HomeMy WebLinkAbout040-1266-20-000 Wisconsin Department Relations Industry,
Labor and Human Relati SOIL AND SITE EVALUATION REPORT Page I of 3
Division of Safety&Buildings
in accord with ILHR 83.05,Wis Adf4
"t m COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size tari'cv�Gst in udefi'hiut
's-7,
not limited to vertical and horizontal reference point(84,direction and°/9f slope,sca rr f? PARCEL I.D.# G
dimensioned,north arrow,and location and distance to nearest road. '
REVI DB DATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFO RMAT�4N ;;, L,�
PROPERTY OWNER: PROPEATIf ,
e� z�QS
Wye- F�''V -Z)EQ}J\S S CljU t7j-Z GVT r ? S� 1/4 J•OT Zj:�,N,R lq E(oi W
PROPERTY OWNER'S MAILING ADDRESS, l OT# BLOCK# SU601 E OR CSM#
, �-, •, tG' � ST�c�otu 5 � F�1� .
CITY,STATE ZIP CODE PHONE NUMBER ❑CffY LA& OWN ' NEAREST ROAD
w1 5qo 1Z(-16) q ZS'- la16t
New Construction Use [JQ Residential/Number of bedrooms [ I Addition to existing building
[ ] Replacement [ J Public or commercial describe
Code derived daily flow bt 3 gpd Recommended design loading rate _bed,
9Pd$ - trench,gpd/ft2
Absorption area required S00 bed,ft2 500 trench,ft2 - Maximum design loading rate 'S bed,gpd$ ^1- trench,gpd/ft2 V 1
Recommended infiltration surface elevation(s) On.`1 S ft (as referred to site plan benchmark) A70
Additional design/site considerations Mt UMW w/$'�6 3��c� . �1� . 1Z4 or=-S* 't) f=1 LL'
Parent material LoQSS a yty2 6 U",ft -nL L Flood plain elevation,if applicable N ft
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN RLL HOLDING TANK
U=Unsuitable for stem ❑S ICU IDS ❑U ❑S .®U ❑S o U ❑S �U I ❑S 12 U
SOIL DESCRIPTION REPORT --ra (,V �E
Boring Horizon Depth Dominant Color I Mottles I I Structure I I GPD/ft
9 Texture Consistence Boux�ry I Ro is Bed rerxtt
in. Munsell Qu.Sz.Cont Color Gr.Sz.Sh.
zvM 1 0-lo Loy Iz 3cz sly Z, bk ►n-Pt-- �S
Z 16 28 2
Ground 3 �$3$ Sit fZi�l� - s 1 ti�sblz Yn'� elti, •�L .S
elev.
IOb•Sft. M-S fzYl(f -SY2S�g
Depth to
limiting
factor
Remarks:
Boring# .
0-9
Z c',ze. I KKR �L� — sit 3`P�Sb k �� et,� - •S €.�
33S Z.S`tIZ�/6 — s ���12 yytU e� — •Z •`�
Ground
es� 3S S9 z•S�[R3ly� �� •S�2S�� SLCJ �►tizSbk �viFy, — 3
Depth to
limiting
factor
Remarks:
T Name.-Please Print Phone:
Arthur L. We erer 715-425-0165
egerer Soi Testing & Design Service-P.O. Box 74 River Ya11s,WI. 54022
Signature: DO 103 8 3 Date: S �y -0D CST Number..
-•�h
. 220254
PROPERTYOWNER So-yNuTZ- SOIL DESCRIPTION REPORT z-
Page_of
PARCEL I.D,# PE)\Jt) j G
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>cty Roots GPD/ft
in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench
Zi3 6 rn'fl- �s
Ground 3 3S-60
elev. .SL!R S/�-, S) tf SC1
-
It.
Depth to
limiting
factor
35 "
i •
Remarks:
Boring #
Ground
elev.
It.
Depth to —
limiting
factor
Remarks:
Boring#
Ground
elev.
fl.
Depth to
limiting
factor
Remarks:
3oring y#
A
;round
?lev.
ft.
)epth to
1miling
actor
Remarks:_
•h nainif�r.r•. ..
i PLOT PLAN Page 3 of
SCALE 1"= 50 '
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S.--01 d ( 715 ) 425—(11 As JNow
CST Signature Date Signed Telephone No. CST#