HomeMy WebLinkAbout018-1086-43-000 (2)
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION Page of
Labor and Human Relations
Division of Safety and Buildings in accordance Wis.
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County O/. y
Attach complete site plan on paper not less than 8 1/2 x 11 inches igran must, ,L
include, but not limited to: vertical and horizontal reference point r~i l O v
slope, scale or dimensions, north arrow, and location and to neerest-foAd.i>-I pare I.D. # O
e DEC SUted~
APPLICANT INFORMATION Please print all infor 7T vie by
Personal information you provide may be used for secondary purposes (Priva s. 15.04 dl~?y d
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Property Owner r
SQt A3 %A 1% 110PJ -GrqvL /1/4 ~ 1/4,S.rc T N,R ( )
Subd. Name or CSM#
Property Owner's Mailing Address ST' EAST- I q0, NOw
332- M i ootsoTA "I o~t&x
Ci State Zip Code Phone Number Nearest Road w Y.
tY ~ ❑ City El Village LJ Town 1 (y (-44 ~
!5T. PAUL N. 551o )2 21
1y I (~S/ •55S
[New Construction Use: [residential / Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow fl _ 9Pd Recommended design loading rate bed, gpd/ft2 trench, gpd1ft2
Absorption area required 3-1-5-bed, ft2 -trench, ft 2 Maximum design loading rate :bed, gpd/ft2:trench, gpd/ft2
7 ~
Recommended infiltration surface elevation(s) Su pgA 3 ft (as referred to site plan benchmark)
Additional design/site considerations N/+ ft
Parent material /D Cf. Flood plain elevation, if applicable
Conventional 7S n Ground Press AT GraVU System in Fill Holding Tank
s= suitable for system ❑ U ❑ s ❑ s El S ❑ S U
U Unsuitable for system ❑ S EROG 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.
t o•i: /oYle - L If-she 111'"Mo S • `f . S
~a f e 3 Sig Ifs kk • Z 3
Ground J~ 5*1L 24" 60
_ S
elev. ~I f Hors U SL. '
Depth to
limiting ;
factor
~in.
Remarks: LL
Boring # 0.13 / y2 S Qle 3G~ s (f- ; . S
Z, 3
Z y . Z ~o ti ~3 S/ ~ ~fsh`dt
. G
;Y D• 0 3 „~/L ZAN 9 4%11
Ground ;
elev.
ft
TI" T- 5.1~-~ s ~ • ~ ~o G ~a. U S~ / r • .
Depth to /0 jam.
limiting
factor
in. Remarks:
(Please Print) RV%Fjt - 14LI Rie k ' Signature Telephone No.
CST Name Please Print R t~ //~i 1177FF 71s• 38& • Art S
Address Date CST Number
? `C~C axe4375
Ulbrlcht & Associates OTGf. J t
655 O'Neil Rd.
Hudson, Wis. 54016
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Hum $ eo L AaJ SOIL DESCRIPTION REPORT Page of
PROPERTY OWN/ER i/ HeMHO o~ i A~
PARCEL I.D.# `O ~ • ~ ~I
2
Structure Consistence Boundary Roots
Boring # Horizon Depth Dominant Color Mottles Texture Gr. Sz. Sh. Bed ,Trench
in. Munsell Qu. Sz. Cont. Color / s
SL s!~ ki ~ ' S
Ground
elev. t ! S
yq". lo ye 41.?-
Depth to
limiting
factor
3-3-- in.
Remarks: .
Boring #
Ground
elev.
n. '
Depth to
limiting
factor
in.
- Remarks:
in. Mottles Texture Structure Consistence Boundary Roots Bed . Trench
Horizon Depth Dominant Color GPD/ft~
' Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Boring #
Ground
elev.
ft. ,
Depth to
limiting
factor
--'n. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
'n. Remarks:
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