HomeMy WebLinkAbout040-1308-00-155 (3) • SOIL EVALUATION REPORT Page
wisconsin Department of Commerce f
Division of Safety and Buildings
in accordance with Comm 85,Wis. Adm. Code
5T. C-Rok p
Attach complete site plan on paper not less than 8 112 x 11 Inc ies In p L0.
�01i/' I
include,but not lirrtitod to:vertical and horizontal reference poi (BM) . anD D 1
percent slope,scale or dimensions,north arrow,and location aid distance to nearest road. R wed by Date
Please print all Information. ��T 2 9 2003
63 poses Pr vacy ta+.s.15.04 t)
personal normauon you provide may be used for secondary Dw I
Property Owner ZO I OFFI — ?t] `N
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SrC 1f4 5 2s} T Zfs
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CONTIMS,lii OP- �tbp AE;mT CAf�P.
Property Owner's Meiling Address Lot 0 Block# Subd. Name or CSM# !
U 1 t_LADE low' DDW
I tiX00 f} Eta 6T. E SutTS 100 55 TRO`{ Town Nearest Road '
City Slate p Code Phone Ntanbw- ❑City_(3 Village
1.f41 NE
I 55449 c7`5 '7=?568 Dy LtIJ�SI"1 �.
GPO
Code derived design flow rate —~ i
I?Q
Now Construction User Residential I Number of bed
rooms_ _�
❑Replacement Public or commercial-Describe:
tt.
° I A t r eu I n 1 Flood H e
ain elevation if applicaoi
Parent material__ "T"'
General comments 1
and recommendations:
0,1 LOflOIIJb RATE�f�DV.N� �REtJCHE�
- I
� 5 VA-9- '
Boring
Boring# Z 9 5�O $oil AppllcaUOn Rate i
FA� pit Ground surface elev.g95 _tt. Depth to Ilmltln a or _�In.
Texture 5lructure Consistence Boundary Roots GPDIff
Horizon Depth Dominant Color Redox Description •Er{#1 Etf#2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. i
0 9
K. ;
5 S dl CW 14(_ 11 I.Z 1
Z7_ rZs/ - s d I - Z
g�
Q� Boring `
Boring# Pit Ground surface elev.� � M. Depth to Ilmltlng lector_..?�� n• Soil�kellon Rate
Roots GPO/f4 '
Horizon Depth Dominant Col Redox Description 'exture Structure Consistence Boundary i
in. Munsell Qu.Sz. Cont.Color
Gr.Sz.Sh. 'EMI Eff#2
I 0-12 Z/Z, — st 1 Z_+_ y
L IL-ZO 10 '4 3 3 — I - y O.to
X-Zlo 1 10 14 tZ
Z. '
i mi
Effluent#1 =Boo >30:5 220 mglL and TSS>30 ISO myL Effluent rig SOD <30 mg/L and TSS_< ----
CST Name (please Print) Signature CST Number
IZZ q 8 3
M �0 HOL.L STE, Z
Address
Date Eveluatfon Conducted Telephone Number
W9a?S b4o�~AVE, jL1vE FAU.; WI 54 012 Og'?4-0 L�1S ylb-1�7S
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Prop"Owner_C'nNS Parcel 10#_Cellc---NQLm-�l! Page of J
— -
+S Boring# ❑ Boring C-CKe. —
L� LPiI Ground surface elev._�Qq��M. Depth to limiting(actor aZ- in Soil ADplicaoon Rate '
Horizon Depth Dominant Color Redox Description i Texture Structure Consistence Boundary Roots GPD/M
n. Munsall Qu.Sz Cont.Color Gr.Sz.Sh. 'Ef!#1 EH#2
2 q-12 3�V l5 -L -35
3 ►Z-ZS 3� S
054
p� I I a 5 ,z
5 yo-Jo -j p,6114 1 Q.b 0. 'Z
L - - 1..
a ❑ Boring
Boring#
❑ Pit Ground surface elev. it Oepth to limiting(actor _ In. Soil Iication Rate 1
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF
in. MunseU Qu.Sz. Cont.Color Gr.Sz.Sh. ' 'Eff#1
i
I
Boring
Boring
g ❑ Pit Ground surface•lev.____h. Depth to limiting factor.__, in.
