HomeMy WebLinkAbout030-2115-10-000
Wisconsin gepartment of Commerce SOIL AND SITE EVALUATION Page of
Divisor. of Safety and Buildings
Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and C Irv y
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. #
a3o-die f Live)
APPLICANT INFORMATION - Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). (M~(•
Property Owner Property Location
Govt. Lot S 1/4 toZV14,S 36 T 3a ,N,R E (or)
CAC, Q
Pr perty Owner's Mailing Address L BI Subd. Name oIIr--CSM#_
M. -e 1 I o
City State Zip Cod Phone Number City ❑ Village Town earest Road
N~New Construction Use: Residential / Number of bedrooms 3 -y Addi _on t A ing uildincy %
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow 600-gpd Recommended design I ding rate 4 bed, gpd/fi2_trench, gpd/ft2
Absorption area required i ZOO bed, ft2 `0o- -trench, ft2 Maximum design loading rate bed, gpd/ft2_.&_trench, gpd/ft2
Recommended infiltration surface elevation(s) 4? -7, U0 ft (as referred to site plan benchmark)
Additional design/site considerations Cavrt40,0,Q .?6,00
tParent material C t I OcL,Q_, of A \'l at' ) Flood plain elevation, if applicable ft
Suitable for system Convenal Mound In-Ground Pressure AT-Gradd7e1 System in Fill Holding Tank
Unsuitable for system El S U Ns ❑ U El s [4 U ❑ S 4a, U ❑ S I U ❑ S U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
I ( 0-9- tf~ 311 L 2 rr) >Abk r 2vf
Z 1-2y , r 5►1 >L c. 1 v~
Ground ..3/ 7j- r l d r-4119 ftlgil 1'11.L
elev.
Depth to
limiting
factor
Remarks:
Boring # , ().-Li 10 3h L 2 ~ 1C1}]k ) r z
2 9-Z5 o " - 31y - 2
r
3 6 rSl i CIA ioyrYl-~ /makl<
Ground !
elev."
Depth to GOB t h -ICA
limiting
facto
gin. Remarks:
CST Name (Please Print) Signature
ALIMI r Z y - - ZI004 -4& Date CST Number
AL 0 0&j er `L-, me e - UZ 1~5_ 9-2- 9 -
PROPERTY OWNER SOIL DESCRIPTION REPORT
- Page of;~ _
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GpD/ft2
in. Munselt Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 I I r' ► ~r_ cS v .
1
2-1) -ZC ,ckbk \ v C rD (n
Ground 3 Li I 1 (p
ele . C _
. 3y-5(s 74- _51 l to r Ima . -C GS - v
Depth to
limiting °
facto]
3 in.
Remarks: HgriZa r. 3 kx,,s uecy we+- - no
Boring # m°,41y,' S ~•en
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
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:
SBD-8330 (R. 07/96)
PR0,ERTYOWNER Dan SG 0.~ SOIL DESCRIPTION REPORT _
- Page of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G~ptft2
in. Munsell Qu: Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Ground 2k-3) 0 Maki,- 04C c s
' S
elev.
93.90
Depth to
limiting
factor
-20 in.
Remarks:
Boring #
,
Ground
elev.
n.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # ;
Ground
elev.
ft.
Depth to
limiting
factor
'n. Remarks:
Boring #
' I
Ground
elev.
ft.
Depth to
limiting
factor
'n' Remarks:
SBD-8330 (R. 07/96)
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