HomeMy WebLinkAbout040-1268-10-000 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations g —
Division of Safety&Buildings
in accord with ILHR 83.05,Wis.Adm._-Code COUNTY
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Attach complete site plan on paper not less than 81/2 x 11 inches in size.P rl ti include,but
not limited to vertical and horizontal reference point(BM),direction and 0. slp le,scat ' a PARCEL I.D.# vl�-j 1 P—
dimensioned,north arrow,and location and distance to nearest road. ' '<< i F" „rn ( q6—/,2
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMAT ON - 17ff DATE
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PROPERTY OWNER: PROPERT C 'WO I N4
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PROPERTY OWNER':S MAILING ADDRESS• 'LOT.# BL UBPJNAM9ORCSM#
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CITY,STATE ZIP CODE PHONE NUMBER ❑ I LAG N ' NEAREST ROAD
1�tU�-2 Ll S col SgO17 .hIS) q'Ls�- later e)'vD\%3 etilgm- t)R_
�(] New Construction Use[�4 Residential/Number of bedrooms dibQn to existing building 11
j ) Replacement [ ] Public or commercial describe -!�-/7L /S �.
Code derived daily flow b OD gpd Recommended design loading rate_ bed,gpd/ft2 - trench,gpd/ft2
Absorption area required S o0 bed,ft2 S W trench,11:2 Ma:dmum design loading rate S bed,gpd/ft2 •b trench,gpd/ft2
Recommended infiltration surface elevation(s) It (as referred to site plan benchmark)
Additional design/site considerations ��o w l K b 3' t3� M i AJ . �Z Y o SfO�,D Fr Lt.
Parent material Lu Q5-% -ova 1-1 L Flood plain elevation,if applicable h1�1 ft
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem IDS O U ,®S ❑U ❑S .®U []Saul ❑S ®U ( [IS RU
SOIL DESCRIPTION REPORT (/N�2C
Boring# Horizon Depth Dominant Color Mottles Texture Structure Cons eour y Roots GPD/ft
in. Munsell I Ou.Sz.Cont Color I I Gr.Sz.Sh. n 1 I Bed rer>ch
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c-S _ •S 6
Ground W k) Is
018.5% Ll • 311--6) S Lfp-�y �S`te S/cd
Depth to
limiting
factor
Remarks:
Boring#
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Ground
elev. y 33-63 s y2 3/y S y2S,18 L
Depth to
limiting
factor
Remarks:
FT—Name.—Please Print Arthur L. We erer Phone: 715-425-0165
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rgerer Soil Testing & Design Service-P.O. Box 74 River .Falls,WI 54022
Signature: 00-1D3- )O Z Date: 5— O CST Number..
�= 220254
PROPERTY OWNER Q�i ! S�HU lTZ
SOIL DESCRIPTION REPORT Page?of �y
PARCEL I.D.# POQb1h1C
Boring# Horizon Depth Dominant Color Mottles Texture Structure GPD/ft
in. Munsell Clu.Sz.Cont.Color Gr. Sz. Sh. Consistence Boundary Roots
0—q _ Bed Tnalch
...3 t `72 3lZ St 1 Z` �lz .b
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Ground 3 zS 32 7..5 Ll 3!(j _ 'S
elev. S l CS�k m U`P1-,
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Depth to
limiting
factor 1
Remarks:
Boring #
Ground
elev.
It.
Depth to —
limiting
factor
Remarks:
Boring #
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Ground
elev.
It.
Depth to
limiting
factor
Remarks:
3oring#
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3lev.
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imiling
actor
Remarks:_
• PLOT PLAN Page 3 of
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CST Signature Date Signed Telephone No. CST#
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