Laserfiche WebLink
Wisconsin Department of Commerce SOIL EVALUATION REPORT pap--iLof <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> County tirIJe. <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must <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. <br /> Please print all information. Reviewed b Date <br /> Personal infomtation you provide may be used for secondary purposes(Privacy Law,s.15.06(1)(m)). O <br /> Prope71"4 <br /> er Property Location c <br /> A k DSS GovL Lot W 1/4 i)el/4 Sot T YO N R`�E(or)G) <br /> Property Owner's Mailing Address Lot# Block# Subd.Naor CSM# <br /> me— <br /> city State Zip Code Phone Number ❑City ❑Village P31own Nearest Road <br /> O-New Construction Use:PIResidential/Number of bedrooms Code derived design flow rate yj GPD <br /> ❑Replacement �-• ❑ Public or mme al-D �— <br /> Parent material V ��C i!q 0 � Flood Plain elevation if applicable ft. <br /> General comments / <br /> and recommendations: 5ysC� X�evs o,^ cl l r 1 93• `j <br /> Boring# Ing <br /> Pit Ground surface elev. s l ft. Depth to limiting factor-7in. <br /> Soil cation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN <br /> in. Munsell Ou.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> -6 7, /� s K s /4d 7 /,6 <br /> 7:!�702-r 36i S a <br /> Boring# ❑ Boring <br /> �.Pit Ground surface elev. /S ft. Depth to limiting factor 7in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> ©-( <br /> fol` o G Gr5 11* /*7� 5� <br /> s i dr <br /> _5--e2 .mo �3� <br /> Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD,:E 30 mg/L and TSS:5 30 mg/L <br /> CST Na (Please Print)0. Signa CST Number <br /> Xfr <br /> Address Date Evaluation Conducted Telephone Number <br />