HomeMy WebLinkAbout040-1292-50-000 (2) Wisconsin Department of Commence SOIL EVALUATION REPORT Page-I__of
DMalon of Safety and Buildings
In accordance with Comm 85,wis. Adm. Code ---
Attach complete the plan on paper not less than B 1/2 x 11 Inches In size.Plan must Co"*y ST, C2 o I X
r.
Include.but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D.
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 0q 0- 129 Z SD— p00
Please print all Information. ewe Date
Personal rnfamefion you provide rosy be used for secondary purposes(Prlveoy taw,s.15.04(1)(m)), -2-4U--7
Property Owner Property location 0%)e'/4 OF 21 5E4,24 )rLmo
UDJTtNP-krrati-- DEVELoA'kEAn CDiOP, NvJ 1/45\4 1/4 S I T 2-9_N R 19 w
Property Owner's Meiling Address Lot 0 Block 0 Subd.Name or CSMJ!
E 100 14H J I-IRO� IF-T+ -AbQN
City State Zip Phone Number ❑City ❑Viflege $1Town Nearest Road
B L-A1IJE 1,AkP4 1 55449 (?(.3) -75-7 --7 61,ff .0 LaN sa n*M
New Conshuclbn Use, Residential/Number of Code derived des6 now rate �O L7 GPD
❑Replacement ❑ Public or commercial-Dean!
Parent material a:j JA1 A �lA F&k><el Uahon it eoplicabfe
General comments
and recommendatlons: Con)v�N t 10n1A1 t/Z.t�lCt1E5 CftOIX C�NNT
5T'
IN GOFFICE
ZON
FA Boring
Boring a
Pit Ground surface eiev,_ �I Z, ft, Depth to limiting factor...
_?-�In,
Soil 8eplicallon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
In. Munseti Qu.Sz. Cont.Color Gr.Sz.Sh. 'E"I 'E"2
l o-� 10 L zi L ob)S v4r ovs W 0,5 ag
7 -ZD IouR`+ 1UNKIA 6 ip\ir-;-h 511 -t_ avi 14-rn 0.Z 0,3
3 20- 7.5 \frc.61 Lj v4- 0,-1 1,Z--
y -Sy
aBoring# ° Boring
P(( Ground surfece elev. - ft. Depth to limiting factor�LQ�_In.
Sol( ketiat Rate
Horizon Depth Dominant Cd Redox Description Texture Structure Consistence Boundary Roots GPDlfF
in. Munseli Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
j 0-3 (0 d5 0.b zV --� 0,s 0,ir
�I� �-
(-rr\SW., Lk 03D 0,5 0,8
3 -15 -7,5vr-31 4 MV�r q 5 -- 0,-1 1.z
-4 to +e --- O 1 1, 2-
5 2�6-q0
0'-_A
C f2, <4�J 1N .AU— t1D1212p S' E ��OA1 �
Effluent 111 a BOD >30<220 mg)L and TSS>30<150 mg& 'Effluent tt2 n BOD 5 30 mg&and TSS 130 mall
CST Name(Please Print) _ _ gnature / CST Number
10 H U_ GXF cJ '3 tz4$3Z
Address `—j Date Evaluation Conducted Telephone Number
Wq%75 ('ge'AvF-, RIDE T-AUS WI 54022 09-03-OZ -71$ y)-6-1'176
(t,�ot- ►y4�
Property Owner 'MJ-S(N�1)��� bEV�� Paroel ID N QL1O-)Z C?2-Jam' 0- 00a Pape �f
F Boring# Boring
a QS
/9y pit Ground surface elev.-.2%•0 ft. Depth to 11miling factor- o in. U icatlon Rote
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOIN
In. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Effif 1 •Erf#2
Z 11 ^4 3 S ul 1 - 0• 1,2
3 27-3g ION K414 I a y t2 t -Lsb wf
3`6-g5 0
F-1 Boring# ❑ Boring
❑ pit Ground surface elev.___ ft. Depth to limitlng factor_ In. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'EN#1 *Ef<#Z
Boring# a Boring
F
❑ Pit Ground surface elev. h. Depth to limiting factor in,
Soil Application Rate
Horizon Depth Dominant Co(or Redox Description Texture Structure Consistence Boundary Roots GPON
In. Munsell Qu.Sz. Gant.Color Or,Sz.Sh. 'Eff#i 'Etf#2
Effluent fit =BODr>30<_220 rng/L and TSS>30 1150 ffgt 'EMuent 92 a BODS r 30 mg/L and TSS_<30 mg(L
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need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
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Wisconsin Department of Industry,
Labor and Human Relations SOIL L AND SITE EVALUATION REPORT Page I of 3
Division of 9afbty&Buildings in accord with ILHR 83.05,Wis.Adnt Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plad must include,but ST' G7 U lk
not limited to vertical and horizontal reference point(BM),direction and%of$lope',scale or PARCEL LID,# LN r.
dimensioned,north arrow,and location and distance to nearest road. ;•<
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION IEWED Y _ DATE
f
PROPERTY OWNER: PROPERTYLtU-flof(-'t. l SW tci ,r2-r1 s�
tJ� 1/4 S L S T _2-b ,N,R Z.0 E( W
PROPERTY OWNER':S MAILING ADDRESS• OT# kLOCK# SUBD,N_AWOR CSM#
VZ3u i )� It 33 - \w-\_rtGE 4T* PM .
