Laserfiche WebLink
Wisconsin Department of Commerce SOIL AND SITE EVALUATION <br /> Division of Safety and Buildings Page — <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 riot limited to: vertical and horizontal reference pant(BM),direction and - <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Pam I.D.# <br /> 01,2acv ® / /o <br /> APPLICANT INFORMATION-Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner / } S�Property Location G <br /> J.O/oAld S"C c,,) 4 r z- Govt.Lot 1/4 ��1/4,S a0 T T®,N,R E(or)W <br /> Property Owners Mailing Address �� Lot# Block# Subd.NName or CSM# <br /> d .3 Greer _' <br /> City State Zip Code Phone Number ❑ city ❑ Village S Town Nearest Road <br /> Zje�5le-e I w p 3'yX S'3 1 ( ) 094573. J,4 C kK50.J dX <br /> New Construction Use: gResidential/Number of bedrooms 4;5' Addition to existing building <br /> ❑ Replacement ❑Public or commercial-Describe: <br /> Code derived daily flow . o gpdRecommended design loading rate r 7 bed,gpdtf? '8 trench,gpd/ft2 <br /> Absorption area required 4< bed,ft2.sK3 trench,n2 Maximum design loading rate-.z 7 bed,gpd/n2_'S trench,gpd/R2 <br /> Recommended infiltration surface elevation(s) 7 'sr 3 It(as referred to site plan benchmark) <br /> Additional design/site considerations <br /> idderations ' <br /> Parent material G/AC/�4/ d f/1et Flood plain elevation,if applicable /V ft <br /> S = Suitable for system Conventional Mound In-Ground Pressure AT-GradeSystem in Fill Holding Tank <br /> U = Unsuitable for system IMS ❑ u Ms ElU as El I D.S ❑ u as ❑ U ❑S VTu <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary RootsIGPD�f12 <br /> in. Munsell Qu.Sz,Cont.Color Gr.Sz.Sh. , ench <br /> 3f<c) . ��'j. <br /> OC �/ 7rJ �.5tJ � S Tt0r 1 <br /> Ground 3 7, D R F S p-5 <br /> elev. <br /> 91.�ft. <br /> Depth to <br /> limiting <br /> factor ; <br /> Remarks: <br /> Boring# <br /> Y� /o 7X % os <br /> Ground <br /> elev. <br /> Depth to <br /> limiting <br /> ctor <br /> -7-Oin. Remarks: <br /> CST Name (Please Print) Signature Telephone No. <br /> .,?y <br /> Data CST Number <br /> Address X Sllr S: %'e 7�YF17.2 35-'93_ <br />