HomeMy WebLinkAbout032-2125-10-000 Wisconsin Department of Commerce SOIL AND SITE EVALUATION I 3
.Division of Safetyend Buildings Page ` of
Bureau of Integrated Services in accordance with s. 11.14R-81.09, Wis. Adm. Code
'
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must, County •
include,but not limited to: vertical and horizontal reference point(BM),direction a4d ,C,n,y
percent slope,scale or dimensions,north arrow,and location and distance to riiare$t roafl Parcel I.D.#y R
APPLICANT INFORMATION- Please print all information. . ,: Review by Date /
Personal /information you provi•e�nay b used for secondary purposes(Privacy Law s.15.04(i)(rte),' I 371 2 DO/
Pro p a Owner t
/v/ •
tSP CttY-liikir ati on
Govt.Lot 1/4 1/4,S T ,N,R E or W
c �r l� - .��:s'' Slab S 30 1 �' ( �
Property Owner's Mailing Address Lot t , Bl # Subd.Name or CSM#
City State Zip Code Phone Number Nearest Road ! 7
( � ❑ City ❑ Village Kg Town / G7�
�[ So►� I l}J[ I �{t�l lv (`Ltd )549-4-131 -ecz.s�--r- I -474-d- 7
rteVe'
w Construction Use: .e FResidential/Number of bedrooms . -L'1' Addition to existing buildi g
❑ Replacement ❑Public or commercial-Describe: Ir eU,:S of ,e5 j 'e''7? //v rh q,e-�
4-7
Code derived daily flow CU a
gpd Recommended design loading rate_ /5- y-r-'ri<-L1 ? *77,-ra f4rl'
Absorption area required 8-C7 bed,ft2 ? 1 trench,ft2 fi �v
Maximum design loading rate �.`� _ .�_r-�,,�< �l_ • _ 7-1-7 t �` le'r--
Recommended infiltration surface elevation(s) upper cif 0.0 0 tower $''Q'.So ft(as referred to site plan benchmark)
Additional design/site considerations r f. -e-(-cu. u pe et $'?.f0 G o w-*0- e7 S-C!
Parent material f I f Flood plain elevation,if applicable /C.' ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system 11 S ❑ U ® S ❑ U Rs U [i S ❑ U ❑s O U ❑ S nu
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 h[4/
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench Loa(
I 0-9- I yr3/41 — L. 1m3) m-er GS lvL' - : 8 .-7
1 g_W. ►QyNto i ,, r.L_ m-r'r C -- .s . q .<
Ground -J
elev.
rl Z.30 ft.
Depth to
limiting ;
facto ,
9 in.
Remarks:
Boring#
I a-�� 1 (. I`f [3 11,0561 m.C-►-- c- (If - -7 ; -g P
C
2 rio-(1`i • (O`if 31 ,,,<. .t ,mom c_� , q
Ground
elev. I
Iii-Itft. 6L4 ?a.° 1
if z '
•
Depth to
limiting
factor
6111 in. Remarks:
CST Name (Please Print) 'Signature Telephone No.
AORon 5c-1,"rn(N �4t3 R.- ,-' - -'/S- zy?-- o-b-
Address Date CST Number
ZIt3 &:;. -- S Som�aZ,�C1--- Slio-z, S-/S-pc) Z533Q
y ,r
SOIL DESCRIPTION REPORT ,
PROPERTY OWNER J Page df *
PARCEL I.D.#
l .. �(
Boring Horizon Depth Dominant Color Mottles Structure G D/ft2 "
9 # Texture Consistence Boundary Roots Q
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench Code
3 ' 0-2- is /r,Na L._ i rna-b: 1141 c_ 1 v-r .4 . s ,44
_.
Ground ,-- Z91. )Or y(- l0 C-_ 2-m's' -'k 'Co`'A c j -- . _7. ,7 ,s
elev. J
41130 ft.
Depth to Q} (3).e. s
limiting 33- 7`,..-;;,. a
factor G
91 in.
Remarks:
Boring# �•
i 6-1- I( yr3Jy- — LS \rnf3 pn Cr ( 5 )0 - -7 ; . I./
J
Ground .
elev.
CjI.Ot ft.
Depth to —
limiting _
factor ,
!U 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# i e-9' 1ow., L )m 3 n--)-4 r- c 3 I \1X .--7 ; -c +2
Z 9-91- IC) c1a --_ ; Yyi.3h� r � C.S , ,5 9 ,
Ground '
elev.
(k 7.50 ft. of 10.0
„
Depth to
limiting
factor
-/ in. Remarks:
,,pv.) code
Boring #
1 6-60. /0y(3/e." 5: I 0117-i a bL `n-r. ( S , .S—, , 1
z (p- - /oyr — s ; ( &lre-tab, mfr- -s ,s
3J 20- j6y7376' 2--S a1msSL mv-Pr- 7 lZ /
Ground "7 -?b'/0Y/37a - arm,6�C. in-ii .) ✓
ele .
A
Nft.
Depth to
limiting
factor
iin. Remarks: 71-4 r3 /?orr nil G S Y� Z. " Z(0 -0 /
SBD-8330(R.07/96) �J
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M
PAGE 3 OF3
NAME C..)-•t- LOT# 1( LEGAL DESCRIPTIONSE.'/4ScJ/4,S ),N,R 1'(sE(or)F)
SCALE: 1"= /00
BM 1 ELEVATION 7OO•0
BM 1 DESCRIPTIONna: " .ji,i4(o(er w/Pict
BM 2 ELEVATION /00• c
BM 2 DESCRIPTION yn.t:(rn "poep(.e
SYSTEM ELEVATION ufp<r 90,00 Lowsr $(6.5b
ALTERNATE ELEVATION v fpk Q$590d•'aCh So j
CONTOUR ELEVATION ,(/l�ii
waxs d
el •d
• t • ami
•
45
•
SIGNATURE 7- DATE S
L