Laserfiche WebLink
WiisconsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page- <br /> of-Labor and Human Relations <br /> Division of safety&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 $u <br /> not limited to vertical and horizontal reference point(BM),direction and q of slope,scale or PARCE I.D.# <br /> dimensioned,north arrow,and location and distance to nearest road. 39 1 . 6C6. 019 QO <br /> APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION REVIE Eg$} DATE <br /> — S <br /> ��✓ <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> ALLF GOVT.LOT 5E 1/4 NW 1/4,S T 39 ,N,R 146 E(ore) <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# BLOCK# SUBD.NAME Oil CSM If <br /> CD- Rn- FF I N. 9 8 <br /> CITY,STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE KFOWN NEAREST ROAD <br /> EB51�tz W1. 93 ( > EEN04 Co. Rp. FF <br /> ( I New Construction Use [ ] Residential/Number of bedrooms 2 [ ] Addition to xisting building <br /> 0 Replacement [ ] Public or commercial describe <br /> Code derived daily how gpd Recommended design loading rate NA_bed,gpd/ NA_trench,gpd/ft2 <br /> Absorption area required—$jP_bed,ft2 trench,ft2 Maximum design loading rate gybed,gpd/ 2_ SLA trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s)AI91 ft (as referred to site plan bench ark) <br /> Additional design/site considerations <br /> Parent material 609C I AL DRIFT Flood plain elevation,if applicable NF It <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE I AT-GRADE SYSTEM IN HOLDING TANK <br /> U=Unsuitable fors stem ❑S NU ❑S U ❑S NU ❑S JB1 U ❑S ®U j4 S ❑U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistencendary,BotRoots GPD/ft <br /> n. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Tn?rtdl <br /> 0. �•: <br /> I l o •(, 7.5 rz 3 z �— Is oMs rat 1's ZM .7 ,8 <br /> 2 6 24, 1s K 'i Is oM5 MI Cs 2n 7 g <br /> Ground 3 2.&-39. 7.5jig 4(t; c2d 1.5 Rs o. 5 I br µl ^ ZM <br /> glev. <br /> NA ft. <br /> Depth to <br /> limiting <br /> factor <br /> 2� <br /> Remarks: <br /> Boring# r —/ �s 0 e MI CS 2M -7 I <br /> I 0 6 ?,5 R 32 <br /> Z z 6-2Y 7.5 R 4 0M5 y11 cs Z„1 •? .$ <br /> 3 24 29 7.5 Ky'I, M yl <br /> Ground <br /> elev. { 7-9.319, S foo Cd 7.S rise C M 1JP NP <br /> Depth to� <br /> limiting <br /> faclor.•i <br /> Remarks: <br /> T Name:—Please Prin4...� Phone:fcrlpRo NoPtci�s 5 - 66 17 <br /> Address: 277fo� -Hw 35 WE13sTEK W/. _:WW3 <br /> Signature: Date:- 9$ CS367,0 <br />