HomeMy WebLinkAbout020-1363-06-000
uaw+ aaru nummi newtions Page of
Division of safety and Buildings in accordance with s. f 1~9, NUis:-Adm. Code
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Attach complete site plan on paper not less than 81/2 x 11 inches in size! R(antnust n • County
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Include, but not limited to: vertical and horizontal reference point (BM), dire`-06n and { ,1,' i'9,". ! s~ t ro Y
percent slope, scale or dimensions, north arrow, and location and distar io nixes road. Pare I.D.
_ a20-~ 3(03_06
APPLICANT INFORMATION - P►ense print a►► infonr►af r . fli py Date
Personal Mxvir anon you WwAde may be used for secondary purposes (Privacy s 'iS Q4 M;4c
~1}{J i Coz,
Property Owner Property LocatiM
in S {1 D l ~t P rc. r i~s^+ , Lot _1/4'S 01/4,S 2...77 T 2.'j N,R -E-M W
Property Owners Mailing Address Lot it Subd. Name or CSMrf
fi30q rlort.Awe3~ern (oen~. CU nL tt (vt. xS RY
City State Zip Code Phone Number ❑ city ❑ v ngge Town Nearest Road
S! r~tw~ e~ mn 5
508~ (&51 )yso-)Sdo "450n s-r o I -L
New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building
❑ Replacement OPublie or commercial - Describe:
Code derived daily flow n 6astngpd Recommended design loading rate S bed, gpd/ft2 ' L trench, gpd/ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpdNt2_~trench, gPd*
Recommended infiltration surface elevation(s) 9 /r 3S n (as referred to site plan benchmark)
Additional design/site considerations po
Parent material p a %)#(L a~cJt Flood plain elevation, if applicable ~Q ft
S = Suitable for system Conventional lu{b, umt In-Ground Pressure AT-Grads System in Fill Hdding Tank
U = unsuitable for system S❑ U tS F-1 u MS ❑ u INS ❑ U s u ❑ S Z U
SOIL DESCRIPTION REPORT
Boris # Horizon Depth Dominant Color Mottles Structure GPD/ft2
Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench
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1. 6-►2 la t s L ! 2 rh56k m.Pr ZC , S e 40
IZ-2~ to r SI 2r►S6cr r 5 1~ 5
Ground 7,5 Jr J5 4c 1 5 4 in36K r`i u Fr c 4 .7
elev.
Depth to
limiting
factor
120 in. '
Remarks:
Boring #
1 0-15
2 is-14 tby~Yl~/ ►s 2r~s~ nv~ eS ►F 17 -8
3 -~fu s IV\ wCr c s ,
Ground -GI 7. S yr 7/j/ 5 i
elev. -72 -7..f r I// S1 a
iF y+~ t C a 5 r ~p
78-07-5'y-- s~v i S (45r~,Jf r r , O
Depth to
limiting I I-
factor
7 Gain. Remarks:
CST Name (Please Print) Signature Telephone No.
g Y\ .1 5 G r -71. 5 -1'4 - 214 55/
Address Date CST Number
143a mtk s+ n,) 812099 2z~ 1%7
SOIL DESCRIPTION REPORT
PROPERTY OWNER Page -z of 3
PARCEL I.D.#f
Boring # Horizon Depth Dominant Color Mottles Structure 2
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Y Bed Trench
t '3 C 0-15 loyr 5/Z { I.f"+56~ (>,~r 2 15
2 15.30 Ib ~ 511 2ri,sb~ r cs If ,G
Ground 3o-5C '7,5-r S _ 15 '2 t"1 OW rw f r C S r 7
elev. ~ rt. -?5 r -11w
s - S U iN1 - . ?3
Depth to
limiting
factor
-7-9-01n.
Remarks:
Boling #
` o-~ ro r3 2 - ~ ztns~►1 ti~~r ~W L ,5 ,G
4 VE Z L-I`) ioVr We, S.I zp-%S6V ~ r C5 it r5 ,to
N37 -7, .S - 1s 2r,56V v"'i r t5 - 'j
Ground I -7 e
elev.
Depth to
Umiting
factor
7 UOin.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2
In. Munseii Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring# I o ~0 t r3 2 1 ar'?564~ SFr C~ Z~ +5
. 5
3~i t b r sr S arrsb r CS
13 G
,S
39 r7,5 r - S' o fl
Ground
elev.
Depth to
limiting
factor
n' Remarks: X_ w~ 6 IX S o 5 I -7, 5 ,r G•
Boring #
Ground
elev.
fL
Depth to
limiting
factor
Remarks:
tMVIPVMtAtM I AL DY PtIIQM
1432120' STREET, NEW RICHMOND, WISCONSIN
715-246-2454
Torn Nelson
Certified Sol Tester 227387--R Od Samtwm SR00713
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