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NOV-26-97 WED 05 :25 PM DR LAURA KNIPFER 608 655 3715
<br /> • P. 01
<br /> LaborandHu artmencoflndustry, SOIL AND SITE EVALUATION REPORT
<br /> Labor and Human Relations
<br /> rYw✓Division of Safety 8 Buildings Page- X ,OI__�
<br /> In accord with ILHR 83.05, Wis.Adm. Code
<br /> COUNTY
<br /> Attaoh complete site plan on paper not leas than 8 1/2 x 11 Inches in Size.Plan must include,but Dane
<br /> not limited to vertical and horizontal reference point(RM),direction and%of elope,ecate or PARCEL In.dimensioned,north arrow, and Location and distance to nearest road. —
<br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY
<br /> DATE
<br /> PROPERTY OWNER: PROPERTY LOCATION
<br /> '"U g E q 1,,A U R A /4i 1 p Fl;P._ GOVT.LOT 5o.) 1/4 /'J 1/4,S JS T e, ,N,R I z- E
<br /> PROPERTY OWNER':S MAILING ADDRESS LOT IY BLOCK I
<br /> #6:6 Surf • , ■ tip. •Q• S CSMA
<br /> t 2©Po S E 0
<br /> CITY,STATE
<br /> Z •CODE PHONE NUMBER ['CITY (]VILLAGE (MOWN NEAREST ROAD
<br /> MAP 1ALL1 LJI , s35S-9 (60g)coss MuortoA ,C. a."rT"
<br /> IA New Construction Use (Al Residential/Number of bedrooms ( 1 Addition to existing building ,
<br /> I I Replacement ((J Public or commercial describe ✓e ;.R 'IA,.11 CLr N i t - L.+ •cm e c s F%oo R tin+r a
<br /> loam r .g(O C+.f 4 C -rbrA(.. i° m'l /
<br /> Code derived daily flow j z o •gpd Gt.,..r L 8zo Recommended design loading rate •• bed,gpd/ft2 0. trench% �K2 no
<br /> 9P
<br /> Absorp on area requires '2 "o bed, ft2 /4,/O french, ft2 Maximum design loading rate.0- bed,gpd/lt2 2. $trench,gpd/f12
<br /> Recommended infiltration surface elevation(s) lee,u,c)D ,5- Tc•r ft (as referred to site plan benchmark)
<br /> Additional design/site considerations .✓or . .o ✓.u.e/A A/c e' w .
<br /> , c ale n/G.,:3 A ? 7 ✓t. C4,../a ..�,�G ,,,,..5-4,„,
<br /> Parent material Loess over glacier till Flood plain elevation,if applicable -4 ,q —ft s,/sric.-i
<br /> S=Suitable for system CONVENTIONAL MOUND IN•GROUND PRESSURE AT-GRAS SYSTEM tin FILL HOIDING�T K
<br /> U a Una/gable for stem S NU S ❑U ❑S ,!�U ❑S WU f11 S MU (p S tz9 U
<br /> SOIL DESCRIPTION REPORT
<br /> Boring# Horizon Depth Dominant Color Mottles Structure GPO/ft2
<br /> in. Munselt Qu.Sz.Cont.Color Texture Gr. Sz. Sh. Consistence Boundary Roots
<br /> rlBed,o 3/4L ,r Z 9-go 10 2`1/3 c_i ZHA1S}C -
<br /> Ground 3 2m'3o /0 7'R % se. +&a/ rr�! � .�
<br /> !>✓ z a 3 o elev, iotlit
<br /> o- 3t4, r 0f/ Yt
<br /> Depth lo _ /6 '5 C zr) iit O 4 a
<br /> 4 S l I +Pe X-f / —
<br /> i limiting
<br /> factor ,
<br /> 9SB
<br /> Remarks: ,� .. / a,✓ J� .fie z i,+/6 .C/.a 7-.6/2
<br /> Boring# r —:::;:l / o- 9 /o )2 Viz- /leAIit S/I z�S6t Hfrz. GeJ 2X o-5 0'to
<br /> 9. 25, /0 ?.( G_ � � I 2ti.t6K rz.f2 Cus /--c o .41 ,0.5
<br /> 3 z5-- V5- /� 3/r- % r-zo '°yR''7r
<br /> Gtound 3 in;',e�� f 1 a� a�K M�-/ CcJ
<br /> elev. • r
<br /> 2,3,3 ft. _
<br /> Depth to
<br /> limiting
<br /> factor r - _
<br /> Remarks:
<br /> CST NName:-,Please Print P ne:
<br /> Birrenlcott 5tzr-vey n , Inc., Daniel'V. :Birrenkott (608)837-W63 Fax (608) 837-1081
<br /> Adtes3: 1677 No Bristol Street P.O. Box 237, Sun Prairie, Wisconsin 53590
<br /> Shanature: 46.2:4j 9 Dale; CST Number: 1906
<br /> e-7- 77 i
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