Laserfiche WebLink
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page_of <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 8 1/2 x 11 inches in size.Plan must County <br /> Include.but not limited to:vertical and horizontal reference point(BM),direction and paw I.D. <br /> ,. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. ozo 0a- oz <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)). �, <br /> Property Owner Property Location <br /> L7 C14 /< F Govt.Lot 1%4 1/4 S T41�) N R 6 E(or)W <br /> Property Owners Mailing Address Lot# Block# Subd.Name or CSM# <br /> y 3 N I3 1 zabc 9dyar'd Ag, <br /> ttyState p Code Phone Number ❑City ❑ Mage ®Town Nearest Road <br /> D�� rtnr size 6sl , 773-q/d ®Q� oN <br /> -14YAL r2 <br /> ® New Construction Use:0 Residential/Number of bedrooms Jr Code derived design flow rate y5 d GPD <br /> ❑Replacement ❑ Public or commercial-Describe: T— <br /> Parent material 60'a lQ Qr r Af Flood Plain elevation if applicable ft. <br /> General comments <br /> and recommendatlons: eL 5 <br /> Boring# Boring <br /> Ft�Io Q <br /> ® pit Ground surface elev. 4—� ft. Depth to limiting factor <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f? <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 <br /> I <br /> 0-3 767.—V2 L M le 7, <br /> 2 -40 7 Q p t7 Z <br /> L o7 i;2 <br /> f� Boring# Boring p L <br /> v ® pit Ground surface elev. 6 ?•'/ ft. Depth to limiting factor _in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture StructureConsistence Boundary Roots GPD/ff <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I •Eff#2 <br /> -q 7r P Z L- 0.3 L S ZF 7Z <br /> Z #-32 7.5 Q -- m C5 L ,5 JvF 7 <br /> /, Z <br /> 15f- <br /> Effluent#1 =800 >30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L <br /> CST (Please , g store CST <br /> 0!7 <br /> Add Date Evaluation Conducted Telephone Number <br /> 2Z7 �S G/ 6 cal" 5 9� ¢ZZ- 4Z 7I—- g(6— 4457 <br />