Laserfiche WebLink
Wisconsin Department of lndustry, SOIL AND SITE EVALUATION REPORT PageLof 3 <br /> Labor al Human Relations <br /> Division of Safety a 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 i2a roe <br /> not limited to vertical and horizontal reference point(BM),direction and`y of slope,scale or PARCEL I.D.# <br /> dimensioned, north arrow, and location and distance to nearest road. 38-s-116-e'/ 300 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTYCrER: / PROPERTY LOCATION <br /> 1•(65 e S Resor c G ��/� GOVT.LOT ti t -N4- — +14,S I� T � ,N,R E(o W <br /> PROPERTYOWNER:S LING ADDRESS / LOT# I BLOCK# SUED.NAME OR CSM# <br /> a -- <br /> CITY STATE IP CODE PHONE NUMBER ❑CITY VI LAGE OWN NEA EST RO <br /> 830 (715) 175y-3363 ez2L K� ams a o i✓ <br /> [ ] New Construction Use Residential/Number of bedrooms 360 [ ] Addition to existing'building <br /> Replacement QC] Public or commercial describe 3Ca61N5 ��b�ms pec �t�r/s 4-300 )-,5,74 <br /> Code derived daily flow 00 gpd Recommended design loading rate .Zbed,gpd/ft2 •�' trench,gpd/ft2 <br /> Absorption area required a W6 bed,ft2 //K trench,ft2 Maximum design loading rate gibed,gpd/ft2 -g trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 9f�03 ft (as referred to site plan benchmark) <br /> Additional design/site consrations / area .S`fd rd <br /> Parent material q IQci a � 7�Dr Flood plain elevation,if applicable ft <br /> S=Suitable for system CO VENTIONAL MOUND N-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TAJJK <br /> U=Unsuitable fors stem S ❑U I8[S ❑U S ❑U S ❑U ❑S EIS f3tJ <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GD/ft <br /> Boring# Horizon n. Munsell Cu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench <br /> 7 5 e 41(o <br /> Ground <br /> eek <br /> q . >3 ft. <br /> Depth to <br /> limiting <br /> factor <br /> 7 7(0 `T <br /> Remarks: iscon kc"f- — G-ood (,Jed L! c Sof <br /> Boring# <br /> l <br /> 4-3 7 5 k3 a �i lS <br /> tel. <br /> Ground <br /> ,IF v <br /> V fl. <br /> Depth to <br /> limiting <br /> factor <br /> -7 7.< F <br /> Remarks: <br /> CST Name:—Please Printer- Phone: />� 6 S3 3_ a a c f <br /> Sup <br /> Address: a�aao u)ood GreeK Rel. S'lr�n lr1Z 3 �7z <br /> Date: 1[ LAW Numbs: <br /> Signature: �/ '5 9 /o <br />