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HomeMy WebLinkAbout004-1089-60-100 (3)`wisconsin Department of Indus6l SOIL AND SITE EVALUATION REPORT . Laboe airj Human Relations Division of Safety & SuildiNs in accord with ILHR 83.05, Wis. Adm. Code Page _ of 7 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION —PLEASE PRINT ALL INFORMATION PARCELIA.# ©c'—14) - 6b REVIEWED BY , DATE .A I PROPERTY OWNER: PROPERTY LOCATION GOUT. LOT1/4 SL 1/4,5 _�'.T N,R i S E PROPERTY WNER':S MAILING ADDRESS LOT # BLOCK # SUBD, NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE WN NEAREST ROAD (7 S) 1 fit; [' ]New Construction Use [ ] Residential 1 Number of bedrooms ( J Addition to existing building j ] Replacement Public or commercial describe �, 0,. Code derived daily flow `,_'t gpd Recommended design loading rate bed, gpd/ft2 trench, gpd.ft2 Ahsorar on area required 1, bed, f12 trench, n2 Maximum design loading rate bed, gpd/ft2 trench. gpolft2 Recommended infiltration surface elevation(s) A / ft (as referred to site plan benchmark) H Additional design ! site considerations Parent material t r ! I Flood pain elevation, if applicable A"A ft S = Suitable for system CONVENTION, MOUND !N GRCJN7 PRSSURE AT- � DE SYSTEM1N F HO S G T ,� U = Unsuitable fors stem ❑ S CtJ ❑ S TU7 ❑ S ❑lJ SOIL DESCRIPTION REPORT Boring # Ground elev. ft. Depth to limiting factor Boring # x: Ground elev, Depth to limiting factor, 1 Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Bounciary Roots GPDIft Bed ►Trench ' I is i� v �i: �1 � I �• z c( r. ( �. �j Cj�L ✓ f` 1 0 S l C) Remarks: mm� mmmmm OEM Remarks: f O CST Name: —Please Print i Phon Address: Signature: ate: CST Number: PROPERTYOWNER j,!,we, SOIL DESCRIPTION REPORT PARCEL I.D. # OC- 4 — i" U Page _. of _r 1 Boring # Ground elev. it. Depth to limiting factor Ground elev. ft. Depth to limiting factor C,b� ta.,C,v- Boring # Ground elev. It. Depth to limiting factor Ground elev. f t. Depth to limiting factor Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft Bed iTmr& z\ K t c f, Ihtr (J `7 Remarks: - �� \ � �'� it � r•- t.c..' Sv \ 1 r sS Remarks: Remarks: Remarks: SSD-8330(R.05/92j e i • k �a�_ �c}S I PUCE l ��&'9 �a �71 .PLC'-C�7�a •�-,zY,U ,�/,`2� s9'�/L�,�� 489522 /:;1c CERTIFIED SURVEY MAP LOCATED IN THE NE1/4 OF THE SE1/4 OF SECTION 36, T28N, R15W, TOWN OF CADY, ST. CROIX COUNTY, WISCONSIN. o U N P L A T T E D F E1/4 CORNER w ` LAN D S SECTION 36 z w w T28N, R15W �- 70' w ; F p WESTERLY - E, RIGHT-OF-WAY LINE d zw z a z zl S89°54'00"E m ''I 208.71'CL w m r \ G's a 1 a U C Ex wl w LOT 2 3 S ft-7.0'±' - =I E~I o - 1.00 AC.± Lo zl HI 0 43,560 S.F.± o 00 a1 z V) cv Q{ zl POINT OF I al BEGINNING w ' w FI N89054'00"W H ♦- - - — _ 208.71' I Y t� ; o� � =I w o Z.I YOL.-3,- PG- Z41 - SCALE IN FEET 0' 100, 200' OWNER AND SUBDIVIDER DAIRYLAND POWER C/O JEROME B. FETTING 3200 EAST AVENUE SOUTH P.O. BOX 817 LACROSSE, WISCONSIN 54602-0817 0 o i H z - w ^ � I o n I w H c3o � r� 0 z I � SE CORNER SECTION 36 « i"r T28N, R15W T'92 F�LFD , r+{47PQ =UNTY' atn.ve Planning ocr T ,mq and o lj�MFs s 1992&. 2 Ra9,s7e DONNE N4 .::: ammiitse L s1 fof CCU 00•• W! ✓:.ojmordod w,atai 30 days of oy ;.s :oval date cn neval shoUbe dl & void THIS INSTRUMENT DRAFTED BY DARIN FLATER VOLUi9F. 9 PACE 2547 �ti-'rvirr�sin Department of Industry, Labor and Human Relations Division of Safety & Buildings SOIL AND SITE EVALUATION REPORT in onnnrd —;41 II UM 00 llXZ lhf:n AA— r -,4- Page of COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road, ©p d REVIE EDB DATE APPLICANT INFORMATION --PLEASE PRINT ALL INFORMATION PROPERTY OWNER: � C /C'T rpm g. tip PROPERTY LOCATION _ GOv r. LOT 1/4 S L 1/4,S 7 I T ,N,R E (or W PROPERTY WNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # "o 80 I 1;), U 3 06, U/ CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE WN NEAREST ROAD rc . e lt'i 5 r 1 ('tY) n8`i - 9714 e, ,ff j tKNew Construction Use [ j Residential / Number of bedrooms (j Addition to existing building [ j Replacement [ i-rlublic or commercial describe , 4.4 ' K h -, Code derived daily flow 41A gpd Recommended design loading rate �� bed, gpd/ft2 trench, gpd/ft2 M 41la Absorption area required LIA bed, ft2 trench, ft2 Maximum design loading rate 5 bed, gpd/ft2 trench, gpolft2 Recommended infiltration surface elevation(s) _ _ A,1/± ft (as referred to site plan benchmark) Additional design / site considerations kenw r Parent material �;•, ,. r Flood pain elevation, if applicable A, _ _ _ ft S = Suitable for system U= Unsuitable fors CONVENTION O S [9 [J MOUND IN❑-GS UND PF SSURE M AT -GRADE SYSTI1d IN FLLe H4 G TANK stem U ❑ S M 0 S GT S❑ U Boring # Ground elev. ft. Depth to limiting factor ` /.. y P't,, 1 H e,ts-, SOIL DESCRIPTION REPORT Horizon Depth in. Dominant Color Munsell fVlotfles Qu. Sz. Cont. Color Texture Structure Gr, Sz. Sh, Consistence B=xJary Roots GPD/ft Bed Trench U� Js J sLk Y 4r� .0 y z i c 5 t., s i . l Remarks: Boring # Q �a�.ami::au6 Ground elev, Depth to limiting factor , f iraw MEN' i •6�w Remarks: CST Name: —Please Print Phan :_ `7 0S 7 Address: lk' e %-,rl . Ll (.Ie /-C Signature: ate: CST Number: PROPERTY OWNER Da"Wso I OL"Lj -C,2c,vr- SOIL DESCRIPTION REPORT Page_ cv:--- PARCELI.D.# Boring # Ground elev. Depth to limiting factor Boring # 7 Ground elev. ft. Depth to limiting factor Rp.mRrkq- Horizon Depth in. Dominant Color Munsell Modes Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDft2 I Bed iTrendi :3 51 0 YP, /0 YK LA —4-1-1 �0 m io 17? Rama rkq- Boring # Ground elev. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor v 1, <57 - A sol 0 N( 9 C Remarks - Remarks'. SOD-8330(R.05/92) ,k5 it ),Icy 9w�� I .J U 1� IILA IT I C J ' h I