Laserfiche WebLink
6.-1- a-O - 1-( <br /> 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 /> County gU mei,f- <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 07-117-"2-W-4-27-1 Oy- -6/N0040 <br /> Please print all information. <br /> Fecomillp,##47C545/fylau <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)).Property Owner ,,�/ /, Property Location <br /> lem Gyt/CCN 11/9/- Govt.Lot 1/4 1/4 S L 7 T yr N R �6 E(ore <br /> Property Owner's Mailing Add'rp ss Lot# Block# Subd.Name or CSM# <br /> 2657 Missal V Val IN C !'11 V3 Pm E5m/- <br /> CityState Zip Code hone Number El City 1:3 Village Town Nearest Road <br /> y474A4k MA/ I$30.01 1 ( ) yw;7, 1 /91/1 )," <br /> ❑ New Construction Use:(.Residential I Number of bedrooms Z- Code derived designflow rale ref, GPD <br /> W.Replacement ❑ Pu is or c m erci -Describe: <br /> Parent material le tge14 i Pr/f r Flood Plain elevation if applicable ft <br /> General comments <br /> and recommendations: <br /> lBoring# j Boring <br /> ❑ Pit Ground surface elev. 9‘, C�/ <br /> ft. Depth to limiting factor 187 in. <br /> 1 Soil Application Rate <br /> Horizon 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 /> 116- 7. ye�� -- i , . 1 i z <br /> Z Id-y7Wy/y . 7 t z <br /> i lie-g7 7//72c`/ " --- .7 1.Z <br /> 2, Boring# ❑ Boring G�/L A <br /> 21 Pit Ground surface elev. 7 6 ft. Depth to limiting factor r + in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture •Structure Consistence Boundary Roots GPD/ff <br /> in. Munsell Qu.Sz. Cont.Color _ Gr.Sz.Sh. *Eft#1 'Efi#2 <br /> I <br /> 6i-6 7V3/z 14 /•r, k 1. C5 PI . -7 / ? <br /> 6-52 ?,5 //4/ , � OL GS /n -7 IZ <br /> &. a - . 7 A 'Z. <br /> i i f <br /> `Effluent#1 =80D5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BODS<30 mg/L and TSS<30 mg/L <br /> CST Name (Please Print) Signaturei � sof 4/�yylle- <br /> Address Date Evaluation Conducted Telephone <br /> Number <br /> ei://v dikAlL a Wali Al Q8*Clief, 6.--e-.Oe 7/1716k.WO a <br />