Laserfiche WebLink
Wisconsin Department of Commerce SOIL AND SITE EVALUATION <br /> DtvislW,of Safety and Buildings Page_L of <br /> Bureau of Integrated Services in accordance with s. ILHR 83.09,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County <br /> include,but not limited to: vertical and horizontal reference point(BM),direction and Z <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Parcel I.D.# <br /> M60 Ao0 <br /> APPLICANT INFORMATION- Please print all information. Reviewed by Date , <br /> Personal infomnation you provide may be used for secondary purposes(Privacy Law,S.15.04(1)(m)). ' r gl <br /> Property Owner Property Location <br /> Govt.Lot SF 4 ),/.E_l/4,S /4/ 737N,R IV E(or)(!f) <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> L414 33 <br /> City State Zip Code Phone Number ❑ City ❑ Village own Nsarest Road <br /> LS LX4861 7/ST 43S __2zic1S //1l Li GC <br /> ❑ New Constriction Use: i�lesidentiai/Number of bedrooms _ Addition to existing building tr <br /> replacement ❑Public or commercial-Describe: 414 <br /> Code derived daily flow 30171 gpd Recommended design loading rate _bed,gpd/ft2___Lj_trench,gpd/f12 <br /> Absorption area required y�g bed,ft2 �trench,ft2 Maximum design loading rate��bed,gpd/ft2 . trench,gpd/ft2 <br /> �a ,, 11 <br /> Recommended infiltration surface elevation(s) "1 1 ft(as referred to site plan benchmark) <br /> Additional design/sfte considerations a Y 3 -.-N <br /> Parent material C!)L>',C t�_�Z i f=f Flood plain elevation,if applicable t4 ft <br /> S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U = Unsuitable for system ❑ U 1� 8 ❑ U 2.3 ❑ U ( ❑ U ❑S wo— ❑S 4a`U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence BGPD/ft2 <br /> onsBoundary Roots <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bad ,Trench <br /> 13 <br /> Ground Zy05Cn 65 Bleu.r <br /> r n Z a Y4 c-- G .� �— <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> Boring# <br /> O-13 L'S 05-6 112V 65- -_2 r'� <br /> 1 <br /> VL'I L— 65f — 6 <br /> Ground <br /> elev. <br /> y , <br /> Depth to <br /> limiting <br /> factor <br /> 6n. Remarks: <br /> CST Name (Please Print) ig lure Telephone No. <br /> -715—q Cb-21410c-' <br /> Address ate CST Number <br /> j3'a hi A-710 5HCW, l-A <br />