CITY,STATE ZIP CODE PHONE NUMBER CITY ❑VILLAGE [MOWN ' NEAREST ROAD
atf'�b1U% ,"IV SS4,1y ( ) TR-OLl L� SA lZo�Rv
jxj New Construction Use Residential/Number of bedrooms AdditiQn to existing building
I ] Replacement [ I Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate bed,gpd$ • $ trench,gpo1ft2
Absorption area required b S b bed,ft2 -ISO trench ft2 Maximum design loading r 2 • 2
' g gate bed,gpd/ft trench,gpd/ft
u
Recommended infiltration surface elevations 6 r8 `f!E �}�CktES ft as referred to i
O� � ( site plan benchmark)
Additional design/site considerations SLY� NoTtE l0 l ry sTrn-_Q2 p),1 L-:>kQe- 3
Parent material OUP yv^--c_t rVL Flood plain elevation,if applicable U It
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ®S ❑LI I 1LS El RS ❑U I ®•S ❑U NS ❑U [IS N U
SOIL DESCRIPTION REPORT
Depth Dominant Color I Mottles I I Structure I GPD/ft
nng# Horizon Texture Consistence Bwxbryr Roots
� 0 3 in. Munsell Qu.Sz.Cont Color Gr.Sz.Sh. Bed Tmnch
n .
......... LZ - S i Z Y+n �,b1r� r� C S - •5 ,
Z g-ZO l0�-1 3L� - S11 Z.m Sb\c
Ground 3 zo 3-Z S`I%L V 16 �S o 39 I"1 e S - • S
elev.
89S•atL Z--i ZO`1VL-V L
Depth to S`t R__ L - S 0 S9
limiting
factor Cuv Ng +-fh� \—>u . otr 1 0-5 bW_ S>1 API tZ spa
`r`'i° •--ilklz m umts5 Si` t Pv_a ltl t4 8, T13
Remarks:
o-� t'"lR 3 V sit 1vnSbk wlFt- q,S Z _3
Z 6-IS -I S\1 Vz(1k 1 S Z C-S bk wLU'�k cS .9)
Ground
3 ZS 30 zll - sLl �csbVt YV"L
�•��L,vz
elev. 30 113 S 13 � s �
ft �,,,�
i\
-,, -
got3.1 loyR- 543 'v-L
Depth to S 13-85 -,s Ly tZ V16 S)b s t \�Sbk C g _ . Z • 3
limiting (s -150
factor _
7 150 7—F]
Remarks:
CST Name:-Please Print Phone:
Arthur L. We erer 715-425-0165
egerer So l Testing & Design Service-P.O. Box 74 River .Falls,WI 54022
Signature: °)ci-Z q-Z - 133 Date: �•Z� • 99 CST Number:.
220254
PROPERTY OWNER DUk1 QQAJMVt SO •
IL DESCRIPTION REPORT Page?of �
PARCEL I.D.#_ �f`��p1!V�
ing # Horizon Depth Dominant Color Mottles Structure
,..,., in• Munsell Qu.Sz.Cont.Color Texture Bourxiary Roots GPD/ft
Gr. Sz. Sh. Consistence
9
Z 9-3S lu`t� �l16 sit dls lesbk '"` ntvf C 1 •Z.
w ,3
Ground 3 33-0 -).S l.Q 31y - Sd 6h p 3g
elev.!�9S.stl. y U$-SS �� Ls t ��-�.sti�Z 5Jb S o_
0�
Depth to S sS-tS3 ll R tll6 — S O 3
limiting 3
factor? �S3y �
Remarks:
. qi �
ai S 1 Z rn
XX
3 S8 tub tzul� st J
Ground s K eZ 3 t s 1 C S ti� m�'F►- �1N — '
elev.
a 6 ,s�l� y,y
s&—b, _ s� I r-
rt rnvi - CS . Z •3
Depth to --- — S p g 9 � I _ •—! �
limiting
-U
factor
CIS$"
Remarks:
B4�i n-g#
is s 1 h
Ground 3 Sly _ S Sg
elev. 1 `�
2n3A ft. j
Depth to 1
limiting
factor
Remarks:
3oring#
around —
.lev. j
it.
Depth to
imiting
actor
Remarks:—
PLOT PLAN Page of 3
SCALE 1"= 50 '
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p1.PtG` a' co�� c�vLZ ettr � s -
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9 9--Lcj 3 3
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CST Signature 15 4 .5 (11�
g Date Signed A-
Telephone No. CST#