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 B 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.# <br /> dimensioned, north arrow,and location and distance to nearest road. g - <br /> APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION FIEVIEVfED gX,, DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> c1liq FF14 GOVT.LOT a#y 1/4 1/4,S2.q T YO ,N,R �� E(o W <br /> PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK# SUED.NAME Oil CSM# <br /> 25 <br /> CITY,STATE ZIP CODE PONE NUMBER []CITY ❑VILLAGE OWN NEAREST ROAD <br /> P V1i . O ( ) 2L3 0 ER(� R�- <br /> [ I New Construction Use M Residential/Number of bedrooms 2- [ ) Addition toexisting building <br /> Vj Replacement [ I Public or commercial describe <br /> Code derived dairy flow 300 god Recommended design loading rate LL_bed,gpd/f2S trench,gpd/ft2 <br /> Absorption area required_J�bed,ft2 (000 trench,ft2 Maximum design loading rate .4 bed,gpd/ 2 S trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 93.9 ft (as referred to site plan bench ark) <br /> Additional design/site considerations <br /> Parent material 4LA n L 1�;Vj fT Flood plain elevation,if applicable It <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE gGRADE SYSTEM IN FILL HOLDINGtTANKU=Unsuitable for s stem S ❑U �S ❑U RS ❑U ®S ❑U IRs ❑U ❑S <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bondaly Roots GPD/ft <br /> in. Munsell Cu.Sz.Cant Color Gr. Sz. Sh. Bed Trench <br /> 2f bk 14f 5 2M ,5 • b <br /> 5.ss 7.S7Y R t} 3 My �� I m '� s <br /> Ground <br /> elev. <br /> �`�ft. <br /> Depth to <br /> limiting <br /> factor <br /> - ss <br /> Remarks: <br /> Boring # <br /> I c5 2�bK K_ I CS ZM <br /> P" 5 7.S -BLY- T <br /> 2 2 NM <br /> - LL 7.5 R 4 q �� -qs 3-Cm <br /> Ground <br /> elev. <br /> ft. <br /> Depth to <br /> limiting <br /> factor <br /> 7 b6 <br /> Remarks: j _ <br /> CST Name:—Please Print Xj CH'geo 1101PPAY Phone: <br /> Address: p w 35 wwsrglZ 93 <br /> Sgnature: / # Dat CSTN m�r: <br />