HomeMy WebLinkAbout040-1267-60-000 (2) Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
Division of Safety&Buildngs
in accord with ILHR 83.05,�'Aqrri.Cgde
' COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size Plan must irmiuc!6 tut ST' C�ZrQ 1X
not limited to vertical and horizontal reference point(B4,direction and%of slope,scale or ' 'µ t PARCEL I.D.#
dimensioned,north arrow,and location and distance to nearest road. 'r/o2 407- &&--d& • fT5')
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R I DAT
PROPERTY OWNER: ;== ,
e�t4�1Z`ZS $ �,t� �-lJ1J\S S Cl-Iu l.i Z -5E.. ,S NOT ,N,R Lq E(or W
PROPERRTTYQpOWNER'.S MAILING ADDRESS• A 1 OT# BLQCK# 1 9c ME OR GSM#—�y ,\`\
zsC.� lz1. NzStDE -D2-tus' t o 4 V J1t1 o S 11LIJ •
CITY,STATE ZIP CODE PHONE NUMBER ❑CITY n1ffFxff®TOWN . NEAREST ROAD
1Z1U��(2.. �Cls.-S wl Sy.aZZ.(-1LS) �1Z-S- $1b1 -�cp�•( e�r-CSRNpo6q 'p2
New Construction Use Residential/Number of bedrooms 4 [ J Addition to existing building
[ J Replacement [ J Public or commercial describeUl/1�/� S
Code derived daily flow 600 gpd Recommended design loading rate `I bed,gpd/ft2 trench,gpd1ft2
Absorption area required SotJ bed,ft2 Soo trench,ft2 - Maximum design loading rate •S bed,gpd/ft2 -6 trench,gpd/ft2
Recommended infiltration surface elevation(s) \0 3,b It (as referred to site plan benchmark)
Additional design/site considerations MOVta� bu/�j'�b 3' Wm. M 1 ti . 7-14' !1F:- SMv RLL
Parentmaterial "eEkS Flood plain elevation,if applicable M;- ft
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable for stem [Is ®U INS ❑U 0 S RU ❑S U EI S R U I ❑S ®U
SOIL DESCRIPTION REPORT
Borin g# Horizon Depth Dominant Color I Mottles I Texture Structure consistence Icy I Roo�; -GPD/
Bed r
in. Munsell Qu.Sz.Cont Color Gr.Sz.Sh. ich
o-,Vz- 31z cS
Z q
Ground -1 ut-3 31 y S i C 1 m s b k m`�1- � - . Z •3
elev.
ft.
4' 3Z- tOKR-6l3 — LSBR — — tiP tvp
Depth to
limiting
factor
3 2."
Remarks:
Boring#
1u�\Z 3(i st 1 Z`�sb12 vn`F�- �S 1� •S .�
El e w1'ft- ch.� — •5 ��
3 17-4-3s�
�.SKIZ Sty Siel �esblz )71 - cs - , Z .3
Ground
elev. 3.S- tovz 6L3 LS)3R
.'
Depth to
rimiting
factor
• 35 ti .
Remarks:
CST Name:—Please Print Arthut L. We erer Phone: 715-425-0165
egerer ,Soil Testing & Design Service-P.O. Box 74 River .Falls., 1. 54022
Signature: CST Numb O p-10 3- c17 Date: _ 9X00 2
20254
PROPERTY OWNER 'IA4�E /S C tilt)L`1`7
PARCEL I.D. !!vG
SOIL DESCRIPTION REPORT Page?-of .3
� "P 7u� .
Boring# Horizon Depth Dominant Color Mottles Structure
�... ,. in. Munsell L u.Sz.Cont.Color Texture Consistence Roots GPD/ft
Gr. Sz. Sh. Bed IT-- re
s . 6
........,.:'::�3 Z $-1S t b`-G R 3�� -- S)`► 3'1'SU Iz.. h1`f F- S —
cw - S -6
Ground 1S -z-Y _2,S`M_ 31y S1 C 1esb12 ►�`f�- _ , •3
elev. Z
tul.Stt. y — t011R_ 1.3 Ls i3
Depth to itiQ
limiting
factor� �
Remarks:
f
Boring #
y 6
S'1 t ��sb� m`r4_ 0 S • s 6
3 lct� Z•S`�1� 3!y
Ground S 10-1 1 O-S UL
lev. f t. Z S�- l V) `t 2 G/3 LS�3 Q - - -
Ivp Np
Depth to —
limiting
factor
Z\j`' T-1
Remarks:
Boring #
i
Ground
elev.
1t.
Depth to
limiting
factor
Remarks:
3oring #
around
Aev,
ft.
)epth to
imiling
actor
Remarks:_
t
PLOT PLAN Page 3 of 3
i
31y`D/A PUc Pr PI;
W/ 3.9,*IG H PVC M'1 A1z-k-C'12 PIN?
qs
-.100.0' oN
I
�0 'NUT �wiPR�T U'2 \.�� �Tz-ur..1 PIPE 3
lS 2p `TWI S
UoT Rb
80 - - -
s•3 f
BeL Lul l=
j_o'
i
i
i
i
j
I
i
I
• 00-103-a7 i
( 715 ) LIZ S.. 014s ZZoZS(j
C S T Signature D ate Signed ne
Telephone No. CST#