HomeMy WebLinkAbout020-1363-18-000
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oureau or integrated Services in accordance with s. IL0"'3.09, 'Wis..Adm. Code
Attach complete site plan on paper not less than 8 112 x 11 Inches in size. /Pidn roust County
include, but not limited to: vertical and horizontal reference point (BM), Clli'optiun and I :r r 'u 1 K
percent slope, scale or dimensions, north arrow, and location and distarIbe-lo nearest road. _ Parcel I.D. #
APPLICANT INFORMATION - Please print all information.. , t,3r, .*viewed Date
Personal inforrnation you provide may be used for secondary purposes (Privacy La'~~ s. 15.04 ~tl ~r4 q y Y y 0
Property Owner E \ pfoPedY
r~
JY t Vo^r Cardt(t.Lot 1A 01/4,S : T ~ ,N,R~ .E~ W
Property Owner's Mailing Address Lof iY ! Block# Subd. N me or CSM# ~i
} ? 1 1 b v_ ~ (n ,a e. - a 41_ Y f1 Ly t t t lrt "i + r x e 5 4 t i~
City State Zip Code Phone Number
❑ City ❑ Village [ Town Nearest Road
S~1~IWCJQ'L_ rqT\ 55(1 ((05I ) WH500 4, STO I'l
New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building
❑ Replacement Public or commercial
Describe:
Code derived daily flow tnl4hou n gpd Recommended design loading rate bed, gpd/ft2 / trench, gpd/112
Absorption area required bed, ft2_ trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2
Recommended infiltration surface elevation(s) r ~C7 ft (as referred to site plan benchmark)
Additional design/site considerations
Parent material ± Q e P 5_ o j i? f L.. frJ W:;. `!rk r"
Flood plain elevation, if applicable r\- N
~ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system 'MS ❑ U r s ❑ U [AS ❑ U to S ❑ U ❑ S ®U ❑ S ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Constster~ce Boundary Roots
Bed Trench
I'T
Ground
511-
S rS r~4,ta- I
alev.
14 •t R• ft. '11"13 It, ; t(ns6V rY'tFq r 5
Depth to 3'>if 5'4 f 'x - s W1 A a -7 , 3
limiting
factor
7ffbin.
Remarks:
Boring #
9-4 -7,5r 5/9 G S fit C; R 3
Ground SV94 t!a r S` tJ S t m4 r r.
elev.
s?2-eft.
Depth to
limiting
factor
in. Remarks:
CST Name (Please Print) o Signature i Telephone No.
Address :bate f CST Number
14 ~ 12t~ I, t a, d, ? `3(Zc~'4 227 3137
PRO'PfRTY OWNER SOIL DESCRIPTION REPORT
Page 2 of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles structure z
in. Munsell Qu- Sz. Cont. Cofer Texture Consistence Boundary Roots
Gr. Sz. Sh. Bed Trench
m•~r R
Ground j ,
elev. + t 5 '1 MS +r~lr Fti. ; • L
lift. 44-LS ~ , ~ ~ ~ ~ ~ = f~~ ~ ~ ~ : ~ • ~
b5-it
t o a r S ~ f5 2 t"05b ~f r L4
Depth to a/
;
limiting
factor
1) U iBoring n- # Remarks: ~J~ Q l S 5 7.5 t"f--- -
l b-y Io c 3 t ! 2Ms V ca r fit,.) 2 5 .lo
S,! t~s~ ter Cs i!
&F- 4
Ground 3']-? iD .t S
elev. 4 U~S (~'1} r S J~
`f- 5 7'1 l•5 rsf
Depth to
limiting
factor
Remarks _ W/ Do t_K kA 0 5 -M' y r
Horizon Depth Dominant Color Mottles Structure tt2
GP /
In. Munseit Qu. Sz. Cori. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench
.
Boring # { o •-1.2 l b t'
y. s. insW rn rr- Cvi Zf . 5
t °3o to r - S C t 5 tC A )f Cc,J ! y', S
Ground
elev. r
-=or-~rr• ,
Depth to
limiting
factor
11 0 in. Remarks :w/ lc.y`erS 4 i)otkti+s I s yv s/t, 4, 1 vas Ioyr• slip
Baring # " -
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBD-8330 (R. 07/96)
1
tMVIPVMMtMTAL ~Y Pt$!~M,
1432 120'h STREET? NEW RICHMOND, WISCONSIN
7t5-246-2454
Tom Nelson
Certified Solt Tester 227387--Registered Sanitarian SR00713
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