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HomeMy WebLinkAbout032-2126-30-000 (3) 'isccrnsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page I of 3 Bureau of Integrated Services in accordance,wvlthi Comm 83.09, Wis. Adm. Code ` Air) ` `r County /v Attach complete site plan on paper not less than 8 1/2 x11 inch Sze. Plarhu t'<,-` ty include,but not limited to: vertical and horizontal reference poi �BI ,direction and `° '' �� CEO �( 1 percent slope,scale or dimensions,north arrow,and location a distancetoonearest road. Parcel I.D.# / r k 3,)_ -�1�ld 3066 APPLICANT INFORMATION- Please print all inf Lion. -.., Reviewed by Date Personal information you provide m be used for secondary urposes(Pnv y`kaw s.1.5.0411)(m}},:::; qvk_ I 3 ZOd Property Owner Property Location, S rn / / l��y�� b E o (_ Y-� L5-* .-'57— Govt.Lot$4.1j, 1/4$c j 1/4,S� TCS ,N,R/ Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# 1353 p. \, E.0 ---C-R 2_3 C/ r,bsZe )7o City State Zip Code Phone Number ❑ City CI Village ® TO Nearest Road 11,sT , �Ut are IL31 15le16 1 ( iS )5.9cf- rT3( 3®v\-mot'-2 FT I 1 ►/ ew Construction Use: Residential/Number of bedrooms 3" 4-I Addition to existing building i Replacement ❑Public or commercial-Describe: Code derived daily flow &CO gpd Recommended design loading rate -cS bed,gpd/ft2 . Co trench,gpd/ft2 Absorption area required /Z GCS bed,ft2 (0'3 C.)trench,ft 2 Maximum design loading rate •J S.--- bed,gpd/ft2 • 6' trench,gpd/ft2 Recommended infiltration surface elevation(s) (0 /. ? ft(as referred to site plan benchmark) Additional design/site considerations 67O✓L-4,c.11" lCC' > y Parent material `74 /( Flood plain elevation,if applicable /U ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S C'OU Kf S T U ❑ S p U ❑S 23'u ❑S UDJ ❑S p SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Structure GPD/ft2 hit) g in. Munsell Qu.Sz.Cont.Color Texture Gr.Sz.Sh. Consistence Boundary Roots Bed ,Trench cede iliifiZZ o 4Ir 10 In_ 3 i 3 ,r zb11 14kC (5 tgF 6 Z - , -"ac. 1 o I La,. (-1/ `f ,\ Z ■ `o V-% Inn , �c , 6 Ground 3 - .$‘-ii to•yp 3/ G Cz?7-‹)0 4/6 LS \v-,... .j ykAc. F1 5 — 7 ; ,� elev. /ot`.3`i ft. ' Depth to , limiting fact - ' in. • 24 Remarks: Boring# i VI,,ro � 3 q S A Z.r•■Ai-K Ar∎&. L LS ` 4 F s ' 5 -Z- • IOZc( (o ./2 3 f ( .SL Z. r\Pb•k. w‘.FR (5 -- S , C ,S t� wit bk to r; c S ' 6 , 3 Zu-3 Idyll `� t 4 G2P�.S�a (IA S �l � s - Ground elev. ' /C049 ft. ; Depth to limiting ' factor 247 AO n. Remarks: CST Name (Please Print) •.us""re Telephone No. b e S i<• " = �- _ I S) Z y �d°S" Address Date CST Number "LA Va) *c) M- 5c- tv‘e.)cz 564- 6-Y57s A..i:Y., 5"1.5-,--©b Z-573' c)`l SOIL DESCRIPTION REPORT PROPERTY OWNER Page Z of PARCEL I.D.# Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 "A) in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench l dv ■ 0-6 icy'? 3 / 3 _ S` Z wAabk •ti'CsZ 6_5 t F S C .S z 6-36 (o rR`t I `f 5,1 Z t bk C5 _ 5 ; 6 Ground 3 .36-`,6 (6yrt 3I 6 C-zC-��•S�zy/4 L-S I t`-P5‘.5 w. rl' �5 — 7 ; F .� • Depth to limiting factor 36 in. Remarks: Boring# • corli • 13, Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench Boring# Ground elev. ft. • Depth to limiting factor in. Remarks: Boring# • Ground elev. — ft. Depth to limiting factor in. Remarks: SBD-8330(R.9/98) O. • f PAGE 1 NAME 54004 LOT#Z 3 LEGAL DESCRIPTIONS 44 1/4Sw1/4,S$ T30 ,N,R1I E(or)�W SCALE: 1"= le,o BM 1 ELEVATION (0°'d BM 1 DESCRIPTION lop 0 IL 11,x. 4 ' 5 BM 2 ELEVATION ! 0 (O BM 2 DESCRIPTION p 0-C f i pvc, pip¢ kritu,,/,t-!a") SYSTEM ELEVATION to/, 9' ��/1 / ALTERNATE ELEVATION CONTO E 9Q GC K . • 0•` 4 r 8a .. I3' 81 • SIGNATURE 7 i��� DATE