HomeMy WebLinkAbout032-2193-11-330Ut In ff TAWP
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WIQ ru" fif -qnfwv AM SOIL EVALUATION REPORT -JJ. i -07 Pam of -:5
Division fttyaW in accordance with SPS 385, Wis. Adm. Code nc4 Ave
C County
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Attach complete site plan on paper not kos than 8 1/2 x I I inches in size. Plan must f4
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.Y� 0
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
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Please print aH Infonnaffory. �d b DY
Date
Personal lnkwm&Wn you pwovf4e may be used for purposes (Privacy Law, s. 15.04 (1) (m)).
Property Property Location
Govt Lot 1!:� 14 S T.
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Prope Owner's Ma" Aftm Lot # Bkx* # Subd. or
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Stefti 7jP Code Phone Number wageean VSTown Not Road
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Ww ConsMxftl Use: Residential 1 Number of bedrooms Code derived deso flow rate GPO
0 Replacement Pub"caul - Describe:
Parent materW LAMV jj i A.-e V t all & Flood Plain elevation ff applicable 'A A fL
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General convnents
and recommendatims:
1:1 Elodn# C] Boring
g pit Ground surface elev. '7 ' ft.
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Depth to limiting factor - .- In.
Eloring # BoriM
Q pit Ground surface elev. ft. Depth to rmiting factor in. Sell Applicatim Rate
Horizon Depth Dominant Color Redox Description Texture Structure tense ry Roots GPD/ft
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Na t signstw#� CST Number
Address Date Evaluation Conducted Telephone Number
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The Dept. of Safety and Professional Services is au* equals uppmiumty service provider and employer. If yuu aced auistauce to
access services or need maternal in an alternate format, contact the department at 608-2W31 S l or T rY through Relay.
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