HomeMy WebLinkAbout032-2124-10-000 (2) Ipartment of Commerce SOS`-,-e..v SITE EVALUATION Page I of
• 'ety and Buildings
egrated Services in accordance with Comm 83.09, Wis. Adm. Code
..omplete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
County
.ie,tyut not limited to: vertical and horizontal reference point(BM),direction and C Qo:`,c
.,rcent slope,scale or dimensions,north arrow,and locatjaciand,distance to nearest road. Parcel I.D.#
APPLICANT INFORMATION- P/ea illririt a/l rirnation, Re • ed by Date
Personal information you provi.e may be used for p 0�es r y Law 8.1' ;04(1)(m))• f 2, zoo
Property Owner v d Lie` Property Location
�- x',t+ Govt.Lot 1/43,j 1/4,S 5 T30 ,N,R ) CC, E(orQ
Property Owner's Mailing Address l Cr 30 X Lot# Block# Subd.Name or CSM# c�
13 5-3 lt,�,fa k. `g.; � / \ C1..a b a>_E 17d
City State Zip Code Phone 1 um•e ', ❑ City ❑ Village ® Town Nearest
\\ d tv I u.sL 15 i-f cu f ) r440 t S t wN✓czs -0-1-- I w y
35
L
i
E New Construction Use: a Residential/Number of bedrooms 3 — ii Addition to existing build g ra
❑ Replacement El Public or commercial-Describe: / j,1 S AV "{ a= ° 41 '' 5 ' -Q, f. •-c-1,
Code derived daily flow 6 gpd Recommended designgdading rate ' • .4ed'gpd/ft2. gpd/ft2
Absorption area required FSS7 bed,ft2 7 5.--e> trench,ft2 Maximum design loading rate ,d'gpd/ft2 b lux**,gpd/ft2
Recommended infiltration surface elevation(s) q(CI O ft(as referred to site plan benchmark)
Additional design/site considerations 4--4. e le-u . q 1. 3 0
Parent material 1"i ( ( Flood plain elevation,if applicable /C/ A ft
Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
S = Suitable for system
U = Unsuitable for system R S ❑ U 44,s ❑ U 11 S El U l 'S ❑ U El S ® U ❑s ® U
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
„.s„ in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Beer,Irefict
0._6• to Y¢ 3 i .3 —, S L ( MMAS 1`x (v FR- cc a/I ✓ s
p.
i , -2_ G-cot, tby�. ,� "�
Ground
elev.
gw•70 ft.
Depth to a�39Z,46 .
limiting 3 2" ,
factor
min.
Remarks:
Boring#
‘ o-s- to yo_ 7i 3 SL Irk r rtZ_ CS 1vF ,- .4 s
)'.�_ '. - A�.•_r�• `) ,q 7 , 6-
1._ 5-10° *1(1 yr. 16 _ _ JL" J ' •
•
Ground
elev.
gi _ft. '
Depth to ,
limiting -
factor
/C°in. " Remarks:
CST Name (Please Print) lL Sign ture y/' Telephone No.
J4D A r'� SC Vntv�A` R •%%)_ �
(17--/ y -7-- YeO 8`
Address Date CST Number
2-0. <C). - S S cr\ 2s T [7 5-Yoz
s—/s-er_. 25730C1
. '4
MIMir
PROPERTY OWNER Sv �— SOIL DESCRIPTION REPORT
Page of
PARCEL I.D.#
Boring# Horizon Depth Dominant Color Mottles Structure 2
in. Munsell Qu.Sz.Cont.Color Texture Consistence Boundary Roots 'G /ft
Gr.Sz.Sh.
h
3 I o-9 y tL 31 3 SL I ww4bri `v`t.ns. L5 t V 1= ,i,S
‘2- `I-cw i.o 0. 3 m t-S - ,L/✓�°
Ground ,J
elev.
4y zo ft.
Depth to
limiting 31.Z"��j2w
factor
qi`( `in.
Remarks:
Boring#
y 0-6 (0 y2 3 /3 }61 `-1A-F2 F
z s1 CS lv z.
Li z 24' /o �R `1/� k F Cs ✓
ZH- v/Oyz.3 /6 — � C
7 y1+ S
r
Ground
elev.
c13 Po ft.
