Laserfiche WebLink
of <br /> LaborandHu an Rel tions Industry, SOIL AND SITE EVALUATION REPORT Pae _ <br /> ' Labor and Human Relations g _Of <br /> Division of Safery&Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> COUNTY <br /> 'Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include,but <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.# <br /> dimensioned, north arrow„and location and distance to nearest road. 1 017- O[ O <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION I REVIEWED Ov D TE <br /> PROPERTY OWNER: PROPERTY LOCATION ao <br /> aGOVT.LOT SE 1/4 SE 114,57-1 T o N,R 15 E(o W <br /> PROPER OWNER'- MAILING ADDRESS LOT# BLOCK# SUBD.NAME OR CSM# <br /> 505 D_ <br /> CITY,5TAIE ZIP CODE P 0 E NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD <br /> 1 . .S`{$ ) 83 <br /> [ ] New Construction Use” 6 Residential/Number of bedrooms 2. ( j Addition to existing building <br /> Replacement [ ] Public or commercial describe <br /> Code derived daily flow OD gpd Recommended design loading rate •S bed,gpd/ft2- trench,gpd/ft2 <br /> Absorption area required (000 bed,ft2 500 trench,ft2 Maximum design loading rate .S bed,gpd/0 • trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) q_ (0.7 ft (as referred to site plan benchmark) <br /> Additional design/site considerations 5 x �QQ �((#{ <br /> Parent material G.LAGIRC. PgiF- " Flood plain elevation,if applicable A ft <br /> rU= <br /> Suitable for system CONVENTIONAL UND IN ROUND PRESSURE AT-GRADE Y TEM IN FILL HOLDIN T NK <br /> Unsuitable for system PQ S ❑U S ❑U S ❑U S ❑U S ❑U ❑S U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trertch <br /> t{ <br /> O- <br /> 2 q-01 <br /> Ground 29-SD S '`�-�— s l b dsf •s . 6 <br /> 1-3 ft 110-7Z 7.5 7 1.6 <br /> Depth to <br /> limiting <br /> factor i! <br /> Remarks: <br /> Boring# <br /> qg SA <br /> LU2_5 7 q ( 1 .6 <br /> Ground -SZ 5 ! N r 1BbX idSh (' M S <br /> q9 v. ft. -70 7.5,, R s q OMS 1 $ <br /> Depth to <br /> limiting <br /> factor -i <br /> Remarks: <br /> CST Name:—Please Print 1� n Phone. <br /> ddress: <br /> 2-716 w `3s 16iss"rR, <br /> WI, S 893 <br /> Signature: •/ , Date: CST Number: <br /> µ�(�,�wpl $~ � - 6 _367o <br />