Laserfiche WebLink
Wisconsin Department of commerce SOIL EVALUATION REPORT Page / of L <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 size.Plan must County QK r n e <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. of d O 3H00 <br /> Please print all information. Reviewed b Date <br /> Personal infomution you provide may be used for secondary Purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property Location <br /> e Ff' lCfn sc 1 Govt Lot NE 1/4 Nw 1/4 S ,(y T //O N R M- E(oa <br /> Property Owner's Mailing Address Lot# I Block# I Subd.Name or CSW <br /> /03S Ale rC4 v�. !✓ A <br /> City State Zip code Phone Number ❑City []Village l Town Nearest Road <br /> /rereviLow MN SS/db 1 (tel ) qf3- e917 '/Ac*"n 1 L3•nner G'k /cL <br /> ❑ New Construction Use:❑ Residential/Number of bedrooms Code derived design flow rate GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material l e/. I ,no Flood Plain elevation if applicable ft. <br /> General comments P,-,'VY 5 <br /> and recommendations: °�;n- ---_-__.-._------ <br /> a Boring# ❑X Boring —_---� <br /> ❑ pit Ground surface elev. 94. O ft. Depth to limiting factor 1 84/ in. <br /> Sal Application Rate <br /> VH=izon Depth Dominant Color Redox Description Texture Structure Consistence Bounds Roots GPD/fF <br /> in. Munsell Ou.Sz. Cont Color Gr.Sz.Sh. `Eff#1 •Eff#2 <br /> 7 1, 6 <br /> Y- 40 7-fiR %y /s 7 /. 6 <br /> 4'0-to 7s 3./?% — S 7 16 <br /> Boring# ❑ Boring <br /> ❑ pit Ground surface elev. ft. Depth to limiting factor in. <br /> Sal ticationRate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence 8oundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I 'Eff#2 <br /> Effluent#1 =BOD >30:E 220 mglL and TSS>30:E 150 nxA •Effluent#2=BOD <30 and TSS<30 nugiL <br /> CST Name(Please Phe) _ - Signature CST Number <br /> a uneJ S 0aN1'eIr S� 73`/,Z0 <br /> Address V Date Evaluation Conducted Telephone Number <br /> ,A774/ Nw 3S wr ,kr-e tvr Sy89� (o-a-o7 7/s- 866- N/S� <br />