Laserfiche WebLink
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Of <br /> Labor and Human Relations g _ <br /> Divisipn of Safety 8 Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> • COU <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must include,but BU wen <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.If <br /> dimensioned, north arrow, and location and distance to nearest road. �'Qj�•^r]3— '1 <br /> APPLICANT. INFORMATION-PLEASE PRINT ALL INFORMATION REVIEW DBY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION W <br /> R 5 — 5T. CR01 0U IL GOVT.LOT,$ 1/4 1/4,S ( T 3S ,N,R 14 E(or& <br /> PROPERTY OWNERS MAILING ADDRESS LOT# BLOCK# SUBD.NAMEORCSM# <br /> '50 ZVI 21 2 I LUNO 4- T E SuBD. <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD <br /> 1IERT�L W t . ygys I . I Drw6 !LW 130V LIJ . <br /> Y`7 New Construction Use Residential/Number of bedrooms [ J Addition to a isting building <br /> j ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 45o gpd Recommended design loading rate .7 bed,gpd/ft $ trench,gpd/ft2 <br /> Absorption area required IoH3 bed,ft2 5 G 3 trench,112 Maximum design loading rate_7—bed,gpi:14 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 99.0 Act 96.x! ft (as referred to site plan bench ark) <br /> Additional design/site considerations <br /> Parent material �L.4cl FFL •DRIFT Flood plain elevation, if applicable Nq It <br /> S=Suitable for system CONVENTIONAL M UND IN-GROUND PRESSURE AT-GRADE YSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem l _S ❑U S ❑U $]S ❑U IR S ❑U S ❑U ❑S ZU <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture StructureConsistence Boundary Roots GPD/ft <br /> in. Munsell CU.Sz.Cont Color Gr. Sz. Sh. Bed Trench <br /> iZ 5L <br /> I Y M I cs 2M <br /> n......_-_ 2— b 19 ?,514A 9 3 r�_ M5 CM55 M1 es J M l $ <br /> Ground 3 19 -84 7•5yg 4/q M5 0 m5cl MI CS In •1 g <br /> elev. <br /> .Cart. <br /> Depth to <br /> limiting <br /> factgr� <br /> tt55 Remarks: <br /> Boring# <br /> ,,... <br /> f 0- ? 1.5 R 3L «' hlS I f r Nt CS gra -I 8 <br /> Z„z Z �- �. R 4 3 ^- M$ 0 MS M I CS I M .8 <br /> Ground IS•'b5 7.5 R y 4 M S OHS µl <br /> elev. <br /> 102.9 ft. <br /> Depth to <br /> limiting <br /> fac%, �y <br /> Remarks: iS Z! Co <br /> CST Name:—Please Print Phone: u13� <br /> /cfl n Vis 71s $6 7 <br /> Address: 'L w 3S WE srE lJl• _6q913 <br /> Signature: I Data6S 3C$T70umber: <br /> l bb <br />