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WiisconsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page <br /> �of <br /> Labor and Human Relations <br /> Division of Safety&Buildings in accord with ILHR 83.05, Wis. Adm. Code <br /> COUNTY <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 Y 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 /> 'g L.L_ t nn GOVT.LOT ntk) 114 5&4>14,S I I •T +0 ,N,R I1{- "Ej@)W <br /> PROPERTY OWNER'S MAILING ADD= LOT# BLOCK# SUBD.NAME OR CSM# <br /> gt03 t.t�ae1.� tri+ AvL c5e.4. 2- <br /> CITY, <br /> CITY,STATE TrP CODE PHONE NUMBER []CITY ❑VILLAGE MOWN NEAREST ROAD�j <br /> MiAn ouS m^ S5y15(toz) 3VI-0531 sc _Ct 16 <br /> oc.at! �TRf <br /> New Construction Use Residential/Number of bedrooms 3 [ ] Addition to existing building <br /> [ ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 450 gpd Recommended design loading rate • 7 bed,gpd/ft2 . 8 trench,gpd/ft2 <br /> Absorption area required &43 bed,ft2�`Z 3 trench,ft2 Maximum design loading rate 7 bed,gpd/ft2 . P trench,gpd/112 <br /> Recommended infiltration surface elevation(s)/ 93.8 93.o ' ft (as referred to site plan benchmark) <br /> Additional design/site considerations tirsiAttw. zao.os 8o%tu" wl1 'Fe On to <br /> Parent material Gt_*,e_t A t_ (i0-AFT Flood plain elevation, if applicable It <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem XIS ❑U ❑S LSU �S ❑U ❑S XU ❑S ZU ❑S �u <br /> CL ) SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots !ed <br /> D/ft <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Tiercfl <br /> 7.SY.23 � aJ /�+,s ir.,7r cS <br /> v -.3 7.5YR- V14 a t.aJ s nr,11 c5 d • (o <br /> Ground 3 33. 4 Z4/ one �r..s e — 7- - <br /> �e ev. <br /> 5.8 ft. <br /> Depth to <br /> limiting <br /> factor <br /> 19R.13 <br /> Remarks: �f T <br /> Boring # AL <br /> R 3/ •ne /n, �rn as 30C 7 91 <br /> 5 yi2 7. <br /> T a/ tri 3 5 .6 <br /> Ground .3 I-85I SYR q14 <br /> elev. <br /> yS(o ft. <br /> Depth to <br /> limiting <br /> factor <br /> ia.for 32 <br /> Remarks: r T- �k AO <br /> CST Name, Please Print Phone: <br /> SEPTIC It EXCAMATION <br /> Address:r MCR 59, Box 478d <br /> Signature. pooner, N 5W1 Date: CST Number: <br />