HomeMy WebLinkAbout018-1086-33-000 (2)
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION
Labor and Human Relations
Division of Safety and Buildings in accordance yi~h: & ILHR 83.09,~s.
! pParcei; include but not limited to: vertical Attach complete site plan on paper not less than 8 1/2 x 11 inches in sa . Plan mui I and horizontal reference point (BM
,_diroction and
r dimensionsno rth arrow and location and disisaoc e to nearest road. O ;
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Date
APPLICANT INFORMATION - Please print all informatlo[r Y Revi"' by
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Personal information you provide maybe used for secondary ( purposes Privy cY,La 05.od (y) E
Property Ow Rj> C Property Locat4oi<i 1 /4~~1SZQ T2. N,R 1'7 It Owner V H a b (or) W
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Q 13A 1 110 A.7 w.._
property Owner's Mailing Address Lot # ,Block# Subd. Name or CSM#
332- H i uatsoTA ST. CAST 1 y0 ~ ~j3 A•MMOwD Di9•~f'
Nearest Road w ~
city State Zip Code Phone Number City ❑ Village E! i o`er ~ o ad /
ST. UL lyA3 . SSI0I ((V5/ )22Z •5565
[residential / Number of bedrooms Addition to existing building
Q'(Jew Construction Use:
❑ Replacement ' F1 Public or commercial - Describe:
Code derived daily flow 1~=a gpd Recommended design loading rate • Z' bed, gpd/fe. trench, gpd/ft2
Absorption area required 175_bed, ft2 3~S trench, ft2 Maximum design loading rate • ~bed, gpd/ft2 ' S trench, gpd/ft2 ID . 3 It (as referred to site plan benchmark)
Recommended infiltration surface elevation(s) SI.L vi/2~v
14449 y ii
Additional design/site considerations 7Y'44: / n
Parent material ESs 0& FJ~2 O~NSa / T / 14% Flood plain elevation, if applicable
Conventional Mou In-Ground Press AT-Gra~_U_j System in rill H~oldS g Tank
I
S = Suitable for system S U S U g ❑ S L~
J ~10 t 0 U Unsuitable for system ❑ S Id U ,
SOIL DESCRIPTION REPORT
GPD/ft2
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Bed , Trench
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
• s
t o•l~ io L Sj&e sk CS 174
Mia
&CF
.1 w Y '
.3 G s ae SI C C( S
Ground MD+S .3 r. co (►j At AwcfL
;
elev.
py eft. ,
Depth to
limiting
factor
n.
Remarks:
CS'
Boring # O ~4 3 L /fSh,~ d5 4,
r •
11 .125 /0 3.1
ILI d 2- 3,
p CZ Leto+V /GL
Ground 'O T ot 612
elev.
/ d yfa-ft.
Depth to
limiting
fact r
in. Remarks: t!
R®~ERT 7~~13R1cti-~- Signature Telephoni.g
CST Name (Please Print F 1 71,5. 38&
Date CST Number
Address 3 7 5
Uibricht & Associates
Private swage onsultants
655 O'Neil Rd.
Hudson, Wis. 54016
L 1iad SOIL DESCRIPTION REPORT Page Z of 3
dAeS s Op V •
PARCEL PROPERTY LDI l //R OWNER k- 3 -27 HAM ho,j-D O
b
Mottles Texture Structure Consistence Boundary Roots Trench
Boring # Horizon Depth Dominant Color 2
Bed ,
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
3g
3 ~o
L . 3
Ground
elev. ? •S s G
loI.-K-ft.
Depth to
limiting
factor
m
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
G Me
Horizon Depth Dominant Color Mottles Texture Structure Consistence. Boundary Roots Bed Trench
in. Munsep Qu. Sz. Cont. Color Gr. Sz. Sh.
Boring„#
Ground
elev.
_^n.
Depth to
limiting
factor
Remarks:
,
Boring #
i
' I
Ground
elev.
n.
Depth to
limiting
factor
'n. Remarks:
SBDW-8330 (R. 08/95)
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Ulblicht e & Ass ecCOnsultants T-5
plTiv
Private 99 Rd
655 O Wis. 54016
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C ST 1Z 43 1,115"
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