HomeMy WebLinkAbout018-1086-03-000
Wisconsin Department of Industry, SOIL AND SITE EVALUATION / Z
Labor and Human Relations - Page of
Division of Safety and Buildings in accordance I U18 .0'g, WIS.
Attach complete site plan on paper not less than 8 1/2 x 11 inches in ,`plan mCounty
upt-
include, but not limited to: vertical and horizontal reference point (B direction anti
y
I~ percent slope, scale or dimensions, north arrow, and location and di tanoe to nearest road. Parcel I.P. # O
04 ' ~d yi~Lffa
•
APPLICANT INFORMATION - Please print all lnformwon. Revie d Date
Personal information you provide maybe used for secondary purposes (Privacy L @ w,s . t 5.
f1) rF"rr,r
Property dwner H~ U M (3 l eD /.Ally 0 C b Property Location
7 ~N'A~ ~L 134 1 ((0 /V t3bv(. (.of t f " 1/4 1/4,S G1; TZ N,R / E (or) W
Property Owner's Mailing Address Lot # ock# Subd. Name or CSM#
332- hiuNtsoTA ST. EAST Iyoq .3 +&f.jVA,#AD 99/+&t'
/ Z.
City state Zip Code Phone Number Nearest Road k> Y.
15r. UL MA3. JTS/O) (&5/ )222 •-555,5 ❑ City ❑ village L7 Town q,~ ((1b
['Flew Construction Use: L•~rsesidential / Number of bedrooms 3 Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow 43*49 gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2
Absorption area required bed, ft2 trench, ft 2
Maximum design loading rate bed, gpd/ft2_ __trench, gpd/112
Recommended infiltration surface elevation(s) S 4 3 _ft (as referred to site plan benchmark)
1 43
Additional design/site considerations
~_ft
Parent material 10ECS 60W DENSE- 7/;//,% Flood plain elevation, if applicable N,,/
S = Suitable for system Conventional ~Moun ' In-Ground Pressure AT-Grade , / System in Fill Holding Tank
U = unsuitable for system ❑ s LEI ual GRIS ❑ u ❑ S L~U ❑ s L~'U ❑ S L ❑ S
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
-,Aq io y 313 - $/G Z SbG .wl►~' CS - .s . Cn
` CS • Z , ' 3
Ground e, 0 /Q Y / L lS,✓ 4#q Al
elev
*ft. to ege 31V 2X N oTs 54Z N iN
Depth to
limiting
factor
267- in.
Remarks:
Boring # p •/i /V Xif 3 L 17cs6K /N77'1:,e W / IC- • - S•
V G S• !o
y N1 S - JL 1 fly hA;~_ 4"
Ground
. ;
eleev
.Q ft.
&
Depth to
limiting
factor
70 in. Remarks: A •f.
CST Name (Please Print) R®pLeRT- 1~IL~R~G~I'T' Signature Telephone No.
Address Date CST Number
Ultldcht & Associates ttants 2.4 3 -7
5
MY-
655 O'Neil Rd.
Hudson, Wis• 54016
1
N U~ 81 ~O L AaL) SOIL DESCRIPTION REPORT
PROPERTY OWNER Page of
2 //AAlMOA D 41A S Ogfl
PARCEL LD.N GO ~ 3
G~pjft2
Boring # Horizon Depth Dominant Color Mottles Structure
Texture Consistence Boundary Roots 1
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
3 < ~t •s
Ground 5, AV 1 `D i I/ f 64 .7 4r
elev.
Depth to • S j
limiting 2 ,
factor
in.
Remarks:
Boring #
Ground
elev.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Structure GPD/fe
Texture Consistence Boundary Roots
in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. Bed , Trench
Boring# ;
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring # >
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBDW-8330 (R. 08/95)
I
L
Cc>~s T Go 7- ~ ~
I_
h
d~ w
r.r a
ba
p
v~ ul ~ `Q Z c
~ ~ ~~s T Lo T ~ -n
u a~ ~ N Q
p n~ lA, O 1` 1
7
M V Q