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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page_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 BURNETT <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. 034-1511-03 200 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEW E DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> RICHARD P. NELSON GOVT.LOT SE 1/4NW 1/4,511 T 37 N,R 18 lit(or)W <br /> PROPERTY OWNERS MAILING ADDRESS LOT# BLOCK# I SUBD.NAME OR CSM# <br /> 6800 HILLSIDE LANE LOT CSM Ir. 4 P. 30 <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE 19OWN NEAREST ROAD <br /> EDINA MN 55439 (612 944-5303 TRADE LAKE SPIRIT LAKE RD. <br /> [ ] New Construction Use$ ] Residential/Number of bedrooms 3 [ ] Addition to existing building <br /> ] Replacement [ ] Public or commercial describe N/A <br /> Code derived daily flow 450 gpd Recommended design loading rate 0.0 bed,gpd/ft2 0.0 trench,gpd/ft2 <br /> Absorption area required 0 bed,ft2 0 trench,ft2 Maximum design loading rate 0.0 bed,gpd/ft2 0.0 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) N/A ft (as referred to site plan benchmark) <br /> Additional design/site considerations HOLDING TANK — 2000 GAL. <br /> Parent material GLACIAL DRIFT Flood plain elevation,if applicable N/A ft <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem El f]U ❑S f]U ❑S f]U ❑S 10 U ❑S IOU KIS ❑U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trends <br /> 1 —6 .SYR 3/2 NONE sl msbk vfr as 2f 0.5 0.6 <br /> ..:.....:..: ;i <br /> as if 7 0.8 <br /> Ground 3 -20 OYR 4/6 c2d SYR 6/8 cl msbk nfr as 0. 0.4 0.5 <br /> elev. <br /> qQj S ft. 4 0-52 OYR 4/4 c2d SYR 5/8 sl msbk fr --- 0 --- --- <br /> Depth to <br /> limiting <br /> factor <br /> Rot <br /> Remarks: <br /> Boring# <br /> PTy YJ <br /> ti <br /> Ground <br /> elev. <br /> ft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> CST Name:—Please Print KEN STRABEL Phone: (715) 349-2990 <br /> Address: 7735 AIRPORT ROAD WEBSTER, WI 54893 kstrabel@win.bright.net <br /> Signature: Date: 02-16-1998 CSTNumber:M03322 <br />