Laserfiche WebLink
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page—L of 2 <br /> Division of Safety and Buildings <br /> in accordance with.Comm 85,Wis. Adm. Code County <br /> Attach complete she plan on paper not less than 812 x 11 inches in size.Plan must <br /> Include,but not limited to:vertical and horizontal reference point(BM),direction andpa I•p• <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 2.2-41-IL-33• Z-IU-6/1200 <br /> Please print all information. Reviewed by Date <br /> Personal information you provide maybe used for secondary purposes(Privacy Law,s.15.00(1)(m)). <br /> Property Owner Property yga,fi n q. �c yt S 3Z T qC( N R /L W <br /> .St e v e �1/t i Vit t r ti r l sept:-L�i P4 of-2014 S10114 S 33 T 5'/ N R/4-1 Y if(or) <br /> Property Owner's Mailing Address Lot# I Block# I Subd.Name or CSW <br /> 69 /S - A-< a C %)K v3Slf <br /> City State Zip Code Phone Number ❑City []Village ©Town Nearest Road 71/0 <br /> r,te 'se I Wj I SYP-If I ((-XI ) 47 1.% 0 lr1 l -f I 6-1r„ePe„r„ <br /> ® New Construction Use:❑ Residential/Number of bedrooms Code derived design flow rate GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material Flood Plain elevation if applicable ft. <br /> Genera)comments <br /> and recommendations: Jf., / v y AOorI n S <br /> WW as 39q 8 Sew( A*,,. of dq /02.3 or /NJ1r✓ <br /> f loot• ,Nt 6 <br /> Boring# ® Boring <br /> ❑ pit Ground surface elev. ft. Depth to limiting factor ?86� in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/1F <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 <br /> 1 <br /> 10 -11 7.SY1T-*f/.( — l S . G <br /> 1 `t'- 40 -7.St I? Y9 � /1 . 7 /. 4 <br /> 3 p.ap <br /> 7.9yR�y <br /> s , '7 /• 6 <br /> F-1Boring# ❑ Boring <br /> ❑ Pit Ground surface elev. ft. Depth to limiting factor in. 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 /> Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD c 30 mg/L and TSS 130 mg(L <br /> CST Name(Please Print) - SignatureiJ CST Number <br />` jckmes S66nre/s a. Lt�"✓(<L 734J0 <br /> Address Date Evaluation Conducted Telephone Number <br /> 04 7760.54•- 3s GcJebs>Srr Lvr S'y&.3 a! - /8'- // fir- X66- 4yS7 <br />