HomeMy WebLinkAbout040-1267-90-000 (2) Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
DivWen of Safety&Buildings in accord with ILHR 83.¢ ,�ti i`�.
COUNTY
_ sT� c.�.p 1X
Attach complete site plan on paper not less than 81/2 x 11 inches�si a Plan Rust�lude but `\
not limited to vertical and horizontal reference point 8 directi PARCEL I.D.A
po ( A4), oh and /o of sld a fI ''�
dimensioned,north arrow,and location and distance to nearest road..' qO--Ao &7— 0
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REV DATE
PROPERTY OWNER: PROPERV LOCATION
E� ZL� $ - RLD ��ti\S S C!fU l Z 88 �; yJ 1/ 1I4,S J'bT ,N,R lq E(o0W
PROPERTY OWNER':S MAILING ADDRESS• LOT 8 OCK# I BD.NAME OR CSM
z S8 1Zly tDE _DSz•LUE ti�D —, 6� SmO)u S
CITY,STATE ZIP CODE PHONE NUMBER ❑C l -.- GE ®TOWN ' NEAREST ROAD
1Z�U�-2 LAS wl S�oZZ(�LS) �i2s- ate► zc��f 0"M-I)L aA DR,
New Construction Use Residential/Number of bedrooms [ J Additi on to existing b ilding
J Replacement [ J Public or commercial describe 2117 j� / J
Code derived daily flow b00 gpd Recommended design loading rate_ ed,gpd/ft2 - trench,gpd/ft2
Absorption area required SfQ bed,ft2 S M trench,ft2 Maximum design loading rate >S bed,gpolft2 .L trench,gpd/ft2
Recommended infiltration surface elevation(s) v \' S It (as referred to site plan benchmark)
Additional design/site considerations w' w/ 'Xb 3' B M I ry tZ, Ot= SPxA�) t=,.c..c_
Parent material cm_% i LLL Flood plain elevation,if applicable It
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FU HOLDING TANK
U=Unsuitable fors stem ❑S ®U OS ❑U ❑S .®U ❑S ®U ❑S ($U I ❑S ou
SOIL DESCRIPTION REPORT 0,/Z5 V,—(26
Boring# Horizon Depth Dominant Color I Mottles Texture I Structure Consistence IBcuxbiy I Ro /ft
in. Munsell Qu.Sz.Cont Color Gr.Sz.Sh. Bed ffrerldt
10 k-1 R 31 z - s i 1 Z'F5b>z rn`f>^ CS 1'F •s .1,
Z )b-3s LDyR 31L — S/ I Z�Sbk Yn,. CL1
Ground 3 3S-q6 -S`/R.)/V yeft el v •<< S
elev. tf
C'ELLfL 4' qL4 S L1I2-31V �-I Ske 5A )_45) ov�, mf>^ � •3 f -�f
Depth to
limiting
factor
X16''
Remarks:
Boring#
a-9 �b�R 31Z - . si I Z'�'s�?� m`f>- �-S 1� ,S •�
2 z q-z-3. to�iZ �16 - S-j1 Z`Psbtiz y,.l�. cw - •S .6
3 Z3-V ?-SYrZ Sly L,$.S� �esb� mU`f1� e� — ��( •S
Ground
elev. p�0 S `l f2-3 L •S`'I Q S� L
wo,8 ft y y
Depth to
limiting
Taco. ,
Remarks:
CST Name.--Please Print Arthur L. We erer Phone: 715-425-0165
egerer Soil Zesting & Design Service-P.O. Box 74 River .Falls,WI. 54022 -
Sgnature: 0 0-103- 1\)o Date: c_11 CST Number..
J 220254
PROPERTY OWNER `1� L SCtf U
T-Z SOIL DESCRIPTION REPORT � Page?of 3
PARCEL I.D.# p�JD)w G
Boring# Horizon Depth Dominant Color Mottles Structure
In. Munsell Qu.Sz.Cont.Color Texture Consistence Roots GPD/ft
Gr. Sz. Sh. Bounc�ry Bed Trench
:.. '12
3 31z Z Sb�Z
.. Z 01-7-1/ to BIZ 3!6 - S) I Z'4�Sbk k,�. c � •5 -6
Ground
el�-
q•s ft. y 30-61 S`-1.R 31y -)-S bv 5/9
Depth to ..Y
limiting
factor
Remarks:
Boring#
Ground
elev.
It.
Depth to —
limiting
factor
Remarks:
Boring#
2
Ground
elev.
—ft.
Depth to
limning
factor
Remarks:
3oring#
2�3RY2.9.
around
;lev.
ft.
)epth to
imiling
actor
Remarks:_
'h n•r•rn.f+•�.r�• ..
L ( 1
PLOT P LAN I Page 3 of 3
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CST Signature Date Signed Telephone No. CST#