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-.L.usconsin Department of lndu' ry, SOIL AND SITE EVALUATION REP O R T Page J- of .
Labor and Human Relations
} 0 Divisio'h of Safety & Buildings in accord with ILHH 83,05, Wis. Adm. Code
COUNTY
V
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 h&izontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
MR, 03 R t- GOVT. LOT t~ ~ 1/4 1/4,S T aq N,R S (or) W
PR PERTY OWNE ':S MAILING ADDR S° LOT # BLOCK # SUED. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OTOWN NEAREST ROAD
1~ r,
New Construction Use Residential / Number of bedrooms c~ j q ( ] Addition to existing building w r1.
j ] Replacement [ ] Public or, commercial describe m -
Code derived daily flow ;G gpd Recommended design loading rate lej bed, gpd/ft2 y~; S trench, gpd/ft2
Absorption area required lAoc) bed, ft2 Ic)(_r, trench, ft2 Maximum design loading rate 0,`S bed, gpd/ft2 t b trench, gpd/ft2
~I r
Recommended irtf.t.ation surface elevation S f± (as referred to site plan benchmark)
Additional design / site considerations ; •a• .
Parent material t5 , ,a Flood plain elevation, if applicable N_ A, ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ❑S au aS ❑U ❑S ®U ❑S ®U ❑S EflU ❑S RU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trainer
1 f 31;, ~r
n r C
01
Ground ' r s/- ra . ;~r LS I~
elev,
ft. . -34" lcyK b ~.,5 yf~~b~5~k c c - l~ `t P . 7v. 2
Depth to
limiting
factor
Remarks:
14
Boring #
o try a_ 3; I y~ l cr
:XX z
> Ia- 4" i~ ye s~~l n r~. sl nt c6 m r l I b
Ground -33 Ioy Ito v c z.J IY /O
elev. 33 ) a ry'c,4~ N tv F
ft• ~
Depth to n
srU
limiting I- Y_
factor `
Remarks:
CST Name:-Please Print Phon . -wor~> f~OE
a~ Ito > 6 cc ~ ) 7(03
Address: - work Y F-1 Mk
NC', irr,0
Signature: Date: CST Number:
x
PROPERTYOWNER (SRC' P--)caliv'SOIL DESCRIPTION REPORT Page
PARCEL I.D. # r
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
J. 1~" i(~ shy N.~ i x rn c M4r F
Ground
elev.
1 ft. ~F. ~-30" /G yR /3 C~G17 5/cf r - w P
Depth to
limiting "
factor
1XI, ucw~
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depti-i to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
I,
Remarks:
SBD-8330(8.05/92)
,r
Bowman Plumbing, Inc.age 3 of 3
Master Plumber No. 5875
2819 Knapp Street
Menomonie, WI 54751
(715) 235-4634
FAX (715) 235-3650 I
SOIL AND SITE EVALUATION REPORT
Greg Barney
NE4NE4S16T29N/R15W
Town of Springfield
County of St. Croix
LEGEND
1 1 BM: 100.' gal. screw in wood post in fence?.line-
; (lot line) 0.pp . ~q m~Qa
Loretta lar abee CST 3719 Borings dug with ba0 =ee -
Borings left open C~v
/ A bright sunny- day _12/30/~3
t o~ I';
lend
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f d- - ~r - Y
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