Laserfiche WebLink
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of <br /> 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 8 1/2 x 11 inches in size. Plan must include,but ��� <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.# r 1\\ <br /> dimensioned, north arrow, and location and distance to nearest road. 0 —�d3� <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> sF a39 Lf <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> E05Eff ZIEMER GOVT.LOT S 1/4 1/4,S—SST r-}0 ,N,R IS E(or& <br /> PROPERTYOWNER':$M�INGADDRESS LOT# BLOCK# BtlBB`NAM ORC�� <br /> .0 . $o +]� <br /> CITY,STATE ZIP CODE PONE NUMBER ❑CITY ❑ REST R <br /> VILLAGE 09OWN NEAOAD <br /> W I . 5`IS93 (1IS186b - �41.to3 R nlI .S. SHOR9 DR. <br /> [ ] New Construction Use]1(f Residential/Number of bedrooms Z [ ] Addition to existing building <br /> Replacement [ J Public or commercial describe /`— <br /> Code derived daily flow 300 gpd Recommended design loading rate -- bed,gpd/0 — trench,gpd/ft2 <br /> Absorption area required bed,ft2 _ trench,ft2 Maximum design loading rate --- bed,gpd/ft2 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) N ft (as referred to site plan benchmark) <br /> Additional design/site considerations f}Ol (�i N G ?fill IC r S I r� HAS nl f(LLji5*D <br /> Parent material FILL Flood plain elevation,if applicable No It <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM A,y FILL HOLDING TANK <br /> U=Unsuitable fors stem ❑S JOU ❑S IK U ❑S 1R U EIS CRU ❑S RSI U Ms r-111 <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trerldl <br /> 1 0-5 sip. Z MS 063 M MI t5 IVf <br /> -7.9 9.5 t. '- �� 65q M MI 65 3n <br /> Ground 3 2q-3(, 5 R 3/2.- Tj� 75 R4 L M5 OM H MI GS <br /> elev. <br /> 921 ft. 31.•45 10%4V, q/3 C2.d S YA `1 b N5 0 �-- <br /> Depth to <br /> limiting <br /> factor <br /> N <br /> Remarks: O W <br /> Boring# _ <br /> O"y SIR 3/2- �— MS 654)m NI CS <br /> c s M <br /> DBMS.... r 3 ��— <br /> Ground 4 <br /> elev. `f 29-�l9 10\1p, 3 R 4 b Czd S Ms OS m <br /> Q <br /> 1.ft. <br /> Depth to <br /> limiting <br /> factor <br /> C �. . <br /> Remarks: n <br /> CST Name.—Please Print Phone: <br /> //S- <br /> Address: 2i.760 35 6,55rC9 W • sl$'13 <br /> Signature: Date: CST Number: <br /> w41 z - 9 0 <br />