Laserfiche WebLink
Wisconsin Departrnent of Commerce SOIL EVALUATION REPORT Page--J—of/�_ <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> County <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 b"/'b ad- O-/ - o•��p— <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 49//600' <br /> Please print all Inforinatlon. Reviewed by Date <br /> Personal information you provide may ne used for secondary purposes(Privacy Law,s.15.04(1)(m)). �N <br /> Property Owner Property Location <br /> 7 / /M e IL i � oFfAr. ,5411/4 �$C0 1/4 S da T 410 N R /& E(or&v <br /> Property Owner's Mailing Address Lot# Bbck# I Subd.Name or CSM# <br /> &Cf S3 Go /?" G <br /> City State Zip Code Phone Number ❑city ❑Village ®Town Nearest Road 64.'3 <br /> lDonb" "y xqa'3p ( ) CAe/an® 1 Go R./ G <br /> ❑ New Construction Use: Residential/Number of bedrooms 3 Code derived design flow rate C/J-47 GPD <br /> ®Replacement ❑ Public or commercial-Describe: <br /> Parent material !r/I6CI ti ( /.7r•.'r�f Flood Plain elevation if applicable <br /> General comments <br /> and recommendations: SYf• e 40 93.20 O _ <br /> ld a ed as 383 ,6 - <br /> Boring# ❑ Boring <br /> © Pit Ground surface elev. 96-0 ft. Depth to limiting factor 7 / in. <br /> Soil ADDlication Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRF <br /> in. I Munsell Ou.Sz. Cont Color Gr.Sz.Sh. `Eff#1 `Eff#2 <br /> / <br /> 0- '1 ps-glt -/r — /S /r.s6k G1/ 3M -7 <br /> d 9- d 6- 7.S r/2`//G — 1 Fs )r 16/e eA <br /> 3 8-SO 7S1R <br /> y SO-7H 7.SW77y/t, — S/6- 0s6 ,M I - — s /, o <br /> Boring# ❑ Boring <br /> ® Pit Ground surfaceelev. `/y ft. Depth to limiting factor > 7) in. <br /> FSo,—iAppfication Rate <br /> Hcrizon 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 /> I o- y 7•S'!Te stn 13 /am d b k I e 5 3 I- -7 <br /> 4^ 3J 7. 5`//Z"�G — 6Sj olr.sd 3F <br /> p <br /> ti sy 7F 7.St+Rr/a/ — 5 r GSL I - I. b <br /> `Effluent#1 =BOD >30<220 mg/L and TSS>30 1150 mg/L •Effluent#2=BOD <30 mg/L and TSS<30 mglL <br /> CST Name(Please Print) Signature CST Number <br /> JC'm , S-07. 4M) <br /> Address Date Evaluation Conducted Telephone Number <br /> 77(oOf/w 36- GtlebSfwr wZ 6-4&.3 �I - d �� I l 7iS- ddb- 416-7 <br />