Laserfiche WebLink
-Wivansin Department of Safety and Professional Services ORIGINAL <br /> Division of Industry Services <br /> SOIL EVALUATION REPO j.T�/ Page_.(_ <br /> in accordance win SPS 383,Wis. Adm _. Code C(.��� <br /> County 'je <br /> Attach complete site plan vertical <br /> paper not less than 8 fer x 11 Inches M size.Plan most <br /> percent but escale or <br /> vertions,n north <br /> avow.ontal reference point(distance <br /> nare Parcel - '. ' 9 <br /> percent slope,scale or tlimensions,north avow.and location and distance to nearest road S 006 O/y0e/ <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)am) GL/l/G DAA111b/AJ /Z-22-/N <br /> Property Owner Property Location <br /> .{{- // s <br /> //Yl /�//GSI i GoN.Lot 6 1/4 i/4 B/b/ T 39' N R <br /> Property Owners Mailing Atltlress /S �� - Lat# Blockp Sul Name a CSM# <br /> /e/1 CY/!G/J GU <br /> City State Lis Code Phone Nurop&y./e y, iry Village Town N est Road 305/0 <br /> _ J /Ar a -5 7/.3 '79 F17o �¢W t5/A� Lk Rd <br /> ® New ConstructionLobo Residential/Number of bedrooms IfZ Coda derived design flow rate X00 GPD <br /> ReplacementPublicor commercial-Describe. I <br /> Parent material_G1 A / r//-iY�`si Flood Plain elevationd applicable ZCIA fl. <br /> General comments <br /> and recommendations. <br /> FT IBodng# ® Boring <br /> (rte y <br /> p0 Ground surface elev. /rQC fl. Depth to limiting tacmr�in. <br /> Solt Application Rate <br /> Honzon Depth Dominant Color Redox Desaiplien Texture Structure consistence BoundaryRoots GPDIfP <br /> In. Munsell pus Sir. Cont.Color Go Sz.Sh. 'Efell 'EH#2 <br /> I <br /> 0-6 7,5_// /S — 7 , 6 <br /> Las , P6 — s 7 <br /> -5 - • 7 <br /> Boring <br /> Boring# /y <br /> C <br /> El Pit Ground surface elev. 7 7.8 tL Depth to limiting factor 77;2 In <br /> Sell Application Rale <br /> Horizon Depth Dominant Color Redox Deecnpteon Texture Structure Consistence Boundary Roots GPD/ff <br /> in. I Munsell Qu.Sz. Cont.Color G,Sz.Sh. 'E"l I 'Efid2 <br /> l 0-6715jf& — 17 / Z <br /> -7 t <br /> 37 7, s os in/ 7 /6 <br /> Effluent#1 =ROD,>301220 mg'L and TSS>301150 mA Effluent#2=BOD,<3011 and TSS<30 mg4 <br /> CST Name (Please Print) Signature CST Number <br /> Wade Rufsholm "Z 227691 <br /> Address Date Evalualien Gpntluctea Telephone Number <br /> PO Be.,514,Siren,R9 53872 (715)349-7286 <br /> // / sblv-633unvu"') <br />