HomeMy WebLinkAbout040-1292-00-000 (3) Mwonsln Departrnentof Commerce SOIL EVALUATION REPORT Page_-I_of 3
Division of Safety and Buildings
In accordance with Comm 85,Ms. Adm. Code -- - —
Attach complete site plan on paper not lose than 81/2 x 11 Inches In size.Plan must County rte' C2A\�
Include.but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D.
percent slope,sole or dimensions,north arrow,and location and distance to nearest road. Q�0-I2_4 2 00- 000
Please print all Information. Date
Personal rnrormabon you provide may be used for secondary purposes(Privacy law,s,15.04(1)(m)).
Property Owner Property Location
T I N E N"i L. tAA V-- A �T CD le r, S E 114 .5E 1/4 S zy T 2g' N R 2.0 w
Property Owner's Melling Address Lot a Block a I Subd.Name or CShO
1 1$D R K.o E 57, N,r..., 5Lt rTT-- 111 1139 — TAb Q 1 G,I-:— F 1F'T-�4 AbD,
State zip code Phone Number ❑City ❑Mnage Town Nearest Road
15LA(NE Im M 16,591-19 (X5 757-754,8 `CRO n I LIA051+ RtAT)
KNewConstruction UwWRtisIdential/Numberofbech ign flow rate (n _GPD
❑Replacement ❑ Public or commercial- esC - _ --___
d
Parent material�� 1n F loo�,Ielafeleva n if appiice e �' II.
General corriments
j-"ad recommendations: �)10
COON
CV GOFF N
- a
Boring fl
❑ Boring
Pit Ground surface slay._��y.4_ft. Depth to Ilmiting factor In.
SoU Application Rate
Horizon DepA Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/f
In, Munsell Ou.Sz. Cont.Color �Grr.Sz.Sh. 'Eti#1 'Efffl2
6- lOVl2ZI '- l_ 9-r,(\MA M 4 T 630 34-CD OR
Z 0 Z�z - 1-- qb yv\� a-6 j_ Q.q 0.
3 I H-Z0 OVf' 3 A4 I ,A 1�A4 0,2_ ,3
to 6 C1 -LsbI y awl 14 o. z- 0,3
S -M-31 10 `Ifs �L 5 Q r,,\ Gam) 1v{-F D 1,2
V 37-`17 10 V� �<o -5 0 rn —' 0, 1.2-
M X Boring a ❑ Boring
Pit Ground surface alley. g�z. l h. Depth to Nmiting(actor----in. cal Application Rate
Horizon Dep Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tf
in. Munsell Ou.Sz Cont.Color Gr.Sz.Sh. 'Eftltl I 'EM*2
10\i Z 2 — �t� -doh rn�i r 0L,6 31l-M 0.5 b"i
Z 6 -24 io\-iK C•I -tr\ D,0 0 . 0
3 ;2 to v f- ' 1 14-mo:bK r OL Q U o.(v
3y-`1 lo\,s t? r l- 1 \we s I O,y 1 0,
5
43- 104 Ojq 2-
$�l
Ellluent#1 a BOD >30<220 mg/l,and TSS>30 1150 mg/L 'E(nuant 92 800 <30 mg/L and TSS 30 mg/L
CST Noma(Plesse Prat) SI azure CST Number
10 HOLUSMLK ZZLI$3Z-
Address Date Evaluation Conducted Telephone Number
W9175 bon+`\Ave, RtvE FALLS WI 54022 0q-0 Z-0 7- X15 y16-1775
Property Owner Comi I n1�3"VAL DC�J't L• Parcsaf 10 M 6 w— 12-q)—,?0-00b Page Z of
(�] * C] Boring q
Pit arm � v._Q 1 Z_ =�o A. Depth so Ilmltinp lector_��In. 11CINtlon F6M
Fforizon Depth Dominant Color Redox Description Tsxtexe Structure Conslatenee Boundary Roots GPDf f
in. Munsell OU.Sz. ConL Cdor or,Sz.Sh. 'ERtft 'ENM2
y le I z �t1 -"� b .4 3-4�r1 0-5 0,8
z 4-7 0 Im-t_sbl -rn t7,L 0.
y
pt-?-Z- to -- 5 as 0.5 14 wz
.5 z z-zjl Vt4- s 6t JAI v f 0 l.
V z
L �
_
^7 3 —9 61 10 0-21)(0 M — 6-7- 1•Z
P r.9. I A t� OKt s
DBoring a [� B moring
❑ Pit Ground surface elev, If. Depth to limiting factor_ In. Solt tlon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM
In. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'ERMt 'EtfM2
LLL
❑ Boring
Q $odrig M Ground surface elev._"_._f3. Depth to 11mlting factor In.
❑ pit Soll Ion Rate
Horizon DspM Dominant Col Redox Description Texture Structure
Consistence Boundary Roots G
In. Munsetl Ou.Sz. Corti.Color Gr.Sz,Sh. 'EftMt 'ERM2
Effluent lit ■BOO, 30:j 220 rnWL and TSS>30 1 150 rng& Effluent N2■800,130 mg&end TSS:30 rrxyl
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an altemate format, please contact the department at 608.266.3151 or TTY 608.264.8777.
