Laserfiche WebLink
Wiscnnsin Department of Industry, SOIL AND SITE EVALUATION <br /> Labor And Human Relations Page of 3 <br /> -Division ofSafety and Buildings in accordance with s. ILHR 83.09,Wis. <br /> Attabh 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 Burnett <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> 012 - 4224 - 04 510 <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)). 7 9 <br /> Property Owner Property L ation <br /> Barbara J Shocinski Govt.Lot 1/4 1/4,S 24 T 40 ,N,R 15 /Flo/)w <br /> Property Qwnees Mailing Address Lot# Block# Subd.Name or CSM# <br /> 5625 Camden Ave N 5 na CSM V 6 p 9, prt lot 4 CSM V 6 P 9 <br /> city State Zi oche Phone Number Nearest Road <br /> Brooklyn Center MN 430 ( 1 ❑ city ❑ village ® To'�"acks n Bonner LkRd :J <br /> ©New Construction Use: ®Residential/Number of bedrooms 2 Addition to existing building <br /> ❑ Replacement ❑Public or commercial-Describe: <br /> Code derived daily flow 300 gpd Recommended design loading rate.7 bed,gpd/ft2_J8 trench,gpd/ft2 <br /> Absorption area required dig bed,ft2 375 trench,ft2 Maximum design loading rate •7 bed,gpd/ft2 .8 trench,gpd/ft2 <br /> Recommended Infiltration surface elevations) 95.00 it(as referred to site plan benchmark) <br /> Additional design/site considerations. •Conventional <br /> onventtional 12 x 36 <br /> Parent material Glacial Ll`1`l� [�/k Flood plain elevation,if applicable Da ft <br /> S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U = Unsuitable for system ®s ❑ U ❑x s ❑ u iA S ❑ u ® S ❑ u ❑ S ® U ❑ S Q u <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench <br /> GL1 0-5 10YR 2/2 none S 0 sg m l a w 3 of .7 .8 <br /> 2 5-301 7.5YR 4/6 none S 0 sg m 1 a q 3 c .7 ; .8 <br /> Ground 3 130-71 7.5YR 4/4 none S 0 S9 m 1 -- -- .7 .8 <br /> elev. <br /> 97.65 ft. <br /> Depth to <br /> limiting <br /> fal <br /> 7 /LL in. <br /> Remarks: <br /> Boring# <br /> 1 0-8 10YR 2 2 m <br /> 2 2 8-32 7.5YR 4/6 none S 0 sq m 1 a <br /> 3 32-8 7.5YR 4/4 none S 0 sq m 1 -- -- <br /> Ground <br /> elev. <br /> 9&.15n• <br /> Depth to <br /> limiting <br /> factor -,73 <br /> >BjLIn. Remarks: <br /> CST Name (Please Print) Sig ture Telephone No. <br /> Joan E Daniels 715-349-5533 <br /> Address PO Box 316 Si en WI 54872 DV/25/96 � b1431 <br />