Laserfiche WebLink
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page <br /> Labor and Human Relations —D <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 uxif4 <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCELID # <br /> dimensioned, north arrow,and location and distance to nearest road. f,�3pl_ <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED Y DATE <br /> �LZJpP <br /> PROPERTY OWNER: PROPERTY LOCA'TI1ON <br /> ERS GOVT.LOT .3 W 1/450 1/4,S2gT qry ,N,R 16 E(or <br /> PROPERTY OWNER':SMAILING ADDRESS LOT# BLOCK# 9kfBB-NCAME6Rfi&W1•# <br /> 01-1141)n2. S #9 E <br /> CITY,STATE ZIP CODE PHONE UMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD <br /> � <br /> RF:146 09 Sr CROIX M4. 550`}7 (Gt2) 33- 28 9 <br /> X New Construction UseP4 Residential/Number of bedrooms 3 [ ] Addition to existing building <br /> ( ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow LtSD gpd Recommended design loading rate •-7 bed,gpd/ft2 .$ trench,gpd/ft2 <br /> Absorption area required x`13 bed,ft2 E4S trenc /ft2 Maximum design loading rate .7 bed,gpd/ft2 •$ trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 2.q LT ,Z.•Z it (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material�LA C.1 R c DKl P T Flood plain elevation,if applicable IVA ft <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE I AT-GRADE - SYSTEM IN EILL HOLDING TANK <br /> U=Unsuitable fors stem us ❑U -0 S ❑U 9S ❑U Sa S ❑U *0 S ❑U ❑S R U <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 Trendl <br /> 0.4 7.s a 317- r----- Ms $ <br /> Z. 4. 3$ 7.5 tc 4& MS 8 <br /> Ground 3 3S•71 7• Sh <br /> elev. <br /> �S�Sft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: 11"D AU4E2 BOtGN4 <br /> Boring # ] <br /> 0 -7.S K 3/7- f-- Hs bets MI C5 <br /> q-`10 -7. K <br /> Ground` 3 -76 PIS 0►M s 1 7 .$ <br /> elev. <br /> 95_5 It <br /> Depth to <br /> limiting <br /> pct— oa <br /> Remarks: 17 — , 53 <br /> CST Name:—Please Print lc AK p INS Phone: 71S- do6C- 057 <br /> Address: 2 4y, 3S L3cgs7j;I4 W • .5'{893 <br /> Signature: Dale: CST Number: <br /> S- ►7- 9c 3��0 <br />