Laserfiche WebLink
Wisconsin Department of Safety and Professional Services Page of <br /> Division of Industry Services ^ q -J 0 <br /> SOIL EVALUATION REPORT <br /> In accordance with SPS 385,Wis. Adm. Code County <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, r <br /> but not limited to:vertical and horizontal reference point(BM),direction and percent slope, Parcel I.D.07-03l-01-t//-16-/d y 03..000 <br /> scale or dimensions,north arrow,and location and distance to nearest road. -01100o <br /> Please print all information. evie ed byDat,// <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 5//4/203 <br /> Property Owner Property Location ❑ 0 <br /> 04 v e <br /> /( /e 'Als/emIce Govt.Lot '/, 1/4 S / y'/ N R /(, E (or)40 <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 3/d60 %ewe✓ RI <br /> City State Zip Code Phone Wier 0 City 0 Village 2 Town Nearest Road 341(00 <br /> Danbury 1 ws 1571330 i ( P5 )34as 1 I fill 13S I Tower /Zoe <br /> 0 New Construction Use:❑ Residential/Numberof bedrooms 3 Code derived design flow rate X130 GPD <br /> 0 Replacement 0 Public or pommercial-Describe: <br /> Parent material '1 _j W 1 UP".FF?` Flood Plan elevation if applicable W41 ft. <br /> General comments and recommendations: <br /> .Sys. e_/e„ 91. 9 <br /> 1 Boring# 0 Boring 6 <br /> ©Pit Ground surface elev. .— ft. Depth to limiting factor 7 52'1 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. <br /> *Eff#1 *Eff#2 <br /> O- y 7s1/r 2 — /S /rns6/c y,, 1 c 5 3r, ,7 /, 6 <br /> d2 y- 36 7,s(1/2"/y _ i.1 4t,$S /e- r, I 6 s 3 c o _7 /. <br /> 3 36-5"7 7 $'1/ y/t% — .s o s 6 on 1 6 5 )rr► :7 /, 6 <br /> II s7-8,1 7s ii? Sly — 5' osG 1 — -- , 7 /, 6 <br /> j. Boring# ©Boring 9-5'4 <br /> sy e l <br /> ❑Pit Ground surface elev. ft. Depth to limiting factor in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 <br /> I 0- y 7311? 74 — /.S , 7 /, 6 <br /> d /- y0 771RtiA., — /s _. , 7 /. 6 <br /> 3 yo-SC 75-7R `'/4 ._..< . 7 / 6 <br /> ' ss 8/ -2 s71? %y s , 7 /.6 <br /> *Effluent#1 =BOD,>30 5 220 mg/L and TSS>30 5 150 mg/L *Effluent#2=BOD,>30 5 220 mg/L and TSS>30 5 150 mg/L <br /> CST Name(Please Print) SignatureQ CST Number <br /> .�A-14-1-c s i )Avi l,el S �S 0"... 1 j,`7 3 1 D <br /> Address A776' ' N" ' 75— Date Eval tion Conducted Telephone Number <br /> 14/ �63te, w,rs-9d3' e/- /S-- do 745=206- y/S7 <br /> SBD-8330(R04/15) <br />