Depth to
limiting
factor
ALin.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure GPD/ft2
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Consistence Boundary Roots
Boring# 1 YtZ � �ed��.lsncrf'
Boring 0,43,Ib 3 3 - SL ( K twf-rz, cf' (t)
flitS,? 13461 'to y /6
Ground
elev.
cly./6 ft.
Depth to 11'1/w,
limiting
factor
/Ljn. Remarks:
Boring#
$ _ - l o-8-` le,try 73 �- z r / �- 1 1
gC�rM v S -. z 5r r
w Zo_60Z 7Sy�y/� 5 .
tort dtiot h1-cr f r li✓rk�D
Ground �l 6.2 8?'Sy rY/g :y.
v
4el i4ft.
Depth to
limiting 2 -0 -a/
factor
Remarks: ,(75 /15 Fic/ C oo 4 /lC �S Qj„OU.e
SBD-8330(R.9/98)
consin Department of Commerce SOIL AND SITE EVALUATION
is'ion of:Safety and Buildings Page of
,sureau•of Integrated Services in accordance with s. ILHR 83.09,Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County /J
include,but not limited to: vertical and horizontal reference point(BM),direction and .� (— (,r r-o ;yC
percent'slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.#
oh -5i4' L'y s�0.'tr 1Z.3o-S:Oopre, (!f/97zovo) Jov. a+ Pod
APPLICANT INFORMATION- Please print all information. F f Iy t kdr Reviewed by Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). I
Property Owner Property Location
Govt.Lot S(,t) 1/4 5 to 1/4,S 5 T .rd ,N,R /�' E(or)W
V
� � S
Property Owner's Mailing Address Lot# Block# Subd.Name or CSM#
/ C ( re
City . State Zip Code Phone Number ❑ City ❑ Village II Town Nearest Road
I I I ( ) Se.4nee-6e-f- 1
❑ New Construction Use:- ❑Residential/Number of bedrooms Addition to existing building
❑ Replacement ❑Public or commercial-Describe:
Code derived daily flow gpd Recommended design loading rate bed,gpd/ft2 trench,gpd/ft2
Absorption area required bed,ft2 trench,ft 2 Maximum design loading rate bed,gpd/ft2 trench,gpd/ft2
Recommended infiltration surface elevation(s) ft(as referred to site plan benchmark)
Additional design/site considerations
Parent material Flood plain elevation,if applicable ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system ❑S ❑ U ❑S ❑•U ❑S ❑ U ❑S ❑ U ❑S ❑ U ❑S ❑ U
SOIL DESCRIPTION REPORT
Borin g# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
IN .• .; .f in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench
I o-8 _ L ' -.fi. '
z '-20 DE sL r PA.tr ,
Ground 3 204 Z 5 L I C a . "`4/• .
elev.
ft. '1 42-n SYQ 4 y — S L -Pi
Depth to
limiting
factor
/Lin.
Remarks: w z- . . . - .Ar_ .__, ."--.1 Ai, PI' `—J/� ■
:
Boring#
•
.
Ground '
elev. .
ft. - ,
Depth to
limiting '
factor
in. Remarks:
CST Name (Please Print)/ Signature Telephone No.
...Sow._ Son n eyy7aq
q4,,,,,,,..- -----
Address Date CST Number
(,.C7GG(
" r
PAGE 3 OF
NAME _S-1 0c_.)v t LOT# / LEGAL DESCRIPTIONS'. 1/4S'J/4,S.S T 34,N,R(G E(or)v)
SCALE: 1"= (26
BM 1 ELEVATION l00 •Q
BM 1 DESCRIPTION,j 4(,'n (y A on EA, P0.5+ U I Flag
BM 2 ELEVATION /00 • 0 5
BM 2 DESCRIPTION Na;(,•A 18'z(w+ C.(vs+e r w/Floc.,
SYSTEM ELEVATION 1 61C-2 f
ALTERNATE ELEVATION 11. 3°
CONTOUR ELEVATION i{//
,7 • ,
redei :5 ALA"
• •
•
'c •o ' • .
N
SIGNATURE DATE 5 l S -U v
L