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Home My WebLink About002-1025-40-000 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page I of I Division of Safety and Buildings "in accord with Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8%x 11 Inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, pd'104a Istance to nearest road. Parcel LD.# 002-102540 APPLICANT INFORMATION P/ se t all Intd►arit' Personal information you provide maybe used /W" a ryn (PdvacYw s 1b.04 (1)tm))• VI Byte tr t C.n r Property Owner f ZProperty Location SW 1/4 SW 1/4 12 29 16 W ,0-4- Govt. Lot S T N,R Property Owners Mailing Address - Lot # Block # Subd. Name or CSM# 1011 170th St. _ ` 1 cRV'a' 20 Acres: S 1/2 Of 40 ~ T City State Codex ❑ City ❑ Village ®Town Nearest Road Hammond WI 0f . 715-796-524 Baldwin I CTHW E ® New Construction Use: ® ResideMia!J Nurnbf bedrooms ❑Addition to existing building ❑ Replacement ❑ Public or commercial describe trench, gpd/ft' Code Derived daily flow gpd Recommended design loading rate bed, gpd/ft' Absorption area required bed, ft' tranch ft' Maximum design loading rate bed, gpd/ftz trench, gpd/ft2 Recommended infiltration surface eleva ' _ ft as ferred to site plc benchmar Additional design / site consideration limmary Pits show holding tank only under current code 1 Y- ViP"-JGdnS-Y Parent material loess over till Flood lain elevation, if applicable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U U=Unsuitable for system El U El S ®U El S ®U El S® U ES ®U ZS ❑ ❑ Depth Dominant Color Mottles Structure GPD_/f.2 Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots -B I Trench 1 Ground elev Depth to _ limitin pits ug on 20 acres: none qualffy r a mo o property were marginal-for a rep acement mound u er current rector e; most pits lade A+4"; t mottling nt in several pds Remarks: Typical profile is moderate to weak sandy cam soy s ve massive sandy loam to sandy clay loam till unit; the till js site limiting _ i iffid appears zm"mmon-mottltnng t--structured sr above the tilt - - - " CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715-665-2681 Address erU to of ng p to CST Number Ref # P.O. Box 57, Knapp, WI 54749, 1/2/1998 222774 1071 _ Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page of Division of Safety and Buildings in as. fe-IC~s. ILHR 83.09, Wis. 1 Attach complete site plan on paper not less than 8 1/ 1''' ties in size~ Plan,'inu's~ County include, but not limited to: vertical and horizontal ref rend point (alYection arad S ' percent slope, scale or dimensions, north arrow, a Ioo,ation and dl ~0;fcPearesi road. Parcel I.D. # ri, AN APPLICANT INFORMATION - Please intall info' "adodqn, evi wed y Date ; C ~3 @@ c p (0 r 4 Personal information you provide may be used for seconda p.1 se P .15.04(1);{m)).'/ Property Owner P,,r6R Location , o of '571j 1/45&11/4,S ~oZ T,2 N,R # W O ' Property Owner's Mailing Address tot # Block# Subd. Name or CSM# City State Zip Code Phone Number Nearest Road IAWIM ('/S )/7fXEl City ❑ Vill MAI d Town eO Rd -B-lq-ew Construction use: --8'R tdential / Number of bedrooms Addition to existing building placement ie ar commercial - Describe: Code derived daily flow _ gpd Recommended design loading rate bed, gpd/ft2_&f-trench, gpd/ft2 Absorption area required & h ed, ft2 -trench, ft2 Maximum design loading rate "bed, gpd/fl2_A1ff_trench, gpd/ft2 ! f rred t site I b h 1I Recommended infiltration surface elevation(s) f (as `C rey p ~ / 1'1 Additional design/site considerations Parent material Flood plain elevation, if applicable &A ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U SOIL DESCRIPTION REPORT Boring # FHor!zon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench o- fb yg 3 5_1 L .2S M L' S 6 10 4~ z, C e v 6r AIA NA Ground A(/J' elev. ; Depth to limiting factor tin. Remarks: CO. All Boring # A i Ground elev. ; Depth to limiting factor in. Remarks: CST Name (Please Print) Signature Telephone No. Address Date CST Number :3~ cw 9,4 6; e wood -/a- 8 /7d Fs' i ; OO ' 004 /p,x M17-:7 r~- .I I 1 I , "ICY - I a ~ I I _ - - I - F i I 11 %44 ° l i