft. Depth to limiting factor G b in. Shc ication Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 <br /> 6- 14 7..r'rR J/L 15 /M66/k r 1 G S 3 4++ 7 /, 6 <br /> it- GO 7.stin 4/f, — Js �.„sbk N, l 41 3cf0 -7 /. 6 <br /> 3 Ga- 4:4 Z S ylle`,/G — /FS/l. s 61Z ,„ r – . 7 116 <br /> Boring# Boring <br /> © Pit Ground surface elev. 9d'. 4 ft. Depth to limiting factor Ge in. <br /> Soil cetbnRate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Btwndary Roots GPDM <br /> In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •EfM •Eff#2 <br /> / 0-4 s.6 le ,,.r J s s ^ 7 /. 6 <br /> y- 4o SYR4/,/ — J1 ,,. s6Jc 1 G S 7cu . 7 <br /> 3 YO-GO 7.s <br /> It 1Z 1 — • 7 / ea <br /> 5` 6e- 64 7.syi? y FiFs 4i? '7� Ifs/l dt sbk <br /> •E1Humt#1-BOD >30:5 220 mglL and TSS>30<150 mg'% •Effluent#2=BOD <30 mgh.and TSS 130 mg/L <br /> CST Name(Pbese Print) _ _ Signature CST Number <br /> Gh1 e.5 6 66n/e 4s .f 0'0t' / 734 0 <br /> Address Date Evaluation Conducted Telephone Number <br /> 4/s7 <br />