Laserfiche WebLink
WiscGnsin Department of Commerce SOIL AND SITE EVALUATION <br /> Division of Safety and Buildings Page I of 3 <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 81/2 x 11 inches in size. Plan must County <br /> include,but not limited to: vertical and horizontal reference point(BM),direction and <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Paroel I.D.# <br /> aU-_3111-05- �;L i <br /> APPLICANT INFORMATION- Please print all Information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.69(1)(m)). <br /> Property Owner Property Location v <br /> ,I,I IA,L lk Govt.Lot'2. 1/4 1/4,S 11 T B ,N.R ISI- 9*r).W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> x(.1141 A0.T9vL L tv e. <br /> City State Zip Code Phone Number ❑ City ❑ Village jo Town Nearest Road <br /> y801 I ( ) -(n65t4 MS —BASS t.AVF— <br /> New Construction Use: ®Residential/Number of bedrooms 3 Addition to existing building <br /> ❑ Replacement ❑Public or commercial-Describe: <br /> Code derived daily flow 45D—gpd Recommended design loading rate_gibed,gpd/ftz--.-JL_trench,gpd/*. <br /> Absorption area,required (ot7'3 bad,h2.__' C3__trench,ft2 Maximum design loading rate • bed,gpolfl2 ' a trench,gpdMt� <br /> Recommended inflftration surface elevation(s) %".I'< 97.51 - (ALT "Ib.Q ft(as referred to site plan benchmark) <br /> Additional design/site considerations A 5m 0491 100.0' (IAS�:v. le RAA,OAK) 6-14b sa ePfb <br /> Parent material aIACAP4, d.914 Flood plain elevation,If applicable AA 4 <br /> S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U = Unsuitable for system ®s ❑ u ®s ❑ u I ®s ❑ u ®s ❑ u Lis ® u ❑s Egli <br /> SOIL DESCRIPTION REPORT <br /> Boring# HorizonLDepth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP /ftz. <br /> Munsell Ou.Sz.Cont.Color Gr.Sz.Sh. Bed Trench <br /> 131 5YR.3/z I ed 3 .•7a.Z 5YR•y tk Q41 ( w V,4 Fy CA) i. • -7Ground 9V R 4I SL 1 1 .7 <br /> elev. <br /> 4N6—ft. <br /> Depth to <br /> limiting <br /> factor, <br /> 9Q04 <br /> Remarks: _3Y't <br /> Boring# <br /> .-7 <br /> 3 7 bYR'Illo ti.Q I� 7 <br /> Ground <br /> elev. <br /> Depth to 1 <br /> limiting <br /> factorlgarRemarks: <br /> CST Name (Please Print) M & K Signat0?0`- Telephone No. <br /> �"A...� <br /> Address NGM County Line Rd. gate CST Number <br /> Spooner,WI 64801 9 tb 56 H3bt. <br />