Soil Application Rate �
Horizon Depth Dominant Colorl Redox Description Texture Structure Consistence Boundary Roots GPOM
In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Ert#1 '092
f i
i
Effluent 91 BOO,>30 1220 mgfL and TSS>30< 150 mg/i. Effluent 92=SOD,=30 mglL and TSS 30 mg1L +
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need material in an alternate format, please contact the depatiment at 608-266-3151 or TTY 608-264-8777.
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NO COMM 83 5ET ACK KOMM5
— 90o cxIs-nN& COAJ i0 dt-s
900-- PRoPos�J c.�ti7owZS
The site was Lradcd�Jttcr,oil c\aluationS\�cre
completed(sec page with final grade cic\ations).
Svslem elevations Should not be affected.but �T ��✓
depth below grade will need to be determined
based on the amount of cut or fill. BM �� I
cicsationS should ha\c rcmaincd constant. --- �'
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Wisconsin Departmenttions Industry, SOIL AND SITE EVALUATION R.EPORT_,
Labor aril Human Relations Page�Of
Division of Safety&Buildings
in accord with ILHR 83.05,Wes.Ad"
ml.'Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plarf',mhst incluc a;but ST' GZ.0 M
not limited to vertical and horizontal reference point(BM),direction and%of glope,scale or PARCEL l.D # pip t,v G
dimensioned,north arrow,and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ' R IEWED Y _ DATE
PROPERTY OWNER: PROPERTY LflC 1TlON
CO VJ`T L tv T-�c '1,U1�►h evy T- et L-P GQ4 6G; S E-1/4 ,SL- 1/4;S T ,N,R 2.0 E( W
PROPERTY OWNER'S MAILING ADDRESS. LOT# , BLOCK# SUBD.'NANI OR CSM#
\Z 3 01 �RZ fR 1�v�N. Z 3 1 y,Q �-._I -a"Zt y V 11.1.ftG lr -1433i=
-
CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE
S S [fOWN " NEAREST ROAD
4�y ( ) Tt�-o�( >✓t.�srr-� � _ _
[XI New Construction Use Residential/Number of bedrooms L
[ I Ad ' n to existing building
[ ] Replacement [ j Public or commercial describe
!
Code derived daily flow 66o gpd Recommended design loading rate bed, 2 •8 2
gpd/ft trench,gpd/ft
Absorption area required $S8' bed,ft2 1So trench,ft2 Maximum design loading rate , bed,gpd$ �trench,gpd/ft2
Recommended infiltration surface elevation(s) 5eIE�- p P1-g�- L/ It (as referred to site plan benchmark)
Additional design/site considerations SEIE- Ikier'>t, f j S �
Parent material LO�s o � —p ft G�S
pv �S Flood plain elevation,if applicable Q A ft
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRAD[ SYSTEM IN FlLL HOLDING TANK
U=Unsuitable fors stem ®S ❑U 9S ❑U C$S ❑U ®S ❑U I ®S ❑U ❑S RU
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color Mottles I I Structure
��� in. Munsell Qu.Sz.ContColor Texture (Consistence Bouncleiry Roots GPD/ft
w-v Gr.Sz.Sh.
