Laserfiche WebLink
ORIGINAL <br /> Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 <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 81/2 x 11 inches in sae.Plan must <br /> c0unty JgtJ2#J£TT <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. V//7 -O A /3O <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for seoondarypurwses(Privacy Law,s.15.01(1)(m)). /o � ./ <br /> Property Owner GTS <br /> Property Location <br /> Keviry Govt Lot VW 1/4 5 1/4 S /7 T y0 N R //f (00VD <br /> Property Owners Mailing Address Lot# I Block# I Subd.Name or CSM# <br /> I/o9 Rrfe R14a- 3 V. <br /> /7 Psb <br /> ' State Lp Code Phone Number ❑City ❑Vllage ®Town Nearest Road <br /> /ZrV(✓ fw//f Wl` 1d /1 S7 <br /> EZ New Construction Use:® Residential/Number of bedrooms 3 Code derived design flow rate 4S'O GPD <br /> ❑Replacement // ❑ Public or commercial-Describe: <br /> Parent material 6111"I e, / ,Qui Er Flood Plain elevation if applicable <br /> General comments <br /> and recommendations: B oz,NG :9- 4- Abw 6 APP-IL 'o%o G�f- <br /> F*WIlt6f VC41CiCa.tIo, wa. anwq{rul&( In-j"Vwol. <br /> VfRlPeD Coi�OR/Z100Io. Con�rnflonal �YSL/t FLslfTknl 917 t* 95 0 <br /> # Boring <br /> Boring © Pit Ground surface elev. b•4 ft. Depth to limiting factor > 6J" in. <br /> Soil Apolkation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence BoundaryRoots GPD/IF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I •Eft#2 <br /> l a -8 ism 3/,L — /S /..,Jbk / cs 3 F . 7 /. 6 <br /> d 7-J.1, 7.S-Y/? "/q _ /S /, -f .+,/ e--S 3-,c- <br /> 7 /.6 <br /> 3 JJ.-d7 7s-J, ly — /!^-S eI,.r.s6k <br /> 7-36 7S '!/? 01--.JS M A- <br /> Boring# ❑ Boring <br /> a ® Pit Ground surface slev. 9S.o R Depth to limiting factor > 66 in. Sotl Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/R <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Efi#1 I •Eft#2 <br /> / o^ P 7. 3/ — /S /n,SiA .., / cfS 3F 7 /.6 <br /> o4 S^ 4 7.1 yi?%f nes J...,56A », / q r <br /> Effluent#1 =BOD >30:5 220 nVL and TSS>30<150 rug/(. 'Effluent#2=BOD <30 mg&and TSS<30 mg/L <br /> CST Name(Please Rim) Signaturenn CST Number <br /> James S. Gia ¢/S S /�p rlQy� d73qeto <br /> Address Date Evaluation Conducted Telephone Number <br /> x.7760 M,, 3S u�Cbs>` L✓S s 3 3-d5-O6 lis= 866- y�s7 <br />