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 County <br /> Attach complete site plan on paper not less than 8112 x 11 inches in size.Plan must <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. d .20 a <br /> Please print all information. Revi y Date( 1�{ <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner L PropertyLocetion 4 <br /> rO k f(JAd Govt.Lot 4)c1114/0e-11/4 VST Q N R f 6 E(olig <br /> Property Owner's Mailing Address Lot# Bloa# Subd.Name or CSM# <br /> "'p— <br /> city <br /> city State Zip Code Phone Number ❑city ❑Village Town Nearest Road <br /> j O ( ) N o? <br /> ❑ New Construction User Residential/Number of bedrooms Z Code derived design flow rate 3a d GPD <br /> Replacement ❑ Public or commercial-Describe: r <br /> Parent material GZAr- ;Al d/`/'oc� Flood Plain elevation if applicable /1/ ft <br /> General comments 5 y5 ,,// O {6p <br /> and recommendations: [erX,, /uyr, 9T <br /> '^ ' Boring# <br /> ❑ Boring <br /> I/ 1 )29 Pit Ground surface elev. 97 7 ft. Depth to limiting factor in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> �� /f <5 <br /> Z.5 .. 7 . 6 <br /> $ <br /> Fe; <br /> Bonng# Boring <br /> pit <br /> 97 g s <br /> tO`Pit Ground surface elev. � ft. Depth to limiting factor��in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff <br /> in. Munsell Z Qu.Sz. Cont.Color Gr.Sz.Sh. I 'Eff#1 'EfW <br /> a - 7 <br /> Effluent#1 =BOD >30:5 220 mglL and TSS>30:<150 mg& 'Effluent#2=BOD,:5 30 mg/L and TSS 130 mg& <br /> CST w ,(Please Print) 9natur CST Number <br /> fttr <br /> Date Evaluation Conducted Telephone Number <br /> Address <br />