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032-2015-95-400 (2)
■ Wiscoiasin,Department of Commerce SOIL AND SITE EVALUATION Page / of 3 Diveiori of Safety and Buildings Bureau of Integrated Services in ap danceMtitht s.ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than /2x'11 inc irf ze. Plarl,must.. County P P P P �� include,but not limited to: vertical and horizonta reference poiFft,jt3ld('` ifction and 5"71, CrO/,,t/ percent slope,scale or dimensions,north arrow;afnd,iocation and distance to nearest rt?ad. Parcel I.D.# E fq. 004 o it 03a-- Vow FC4C4t) APPLICANT INFORMATION - Please FFnt all inkm1 Wpn.• :1 Reviewed by Date Personal information you provide may be used for secondary purposmaegA,s.15.04(f)(rqi)). 1. (//t//''6 Prop Owner `� f ;'�Prq�erty Location + 6-3-1t r �Lueri 2 / i Eri �i r ✓�.�ovt.Lot NW 1/4S j ,1/4,S 9 ., T30 ,N /7 -fir)W Property Owner's'Mailii b Address Lot# Block# Subd.Name o(CSM# j .__,, Q2 0/8 1'a I e re, Ae. s- il 3 City State Zip Code Phone Number ❑ City ❑ Village kr Town Nearest Road ZOVE i nd I filiVi --S-47S/31 (6l? ) 58677/6 ,mP/rset-I 5-01"4 Skeek NI New Construction Use: EgResidential/Number of bedrooms -3 Addition to existing building ❑ Replacement -� ❑Public or commercial-Describe: Code derived daily flow 7/�-�� gpd Recommended design loading rate 05-bed,gpd/f12 a e. trench,gpd/ft2 Absorption area required 3 75" bed,ft2 37S" trench,ft 22 Maximum design loading rate ∎S—bed,gpd/ft2 .6 trench,gpd/ft2 Recommended infiltration surface elevation(s) /06 . 5/S-/ ft(as referred to site plan benchmark) Additional design/site considerations .SyS L.:71. i3 a S ed/ em ec--llc24,- L a e Ec/- 404 /OS--VC/ Parent material at-I.../O S A Flood plain elevation,if applicable 'r, ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S Nu ®S ❑ U ❑ S S U ❑ S 23 U ❑S gi U ❑ S XL, 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 / 0_7 /OyaeS'4 --- _ L S- ,?Insa mfr 9A✓ JP .S' . fo .? 7a7 icy 4 L- S ..?,..-siX-- my r- c tI' .s,, . C Ground 3 .27-J? /O!/g /4 C.M 7 Sy4 _SL �/y s t iYiek- C S •Y . -5" elev. S 1 /nv,35 ft. Si 37-V/ ` ,e 5/ cad s''ygdg se. . 0.x,9 ri r- c s --, . 3 ; .. V s- 0-s3- /c le,s� rilS Osy M/ CS . 2: _9 Depth to // Y /O 6%y / / limiting A '57'74 s�y 7 .b inil> s-j2 6//Ay, 5e C.. /h9 SI 1'M1 - — .- . factor 4.77 in. Remarks: Boring# in / 0-8 /&ye y/.3 Ps 4. a?ms k in 9G✓ kr _s' ; .6 it .2 -2 83/ /3i S//‘ PS } ask 11 - y ig .s- .6 NNW 3 Y/-Vs- /O ,e V// C J d) i n e w SL /i. s E1 ivelln'Y � Ground V yS Fay qe c/r Cold 4 Q S C:� 01W f of Ili'. C.S . 3, elev._7 "IleY, y .S /OSSA. S 6c-eo syie v/e ,.?p y rfe. C9/1l61 /WA .3 , E V Depth to limiting ' factor 3/ in. Remarks: CST Name (Please Print) Si nature Telephone No. 7Z0111€1,5 .7: 5 , '1 (2/s) . a< / Address Date CST Number 6-8‘ 4/4 I/ej�r4,'r s es /di S -/-98 277 9?y PROPERTY OWNER B veT I Lloyd SOIL DESCRIPTION REPORT ° Page o of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure ry GD/ft 2 in. Munsell Qu.Sz.Cont.Color Texture Gr.Sz.Sh. Consistence Boundary Roots 3 > / /� Bed Trench a 9-33 /0„12 .5--/� Lis ..2 m sek. 6,1 ig Ground .3 33-x 7.s-yie 9/5/ mmP 5 y%. 7-3 2iw mpv_ /y a. Depth to limiting factor 33 in. Remarks: Boring# .......................... 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) r 1 I I -,-- -11 . , , . , . , . , , , , _ .. , , , , , , , _ 4_ _ , , , . . . , , , . , , J ■ , L'f, t -- e//744./m-ar S ! : „itti r , ± , _ 7 ---- L. 7 1 L„vim_ -� - ion 1 i ? " Love 1 f I l S�t i. 1 p a • , v-wo ‘Niviv,so,_, , , I l •3 - - s� I i 4 , 1- 1 ; 1 ■ h ir. A ' , 1 p GAO _ C Tom! a �y� ' Zak G ✓ , A1�! 3©y. 6 Va//,�y � 1: 7- ' 1_ _ L©f3 .� : r .�' N r . 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