HomeMy WebLinkAbout002-1070-70-000
Wisconsin Doparwwnt of Indusvy, SOIL AND SITE EVALUATION REPORT Page ®L of
Litbor rmd 1-fuman fWntions
Division-of'Galety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include; but Jr , CYOL
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. 00 ;k,- ► - )v - oaU
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION rEW Y BATE
~ i
PROPERTY OWNER: PROPERTY LOCATION
68Vfi-t@fi ~l 114515 1I4,S2_-dT 29 N,R I(. WW
PROPERTY OWNER':S MAIIJNG ADDR LOT # TBLOCK # SUBD. NAME OR CSM #
CITY, STgg,,TE ZIP CODE PHONE NUMBER QCITY QVILLAGE MOWN NEAREST ROAD
Qu IT
t,J t SHOD d~ ( ) I 2 401
uction Use (~Q Residential / Number of bedrooms 3 ( ) Addition to existing building
tt", lacement Public or commercial describe
P (1 p.f
Co ow _4 gpd _ Recommended design loading rate 0.5 bed, gpd/ft2 Q. b trench, gpd/ft2
Absorption area required ROD bed, ft2. 17 S(n trench, ft2 Maximum deli n /ft2 t).ln_Vench, d/ft2
Recommended infiltration surface elevation(s) ~ ft (as referred site plan be ark)
. / A~. q /lQ
Additional design / site considerations ~fk nc
Parent material ~c16at 4%1 Flood plain elevation, if applicable h)
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLCING ANK
U= Unsuitable fors stem ❑ S 19U 9S ❑ U ❑ S Mu ❑ S MU O S .1 U EIS [N U
SOIL DESCRIPTION REPORT
GPD/ft
Depth Dominant Color Mottles Texture Structure Consistence Mrdary Roots
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed iTw&
3 Z
f 5i I rn 0.s c s o
- z
3 ~ sI I sb C s ~
C411
Ground 3 _25 L4,141 t° U si l .Z s C S _ A, M
elev. M 2_d
q~&7 ft. L4 25- -50 .5 r Li 2m sal rr; - - Al fr' ? N
Depth to 0 r'
limiting
factor
Remarks: h rl7 nr, A has -,c)mP QYa ua 1
Boring #
3 Z sI a., n ~~6.~
I -I o 10 yk
2- to- 19 Lit
E4 IT
2-0 o ti IO ` s 2 ' y st 1 .z 5 X r44 cs - I,
Ground ) rn z
elev. W' z f~ SS ►0 12 I o 5/ i 5 SCI rn - A P
,9q fL
Depth to
limiting
factor
I y ,
Remarks: ~kr e S5w rt nn Lf hGA S sriw. ~M4e I -
CST Name:-PI e r'not,~}S~ r Phone: r7a -Y- LA 9),L-)
Address:.
)s. per WL
Date: CST Number:
Signaty,r i / v
i
PROPEM OWNER SOIL DESCRIPTION REPORT hge z of
PkRCEL I.D. y
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bcurday Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
»>;w
3;:. x l D-I ~o le a~i del 1 -Fsb rkt-fy-. 5 Z 0.5 ,(o
z 1 -2 ,43 SbK m ~r CS 0,:5
.O
I -F
Ground _3 _ 10 R y S b z s c, ~ z m SbK - e s A3 P N
elev. C2d
-18 f t. I ,
9- y -4 I S y S b1,2 SC zmsbK rne s
c2ol
Depth to
6yp i-
he b c
C-Fl, Z c m 1° N TO
limiting
factor
Remarks: wrap d fO " a r
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
I
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring # f :
Ground
elev.
Depth to
limiting
factor
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