HomeMy WebLinkAbout024-1039-70-000 (4)Wiscojism De,g-Artmonl of Ifidu'jLry,
LaboWitm,,Hunian Relations
Dlvir,� on of Safety & Buildings
SUIL AND SITE EVALUATION REPORT ilage A— 01
in accord with ILHR 83-05, Wis. Adm. Code
Attach complete site plan on paper not less thari,8 112-xit-�hos in size. Plan must include, but
not limited to vertical and horizontal reference- . point (51M), directiopland % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road..,
APPLICANT INFO RMATION-P LEASE PRINT,ALL NFORMATON
Addition toexist,ingb6iding
New Const,ruction use tA Residential N-umtZT_bf_bedrooms
Replacement Public or commercial describe Vft2 0 #,5 trench, gpdjft2
Recommended design loading rate __bed, gpc
Code derived daily flow gpd
bed j12 Vench, ft2 Maximum design loading rate 0 %5_ bed, gpd/ft2 Dl �o trench, gpd/ft2
Absorption area required _- s — --- referred to site plan benchmark )
Recommended infil tration surface elevation(s) "ice13E
Additional design !site considerations Flood plain elevation, it applicable ft
Parent material SYSTEM IN FILL HOLDING TANK
0'-D IN -GROUND PRESSURE AT -GRADE El S jau
S S = uitable for sstem CONV MOUNXC]U El S 9U 0S OU nw�
U = Unsu•itable forysys�lem 0S S mmw�___u I El S 14U
01
IL DESCRIPTION REPORT r -
Boring #
Ground
elev.
c7q-4 Aft
Depth to
limiting
factor
f)'I
Ground
elev,
ji. lip f t.
Depth to
limiting
factor
0
R e marks: Rt U1. ON -15 TA —An,
CST Name -.—Please Print
C-S MIEJAUTE
(-r Q5) Y_2_-_� �—1 '7
Addres4:
4j zzo V50"A912, P,� 0 e K I
Sign
Data:
ovs, 19, )qqv
CST Number,
- )o 1,)3707
Page of
PROPM, Y tjWNiR
PARCEL I.D. 4 02-1-4`1 CL3q--7D
Boring #
v"K
Ground
elev.
qbM (t.
Depth to
limiting
factor
2,1
Ground
elev.
It.
Depth to
limiting
factor
Boring #
Ground
elev.
Depth to
limiting
[actor
Boring #
Ground
elev.
It.
Depth to
limiting
factor
----------
SOIL DESCRIPTION REPORT
Remarks:
SOD 8330(R.05/92)
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