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 lass than 8 1/2 x 11 inches in size.Plan must Countyu+Q <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and parcel <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 4113 62,745 <br /> Please print al!information. Reviewed b24�L <br /> erty Date <br /> Persona•Information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). OL <br /> Property Owner PropLocation <br /> �OL� �IS Govt.Lot / 1/4 1/4 S 13 T40 N R 1¢ E(or)'W <br /> Property Owner's Mailing Address10MLot# Block# Subd.Name or CSWCA V.!7 <br /> Cfly State Zip Code Phone Number ❑City ❑Village giJown Nearest Road <br /> S �orJEfZ 01 ,$pl 1 (11506-7991 ( Q <br /> New Construction Useg Residential/Number of bedrooms Code derived design flow rate _GPD <br /> Replacement ❑ Public or commercial-Describe: <br /> Parent material l/+� am.�R ' Flood Plain elevation if applicable �� R. <br /> General comments <br /> and recommendations: W A/✓i q4 f.2, <br /> 45. CSU- 94.9 <br /> a Boring# ❑ Boring <br /> ❑ pit Ground surface elev. S-S- ft. Depth to limiting factor ?G1 _in. <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 I •Eff#2 <br /> . -7 !-2 <br /> 2 6 I bkAll s . s - 7 <br /> 3A67 <br /> Boring# ❑ Boring <br /> ❑ Pit Ground surface elev.QS"•S ft. Depth to limiting factor _in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW <br /> In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 <br /> 2 S. s ! <br /> .5' -7 <br /> 314445. s1 — G <br /> •Effluent#1 =BOD >30:S 220 mg/L and TSS>30:E 150 mg/L •Effluent#2=BOD <30 <br /> _ mg/L and TSS<30 mg/L <br /> CST Name Pilpasia Print) Signatu CST Number <br /> Address cl-�Al�v rJ5 <br /> Date Evaluation Conducted Telephone Number <br /> 23760 4YLy3S 096SU SII- Z--7& <br />