Laserfiche WebLink
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page_Loft <br /> Labor and Human Relations <br /> Division'of Safety&Buildings in accord with ILHR 83.05, Wis. Adm. Code <br /> COUNTY I <br /> -Attach complete site plan on paper not less than 8 1/2 x 11 in Lkt'iY�l ! L)p A ETT <br /> not limited to vertical and horizontal reference point(BM),dir nd q of slope,scale or PARCELI. .# <br /> dimensioned, north arrow,and location and distance to nears _ �� <br /> 2REVIEWED BY /Jr> DATE <br /> APPLICANT INFORMATION-PLEASE PRINT ALL IN ATIOT! � B t <br /> PROPE TYOWNER: PROP N <br /> AM115L INEI5EN YA,S ,3 T 39 ,N,R //.P(or)W <br /> PROPERTY 0 ER':S f�A NG ADDSTREET LOT# BLOCK# SUBD.NAME OR CSM# <br /> CITY,STA --// ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD <br /> �i�ooAl E2 ( ) t?vs B&AJ017- �x kJ <br /> 1),rNew Construction Use Residential/Number of bedrooms 4 Addition to existing building <br /> [ ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow &00 gpd Recommended design loading rate • 7 bed,gpd/112 g trench,gpd/ft2 <br /> Absorption area required 967 bed,9 750 trench,112 Maximum design loading ratebed,gpd/n2trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 9 e Caro. ; 94 6 Mara ft (as referred to site plan benchmark) <br /> Additional design/site considerations 4iFT To (.oWVW77&I1AL- W oAJ ToQ of ",1"N446"j /NOUA)O AC7ERA1A7E <br /> Parent material A GI 4L I,-)RIPr Flood plain elevation,if applicable AIA n <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM INFILL HOLDING TANK <br /> U=Unsuitable fors stem ZIS ❑U [IS ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S OU <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 Trerch <br /> 77 o-5 750- 33,Z /S jGce alder GS r//Fr <br /> . 7 .8 <br /> �<a2:A ✓ 5- S 7' ° I MZ _0A YnUF✓ GLS • 7 •eg <br /> Ground 4Q- ,5 4 �(p (53P 5v 5/ * S � OmLo5-3mri' GLNP A/P <br /> elev. <br /> ft• -7 7.548 •5/ F ?c4 .5he .5 5 v- - NP7 ^'s <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: * 1NDLAXr6D 5, A6r?; /41 CZLo/L J 447.VIX C4-404,- I&oCrEs 69oA N1F/' z�omAr <br /> Boring # <br /> 7.51k 3/Z 5 IFcr ML)F✓' GS 3F 8 <br /> `Az - 5-6 Im-cSbK knuFr <br /> Ground <br /> 35 Z R al R5/ -5 in 5 vn r LLW NP7 NP <br /> elev. /<?(0 5 2 `/ �v 5 k * NSD ort os* 1' CL Lj /F P N P <br /> 91�n. <br /> Depth to 75 51a;s6ewvo 6-C,5 OS rn uFr — 1 F NPS N <br /> limiting <br /> factor <br /> 35" <br /> Remarks: * A5 <br /> CST Name:—Please Print R41 G O Phone: 7/5 Z591 .5297 <br /> Address: -30 N14 [- ,� Gfkasr6Z 6t)l . 823 <br /> Signature: Date: UG g CST Number: <br /> IL/ 3/ <br />