HomeMy WebLinkAbout040-1267-40-000 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page l of 3
Labor and Human Relations g —
DMsion of Safety&Build+ngs in accord with ILHR 83.05,Wis.Adm.Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must include;60t
not limited to vertical and horizontal reference point(BM),direction and%of slope,scaI4 or; PAIaC LLD.
dimensioned,north arrow,and location and distance to nearest road. ' , , 07 /02 07^ 0-
APPLICANT INFORMATION-PLEASE PRIN ALL INFORMATION REVI DBY ^DATE
90
PROPERTY OWNER: Up Y PROPEYCaTtON ►��r��,.§t`
c f3L) _UEQ \S S CIiU L.7 Z - " Std:: .S U4 J{jT ,N,R lq E(or W
PROPERTY OWNER':S MAILING ADDRESS• LOT# BLOCK# SU8D:Jd E OR CSM#
Z S8 �tvE12S!DE �2f UE -- V S u>u S PrDt .
CITY,STATE ZIP CODE PHONE NUMBER ❑CITY E1VIttkGE2rOWN ' NEAREST ROAD
1Z.QeTL P'Ct S wl 5y01-Zhi5) q z-s,- allot �Zp�{ 1P1R.� WtLDm DtZ-
p(J New Construction Use[ Residential/Number of bedrooms [ ] Addition to existing building
( J Replacement [ J Public or commercial describe
Code derived daily flow \aW gpd Recommended design loading rate y bed,gpd/ft2 - trench,gpd/ft2
Absorption area required S bO bed,f12 SDu trench,ft2 Maximum design loading rate S bed,gpd/ft2 - trench,gpd/ft2 � ( y
Recommended infiltration surface elevation(s) V�3 V•0 ft (as referred to site plan benchmark)
Additional design/site considerations__wl bu"' ) W/fi'>L b 3 I^ I>v . LZ y cal= S�,p Fiu-.
Parent material �� � u T�Z Lt m Lzz E Flood plain elevation,if applicable M;� ft a
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem [is I U ®S 1:1 U ❑S ®U [is 2 U ❑S I1U I S EIU
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color I Mottles Texture I Structure (Consistence Boundary Roots GPD/ft
in. Munsell Ou.Sz.Cont Color Gr.Sz.Sh. Bed rFw&
D"-t f 31 Z
Z
Ground 3 U_Zn -1.S Liz 3/y S icl 1 h1 S� Ynfl► eS
elev.
0A.0 ft. U• Z-7 3 lQ`?26/3 t,)P
Depth to <S S
limiting
factor
Z7)3
Remarks:
Boring#
El0-8 LrW-tkZILZ S�� Z�b>z rn`F► cs l� •S
Z g=zo. 11J`�tlZ 316. — si� Z�sb�r rnf>- es � •S ,�
3 zA`Zs Z�S`tR 3�y — sic-1 rii ft,- es
Ground
elev.
91.2. ft. _.
Depth to
limiting
factor
-LS y
Remarks:
CST Name:—Please Print Arthur L. We erer Phone: 715-425-0165 '
egerer Soil Testing & Design Service-P.O. Box 74 River .Falls,WI 54022
Signature: oo-In 3-- CIS Date: S_Q -Da CST Number.220254
PROPERTY OWNER BLI E- /-,)Q-H 1LT2 SOIL DESCRIPTION REPORT •
Page of
PARCEL I.D.# PSI luG
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft
Munsell Qu.Sz.Cont.Color Consistence Bouifty Roots
�::>.:...:.,..:�.. Gr. Sz. Sh.
Bed T
rerxh
Z 8-►3 ) p`1Ef,,- 3
elev.
Ground 3 S)C) 1ivi Sb'C yvi Py cS .Z .3
g8•o It. y ZS-30 1 U If 2 6/3
Depth to
limiting
factor � 1
Remarks:
Boring #
Z g-in Ldp a. 3!� _ Z-C.3bk �`� e� •S ,i,
Ground 3
-2-b-Z') S`1fL 3!y — S)CA 1 m SbL ln`P�. cS _ • Z -3
elev. Z-)-Y7 1.b 2 16 Lst3R
o�ft. - �P �•►P
Depth to —
limiting
factor
Remarks:
Boring#
Ground
elev.
It.
Depth to f
limiting
factor
Remarks:
3oring#
around
?lev.
It.
)epth to
imiting
actor
Remarks:—
PLOT PLAN Page 3 of 3
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00. 03- `15
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( 715 ) 425-n165
CST Signature Date Signed Telephone No. CST-MONK-