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Ansin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3 <br /> lto and Human Relations 9 <br /> Division of Safety&Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> COUNTY <br /> Dane <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include,but <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.# <br /> dimensioned,north arrow,and location and distance to nearest road. <br /> APPLICANT'INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Todd & Shelley Tiedeman GOVT.LOT SW 1/4 SE 1/4,S 6 T 8 ,N,R 6 E(• i2 t <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# BLOCK# SUBD.NAME OR CSM# <br /> 741 Mills St. Prop. 12 Ac. Parcel <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD <br /> Black Earth, WI 53515 ( 608 767-3850 Mazomanie Amenda Road <br /> [) New Construction Use [ f Residential/Number of bedrooms 4 [ ] Addition to existing building <br /> [ ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 600 gpd Recommended design loading rate 0.5 bed gpd/ft2 0.6 trench,gpd/ft2 <br /> B lr <br /> Absorption area required 1200 beAd,e ftt 1000 trench,ft2 Maximum design loading rate 0.5 bed,gpd/ft2 0.6 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 99.3' with 12" sand ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material Pine sand outwash & blow sand. Flood plain elevation,if applicable Not Applict <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for system CI MU ®S CI El MU CI MU CI [NU 0 ®U <br /> SOIL DESCRIPTION REPORT * According to owner. <br /> Boring# Horizon Depth Dominant Color Mottles Structure Structure Consistence qty Roots GPD/ft2 <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trends <br /> Wag 'A 0-26* 10YR 3/2+3/1 none lfs lmsbk mvfr <br /> g:? t gw 2fmc 0.5 0.6 <br /> ~~~~ • Cl 26-34 10YR 4/3 none fs 0 sg ml gs 2fm 0.4 0.5 <br /> Ground C2 34-42 10YR 5/3 c3f 10YR 5/5 fs 0 sg ml -- none 0.4 0.5 <br /> elev. <br /> 98.7 ft. <br /> Depth to * Some mixing of topsoil and blow sand. <br /> limiting <br /> f34gr, Observed groundwater at 42". <br /> Remarks: <br /> Boring# <br /> W Al 0-15* 10YR 5/4+4/3 none fs lmsbk mvfr cw 2fmc 0.5 0.6 <br /> 2 <br /> `« A2 15-30 10YR 3/1 none lfs lmsbk mvfr gw 2fmc 0.5 0.6 <br /> ni.4ji ti4:. <br /> vv\Ji <br /> ... <br /> Cl 30-36 10YR 4/3 none fs 0 sg ml cs 2fm 0.4 0.5 <br /> Ground <br /> gv0 C2 36-44 10YR 5/4 c3f 10YR 4/6 fs 0 sg ml -- none 0.4 ` 0.5 <br /> ft. <br /> * Blow sand on top of topsoil. <br /> Depth to <br /> limiting Observed groundwater at 44' . <br /> factor <br /> 36" • <br /> Remarks: <br /> =CST Name:pJ e e Pr' t Phone: <br /> Dae �. Parker, Ph.D. , C.S.T. (608)833-3133 <br /> 'Address: 6601 Grand Teton Plaza ■ Madison • WI • 53719 Field work on 5-11-98. <br /> Signature: / / Date: 5-11-98 CST2 rol/0 <br /> a c G. p M j <br />