Laserfiche WebLink
Wis.Dept.of Safety and Professional Services SOIL EVALUATION REPORT Page_of <br /> Division of Safety and Buildings <br /> in accordance vlrth SPS 385,Wis. Adm. Code <br /> UlM!�I <br /> Attach complete site plan on pager not less than 8 1/2 x 11 inches in size.Pian must County <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and parcEq 1_D. <br /> percent slope, scale or dimensigns,north arrow,and location and distance to nearest read. �/ •gfpw <br /> Please print all information. Review9l by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Lary,s.15.04(1)(m))_ -16 <br /> eLd <br /> Property OwnerJJ/AA Properly Location �2 <br /> '1~ 041 GovL Lot J 114 114 S '33 T' 'N <br /> Property Owners Mailing Adds Lot# Stock Subd.Name or'G$i1W' - ! ' <br /> 076 N e�- <br /> city A States Zip Code Phone Number ❑City ❑Village I$Town Ne ,st Road <br /> A/5` lf0 TV y 1 (610 )3V-#M I t,7witt 1 0 dL / <br /> ❑ New Construction Use:13 Residential[Number of bedrooms 2- Code derived design flow rate GPD <br /> ®Replacement //❑- Pu lic��jjco ilial-Describe; <br /> Parent material t9-/C Q/ /(//r Flood Plain elevation if applicable ft. <br /> General comments <br /> and recommendations: 9 / R - 9a (,o <br /> Boring# Boring{� pit Ground surface elev. 9�ii_ Depth to limiting factor?g r in. <br /> Fs-oii­Appucation Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure nsistence undary Roots GPD/ft <br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sri. 111 1 02 <br /> . &-If .5)en t t i /VF .�7 .-z <br /> Z r! G�7 /. Z <br /> Boring# ❑ Boring <br /> Pit Ground surface elev. ft_ Depth to limiting factor 77 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure nsistence Boundary Roots GPD/ft 3 <br /> in_ Munsell Cu.Sz. Cont Color Gr.Sz.Sh_ *1-.ff#1 tf#2 <br /> t iD-N 7-9V71Z f Pn k 074 c5 IVF • 7 / 2 <br /> pkvI WIL- m3 — /.Z <br /> hb'7 ''.J j? / l'''/L 6 5 • 7 1.2 <br /> *Effluent#1=BOD .>30<220 mg/L and TSS>30 <150 mgiL `Effluent#2=BOD <30 mgk-and TSS <30 mg& <br /> CST Na tease P�pl� 1 Signatu Number <br /> kbf6 /od v <br /> Address Date Evaluation Conducted Telephone Number <br /> 6-(W-ozoz <br /> SBD-8336(1111/11) <br />