Laserfiche WebLink
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page_of_ <br /> Labor and Human Relations <br /> Division of safety B Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> MONTT <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include,but —BURNEM <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.#^1, <br /> dimensioned, north arrow,and location and distance to nearest road. U tl- 1-704 (D -,-Yw <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVEWED DATE <br /> PROPERTY OWNER: PROPERTY LOCATIONBRUrE W1 of <br /> L GOVT.LOT % 1/4 54 1/4,3 31 T 40 ,N,R 15 E(o W <br /> PROPERTY OWNER'S MAILING ADDRESS LOT I BLOCK# SUER NAM %7OP6 <br /> 2 RD . r SU <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWNOAD <br /> t as W) . 5 893 ( IS)$(A6- S31 JAcKSo N RD . <br /> Y` New Construction Use X Residential/Number of bedrooms 3 [ ] Addition o existing building <br /> I ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow�50 gpd Recommended design loading rate .7 bed,g /ft2 •a trench,gpd/ft2 <br /> Absorption area required (v43 bed,ft25le3 trench,ft2 Maximum design loading rate gibed,g /ft2 -8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 92.i ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material GLRGIRL 2R1;T Flood plain elevation, ifapplicale Nil ft <br /> S=Suitable for system CONVENTIONAL M UND IN-GROUND PRESSURE AT-GRADE SYSTEM INFILL HOLDING T NK <br /> U=Unsuitable fors stem S ❑U 9 S ❑U l�(S ❑U R S ❑U l4 S ❑U E]S U <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> Boring# Horizon in. Munsell Cu.Sz.Cont.Color Gr. Sz. Sh. Bed Tenet <br /> .::>: �� 1 �• I I 7-5 8 3 2 �� O fi K I 5 1 .7 <br /> r 2Y 2 11- 11 1.5 R H � �~— M) ONS <br /> Ground <br /> elev. <br /> ft. . <br /> Depth to <br /> limiting <br /> factor., <br /> > �1 <br /> Remarks: <br /> Boring # <br /> �• l 0-10 1.S R 3 2 ��_ Ms ons fn( <br /> 13�2�11 2 lo• 6-1 -1.sylz 4tq 'L_ Ms 01145 nt Cs 1 8 <br /> Ground <br /> elev. <br /> S.o ft. <br /> Depth to <br /> limiting <br /> factor " <br /> 7 b7 <br /> Remarks: <br /> CST Name.—Please Print IcNR,R� �oYKin1S Phone: / p�- y/57 <br /> 2. <br /> dress: NK) v4 Y �1 . .�O" D <br /> Signature: _ Date: Number: <br />