HomeMy WebLinkAbout022-1039-95-100
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apartment of Industry, SOIL AND SITE EVALUATION '
d Human Relations Page of
isi of Safety and Buildings in accordance with s. ILHR 83.09, Wis.
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County p~
include, but not limited to: vertical and horizontal reference point (BM), direction and 1J
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Parcel .
R~CEIV~p a
APPLICANT INFORMATION - Please print all information. Revi b
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 19,06
~
Property Owner Property Location " h
Govt. Lot f 1 /4s ~`vf, E (oqD
Property Owner's Mailing Address Lot # Block# #
(OV 14945RV Alezz4f4d P,92!4 City tats Zip Code Phone Number Nearest Road
8 S 0.2 ~ ❑ City Village Town
New Construction Use: Residential/ Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow 00 gpd Recommended design loading rate bed, gpd/ft2A2-_trench, gpd/ft2
Absorption area required bed, ft2 ADD trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) XW67)j
Additional design/site considerations
Parent material A9Z1.C_ SA~ol'LS Flood plain elevation, if applicable
S Suitable for system Conventional Mound Tri-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system ❑ S 4 U 0S ❑ U 'Li S 0 U S❑ U ❑ S [Z U ❑ S 0 U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
/ / 22 LS
Ground elev. G lea- _C1 ~ S_ / Ad 9M 6A L
.10
gr-77 G
Depth to - '0Y EA/ 4 S Sx'
limiting
factor
5;'-Vin. ;
Remarks: .03 - T1G,~T G
Boring #
/ /0 - 3 Gs Co . d
IF aX Ad YC=. r- 5-, -2 C-0 .2
At 7. S 6 e_0 .3
Ground ,S T~ S C Z
elev
L
Depth to
limiting
factor
~ Z, in. Remarks:
CST Name (Please Print) Signatt Telephone No.
ag=Tll
Address Date CST Number
Q O ~.vfi Z~lzlg: -?;L.33
SOIL DESCRIPTION REPORT
FFOPERTY OWNER ~ Page -2-0
ARCEL I.D.#
2
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots ED/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed i Trench
3 ,
L LES-AL- 44
w 2
1
Ground C -4-&jZL-
elev.
S
M 4-
Depth to
limiting
factor
AE in.
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed i Trench
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring,#
Ground
elev.
ft. ;
Depth to
limiting
factor
in.
Remarks:
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REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
Y, c DIVISION
ABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969
HUMAN RELATIONS
(H63.090) & Chapter 145.045)
LOCATION: SECTION: E W TOWNSHIP MUNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME:
SW 1/4 SE 1/4 14 /T28 N/R l8 E (o n KI NN / C K/NN/C / C . S. M.
COUNTY: O ER'S BUYER'S NAME: MAILING ADDRESS:
Sr. CROIX WAL TER HOWARD ROUTE 2 BOX 329 RIVER FA LLS, W/ 54022
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERC AL DESCRIPTION: PROFILE DESCRIPTIONS: ER OLAT ON TESTS:
Residence 3 N. q . ZNew ❑ Replace 6 -7 - 88
NO T CONDUC rE 0
RATING: S= Site suitable for system U= Site unsuitable for system
r ONVENTnu AL: MOUiIVD: IN-GROUND-PRF,SSURE: SSTEM-IN-EILLHOLDING T/j~K: RECOMMENDED SYSTEM: (optional)
0SS fL._'JJI S S E U aS E U aS IZ1 MOUND
If Percolation Tests are NOT re uired DESIGN RATE:
4 If any portion of the tested area is in the
under s.14163.09(5)(b), indicate: NOT CLASS I Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B_ I 4.0f 99.8' NONE 3.2' Bn/r (3.28n /r w/fff Rmotfl.2'1
B_ 2 5.5' 99. 6' 2.7 Bn J,v (2. 7'1 Gold It w1cep R mot f 2.8)
3 5.0' 98.11 3.0' Bn I r (3.0'1 8,7 I r w/ecp R mot ( 1.0'1
B-
B. 4 4.8' N.A. 3,1' 8nlr(3./'/ Bn If w/eep Rmot 11.7'1
B- S 4.6' N. A. 2.6 ' Bo I r f2. 6'1 an I r w/ ff f R mot f 2.0'1
B-
SOIL SHEET 84 PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH
P- B _,sAndy oil condition
P-Soil. maps indicatea percolation rate of less than minutes r /inch. CLASS ONE
P-
P--
P
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION / 00..64' /84
F
I
:s 6 1 I _ '
( EC. 14
I 1
v. _
TT a'
I ~lB I ASSUMED` 1 0 .00 x
1 A
O 2 PRO PERM L/NE
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1 4~ 0 I" RO P PE i
7 _T
i V! SCAT L E I 5 i
1
L 0.. LXI 1 1 AGKH E _
AR A Q I 70 21 1
o - ~tkIMJTS VITA LE AR A
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INSTRUCTIONS FOR COMPLETING FORM 116 - SRD - 6396
To be a complete and accurate soil test, your report must include:
1 . Complete legal description;
2. The use section must clearly indicate v' this is a residence or commercial pro,
3. MAXIMUM number of bedrooms or c use planned;
4. Is t'as a new or replacement system;
b. Coi , ;ate the suitability rating boxes. A SIT,_ i-i SUITABLE FOR A HOLDINC 'TA C'.ILY IF ALL
R SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
6i E'i r:ASE use the abbreviations shown here for writing profile descriptions and car -.t plan;
7. MAi,' A LEGIBLE diagram accurately locating your test locations. D g Jerred. A
'e sheep may F,^ r-sed if desired;
8. `,Ird,; sure your be rk and vertical elevation refs = e point are c' 1, 1 are permanent;
9. Complete all approl ate boxes as to dates, narnes, s, flood Mai i aa, percolation test exemp-
tion, if appropriate;
10. :r the information (such as flood plain, elevation) r of apply, pla N.A. in the app 3x;
11. n the form and place your current address and ~ tification n
I- • legible copies and diStribute as required A`.L SOIL TESTS MUST BE FILED TH THE
LOCAL AUTHORITY WITHIN 30 DAYS OF CO -TION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Separates and Textures Other Symbols
St S! "n 1011) BR - Bedrock
cols Cc ~ 10") SS - Sandstone
gr Gr3LS - Limestone
S Sat, HGW - L
es C' Pere
nted s - IV _ W
fs Fir Bldg - B
Is - 1, > er
Bn - Blown
sil - Si : Loam BI Black
Si Silt Gy - G.
ci - Clay Loan'l Y
Sandy C' y r r r R -
s - Silty Clav L n-roE
Sandy Clay ',N/ c VV
Silty Clay fff ftww, f'
~c - Clay (:c c;ornmon,
pi' - f rnrn - lViany, mcrii
m - Iv' _ d distinct
HWL s 1,
Six ,il Oures
T,,, rid -ao;.al BM
VRP - R Pair I