HomeMy WebLinkAbout008-1064-70-000 (5)Wnxonsir'DepartmentofIndustry, SOIL AND SITE EVALUATION REPORT Page_ t of '1
LAO,r and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1l2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. c' 0 b- .1 U
APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION IREVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
\ '�, L_- N G9VF-� S E 114 S"'J 114,S Z Z T N,R ) (D E {04:w)
PROPERTY OWNER'S MAILING ADDRESS tOT # I BLOCK SUBD. NAME OR CSM #
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CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE MOWN NEAREST ROAD
1Avou�\)I ltsw� SWO2-8 nQ 08-2a1$ �`1�v G�tt�L Zt))-t RUB
[ New Construction Use [,kJ Residential I Number of bedrooms [ ] Addition to existing building
[ j Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate o •3L bed, gpolffi2 - trench, gpolft2
Absorption area required S bed, ft2 Sao trench, tt2 Maximum design loading rate Qj- 5 bed, gpd/ft2 %- L-trench, gpdM2
Recommended infiltration surface elevation(s) ti C1 Z. C] ft (as referred to site plan benchmark)
Additional design 1 site considerations >- $ V , e% . Y-1 tnj - 1 ' O►~ S Ah-'b Fr LL- .
Parent material _ S t. Ley oy QT L C i �> �L Flood plain elevation, if applicable zu • A ft
S = Suitable for system CO�1VEti r}ONAL MCA ND 14-GROUND PRESSURE AT -GRADE SYSTEM IN PILL HOLDING TANK
U = UnSuitabfe for 5 Stem ❑ S IRU ff S ❑ U ❑ S [�U ❑ S QU ❑ S LIEU L ❑ S [$U
Boring #
R.
H,
Ground
elev.
t6D.0It.
Depth to
limiting
factor
30'
Boring #
Ground
elev.
y01-S ft.
Depth to
limiting
factor
39
SOIL DESCRIPTION REPORT
Horizon
Depth
in.
Dominant Color
Munsell
Mottles
Qu Sz. Cont Color
Texture
Structure
Gr. Sz. Sh.
Consistence
BarrJary
Roots
GPD/ft
Bed
jTirench
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Remarks:
;ST Name —Please Print Phone:
Arthur L. Wegerer _ 715-425-0I65
egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
3i nature: /7 Date: CST Ntxnber:
gS_3p3. M00576
PROPERTY OWNER RQS SOIL DESCRIPTION REPORT Page of
PARCEL 1.0, # 00 � 6 q - L9 - -2 C)
Boring #
Ground
elev.
)ow f I,
Depth to
limiting
factoZ[
)n
Boring #
Ground
elev.
Depth to
limiting
factor
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Ground
elev.
- It,
Depth to
limiting
factor
Horizon
Depth
in.
Dominant Color
Munsell
Mottles
Ou. Sz. Cont. Color
Texture
Structure
Gr Sz. Sh.
Consistence 19oucbry
I Roots
GPD/ft2
Red Trjrx�
Z " fi-, -:S / Z
C- S 10,6
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Sf'c�
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Remarks;
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Remarks
PLOT PLAN Page -1 of 3
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CST Signature Date Signed Telephone No. CST #