HomeMy WebLinkAbout040-1266-00-000 (2) Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labbr and Human Relations _ g —
Oivi ion of Safety 8 Buildings in accord with ILHR 83.05,WiS,,ABr 'code
7PARCE�0,.D..#Attach complete site plan on paper not less than 81/2 x 11 inches in size Ptartmtist inc 'bi not limited to vertical and horizontal reference point(BM),direction and%pfa?ape,scald
dimensioned,north arrow,and location and distance to nearest road. ' ('per /jyy2�
4"4,`° REMTIU�. DAPPLICANT INFORMATION-PLEASE PRINT ALL INFORMATI I*_- .i6
PROPERTY OWNER: fxwxey .ROPERZYLWi9JltlON S t~
C�\' S $ FttID ti\S SCIfUI.j Z ,`i lJOT ZZ:,N,R lq E(00W
PROPERTY OWNER':S MAILING ADDRESS• L #.' BLOC ._- D OR CSM#
Z 58 �lvEIZS tDE �D21uE 8 {' I So>v 5 PrbD .
CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑ OWN ' NEAREST ROAD
1Z Q(a-L -S wl 5goj:Lh15) q Z,S- $161 _71z l f EMPIRE 3uu.D15L DR,
�q New Construction Use Residential/Number of bedrooms [ ] Addition to existing building
j J Replacement [ J Public or commercial describe
Code derived daily flow b t.�o gpd Recommended design loading rate bed,gpdfft2 - trench,gpd/ft2
Absorption area required S 0t) bed,ft2 S 00 trench,ft2 - Maximum design loading rate •S bed,gpd/ft2 - 6 trench,gpd/ft2
Recommended infiltration surface elevation(s) \-130•S It (as referred to site plan benchmark)
Additional design/site considerations I J l8'Y_L3 ' B e) . M I AJ I Xi Lim Z y u OF- Sf'� Fl
Parent material L p Ie5S oUL'R T1 L L aUlM U w►e!Mwt4_ Flood plain elevation,if applicable N� ft
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ❑S O U ®S ❑U ❑S ®'U I ❑S ®U ❑S ®U ( EIS ®U
SOIL DESCRIPTION REPORT
Depth Dominant Color I Moines I I Structure 113oundary GPD/ft Boring# Horizon Texture Consistence Roots Bed tertdt
in. Munsell Qu.Sz.Cont Color Gr.Sz.Sh.
o-� tio-t R 3 L Z — s i 2`fs6k wL� •S 6
�ru�
iz 31 L — s isbk m'F� e,,� •S .b
Ground 3 N't-ZS l c ) 'Z�sbh. 1►z'�h e� .s.
elev.
ft ?-3-3s to 1 613 LSII - - NP
Depth to
limiting
factor
Remarks:
Boring#
O 9 I D`1 rz- -Z
El Z �r-19. lu`ttz 3�6 - slJ Z'Q-sbk y►�f>r ew .S .�
Ground
SI lwn sb>r Yn10 eS - .� .S
elev. t j 310-y6 10'111 03
Cis.8 ft Depth to
limiting
factor
3p�
Remarks:
T Name:—Please Print Phone:
Arthur L. We erer 715-425-0165
egerer Soil Testing & Design Service-P.O. Box 74 River .Falls,WI. 54022 .
Signature: Date: CST Number..
0o-IR3- f3 l S • -Qa 226254
PROPERTYOWNER_ SOIL DESCRIPTION REPORT Page?of 3y
PARCEL IA wG
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft
in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Consistence Barry Roots
El
_ Bed [Trel d
o-lz toy -z �!z siJ
SO Z` Z5 wh C —
y
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Ground 3 3Z—61 7.S y R VA �,S 4 R O� v wvw&A-ft
It — tv� l!VP
r
Depth to
limiting
factor
Z"
Remarks:
Boring#
<u . ° -q 10� R 3 1 z
M:1 s i t `z�sbk
t
4-13 LOti►i �A
Ground 'S —7 5 L/2 3/y wt fl,- e��v ' — •5
elev. 31zS'6 7-S`7rz 3/y t .S`1RS-/$ SJ cn N Y►?'F1- • 3 �s!
Depth to --
limiting
factor
3 l''
Remarks:
Boring#
Ground
elev.
f t.
Depth to
limiting
factor
Remarks:
3oring #
,round
Aev.
It.
)epth to
imiling
actor
Remarks:_
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CST Signature Date Signed Telephone No. CST#