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PLOT PAM
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Wisconsin Department Industry,
Labor arid Human Relations SOIL AND SITE EVALUATION REPORT Page I of 3
Divisiarn of Safety 8 Buildings in accord with ILHR 83.05,WIS'.-Adm.Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size Plarr'must include,buf•' ST' C-A"7-0 tx
not limited to vertical and horizontal reference point(BM),direction and 'of slope,scale or PARCEL I.D.# k-�%Pp L,u
dimensioned,north arrow,and location and distance to nearest road. '
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATtO,, REVIEWED BY _ DATE
PROPERTY OWNER: PROPERTY
CO U�1 fJ T.lC��1Al�►"1 T- L°-0Rp 5 E 1/4 S E 1/4,SZY T 7?-$ N ZA E( W
PROPERTY OWNER':S MAILING ADDRESS• L T# BLOCK# SU"_NAME OR CSM#
)� *I` Z 3 8 �'1`t.o`i 1i l l LP G E �
CITY,STATE ZIP CODE PHONE NUMBER CITY []VILLAGE [MOWN ' NEAREST RCAD
TQ-0`f LLl`JpS t'M �Jfi'D
(Xj New Construction Use [b4 Residential/Number of bedrooms 1/ [ ) Addition to existing building
j ] Replacement ( ) Public or commercial describe
Code derived daily flow 6u0 gpd Recommended design loading rate 7 bed,gpd/ft2 �trench,gpd1ft2
Absorption area required g S$ bed,ft215o trench,ft2 Maximum design loading rate 1-1 bed,gpd$ •8 trench,gpd/ft2
Recommended infiltration surface elevations)��O t3ul `�,2v Ctt�S� ft (as referred to site plan benchmark)
Additional design/site considerations SkFI�7 1�jM-ZZ7 70 IAj5TrVL1, Qk5 t 6tT 3
Parentmaterial LL\,�_,tS p SLI4t0iPrl, Flood plain elevation,if applicable NA It
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem 1 ®S O U CRS ❑U I ®S ❑U I IRS ❑U R)S ❑U ❑S W U
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color I Mottles Structure GPD/ft
in. Munsell Qu.Sz.Cont Color (Texture Gr. Sz.Sh. Consistence Balxiary Roots
tiY:( +.vv
Bed ITrw&
S c -
� k g . s .b
s o s �� cW •� -�
Ground 3 zo-1.Z s '1.$K2 3 L S 61- O g n t _ •� .8
elev.
c�Q2.8 ft
Depth to
limiting
factor
Remarks:
Boring#
Z �I-3� ,.S �Ryt6 � 1�s lcsblz
�U�r
Ground 3 3"�zO `S `72 31y - S 6H U S
S V►1 I .-1 -v
elev.
� •1 _It
Depth to
limiting
factor
> liy+
Remarks:
CST Name:—Please Print Phone:
Arthur L. We erer 715-425-0165
egerer Soil Testing & Design Service-P.O. Box 74 River .Falls,WI 54022
Signature / of cl_Z 9 7 _ l Z$ Date: q CST Number:.
� I- 3o�Q J 220254
PROPERTY OWNER CL)KMQL1Mc- .V• SOIL DESCRIPTION REPORT Page?of 3
PARCEL W.# 1up11V G
Borinq# Horizon Texture Consistence Bolxidary Roots
Depth Dominant Color Mottles Structure GPD/ft
�z in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench
oLt2 zIZ si lwt sb�7- VVI &S - .z. .3
a::::::::..`
Woo Z.. 31b Si 1 \eSb12
Ground 3 33-y 1 lu t\Z 513 �•S`I R 5116 a,S • �. . 3
elev.
(2 tZ.61t. 41-vzz 'I tL 3 by S 416x. ® S9
Depth to E
limiting
factor
Remarks:
B �9 #
:,,•: ,::»>= 1 0-� tv ti tz 3 z s t 1 l wl a.\�1-t cts h c S - •z - 3
°>$ '> Z l l-lZp, •S`��z' 3/ wt
L/ S G�. p S g
Ground
elev.
�9b-eit.
Depth to —
limiting
factor
�Zz y I
Remarks:
Borg #
«>.>.::..;;>:: 1 0-l(� �0'-'I R 31 Z - S 1 Z`F 3�k o-S h cS
..... .. z� Sbk sh �S — ,S t J.
3
2t4
Ground ��`�R-SClL VS �
Ground '
elev. y A-IQ0 •s'� ft-31 y - Set 11 o g
0&.7
Depth to
limiting
factor
Remarks:
3oring#
around E
;lev.
It.
)epth to
imiting
actor
Remarks:_
PLOT PLAN Page 3 of 3
SCALE 1"= S 01
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CST Signature Date Signed Telephone No. CST#