} Aw~<>= Bed JTmnch
Z g-I.$ lo`ia- alt; _ h � .s • b
Ground 3 1$Flo ,-S It ti 31y
elev. S9 •Z
g9z.oft
Depth to
limiting
factor
El f
L l0"
Remarks:
Bor�nQq#
C, 3 1
3 S3 4L -1.S�R 6Ly
Ground S 8 6h S9 M �S -"1 •�
888 alt 46-too tO�t\Zy/y _ s O S M
9 I
Depth to C0 h' S > S of tOLLIL (6/1 Ltr-t N ULZ- ?4 tZo
limiting
factor
ot 6,
Remarks:
CST Name:-Please Print Phone:
Arthur L. We erer 715-425-0165
e
rgerer Soil Testing & Design Service-P.O. Box 74 River .Falls,WI. 54022
Signature:
Date: t"2- l(` 01 CST Number:M254
PROPERTY OWNER CLAT QtbA't - bPV . SOIL DESCRIPTION REPORT Page?-of
PARCEL I.D.# F,e JLfz.,))1V C�
B ri # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench
C, Q
-9 o`t 3/z - s
�k► -s •�
Z 9-Z� lO `iR 3l6 S� } Zen Sblz ►�-�h cS - • S -6
Ground 3 Z b-to$ -�.S`tR Sly - S 6t- o S9 ►�,J - •7 .$
elev.
8gt-3tt.
I
Depth to
limiting '
factor I
> LU$ _
Remarks:
9
z R-1.S 3!L s i I ?-M 36Z wt's- c 5, s .b
Ground + 3 �S-lll) `�•S `iR 3/y _ S Ict
elev.
ais-S it.
Depth to --
limiting
factor !
I
Remarks:
110 #
t0 •s .b
�>:; Z 1p_Z LO`t 2 3!6 - S i l Z-'�Sb►z WL'Fl^ S �.6
3 2z_�t,o �•S KR Sly
Ground
elev. '
X3.) tt.
Depth to 1
limiting
factor ,
Remarks:
3oring#
o Z-y 2 3 L-r-
316 %Z MA- 013 _ s � •b
arouund nd
6 y-g y .S`t R 3/y S Gr D S9 h►1 w — •-L ` •`3
Nev. 3Ly
ft.
S
)epth to Io8-lly L� Li� �l !y _ 039 WV,rq I -
imiling (y7 ee,w g < So°ln LLi^�le`59D1J I'1 CML">`/1`S
actor
Remarks:_
PROPSRTY OWNER 9L�wekjv l � SOIL DESCRIPTION REPORT
' PARCEL I.D.# n XrD1/v G Page 3 of
Bpq�`rng# Horizon Depth Dominant Color Mottles
;!,`Eo.,,,:, in. Munselt Qu.Sz.Cont.Color Texture Structure Consistence GPD/ft
>;;;.::. Gr. Sz. Sh. Y Roots
G s i Z Sb�z Bed Trench
2 316
s k i Zm sbk m`F�- eS - -s •l
Ground 3 3f,-ll2 1,S`-tIZ 3l y
elev. S a G►. O 39
Molt fl.
Depth to
limiting
factor
?
i
Remarks:
B4ri ft�#
30 S
•-
1� -Z S
j �� 1
Z.iv sb�
Ground 2.S-log -).s Y2 31(/ p s9
elev.
$`�l eft. tt
I
Depth to
limiting .
factor
7104`'
I
Remarks:
Born #
b Lt
Z zz-33 �otiQ 3 Ly — • S j
3 3 S3 l04R_ 316 s!1 ' .
Ground — ZYK Sb1Z yvt'e1- C S S 6
4$6,ofl. 14 S3 -90 �.S LM 31Y
Depth to
limiting
factor
Remarks: 1
3Rr +#
4q-3Z �-S`-1tz- 31 '
around y G�-
U•Sg
�rl. �► sZ�f3 [��R qA s
(2>3 9 wf i' c
)epth to
smiting N
actor
Remarks:_
PLOT PLAN Page of
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SCALE 1"= S% '
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cj
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SUS 1S' pT10N e e
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1�5-�'c�-=-_Iti'IG-EF- '?3-eLT!�:_�2DE�J-��A_� -��N-�cli3�'►�-5.
zzozSy
( 715 ) 425-0'Ih5
CST Signature Date Signed Telephone No. CST#