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WiscansinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page i of 3 <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 81/2 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 /> / -41 <br /> dimensioned, north arrow,and location and distance to nearest road. 4o2zT—3133 3ZI. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEW ATE <br /> PROPERTY OWNER: (' PROPERTY LOCATION <br /> Lw,x GOVT.LOT N4Z 114 1.)E1/4,S 53T 39 N,R i4 fear)W <br /> PROPERTY OWNERS MAILING ADDRESS � LOT# I BLOCK# SUBD.NAME OR CSM# <br /> a 31 1c�a0 <br /> CITY,STATE ZI CODE PHONE NUMBER ❑CITY ❑VILLAGEXrOWN N REST ROAD <br /> bQ New Construction Use bQ Residential I Number of bedrooms Z [ I Addition to existing building <br /> [ ) Replacement [ ] Public or commercial describe <br /> Code derived daily flow 3aft gpd Recommended design loading rate . 5 bed,gpd/ft2 . trench,gpd/ft2 <br /> Absorption area required (off bed,ft2 OD_trench.ft2 Maximum design loading rate 5 bed,gpd/ft2 .49 trench,gpd/ft2 <br /> Recommended infiltration surface elevations �jt,e>lmf __yTft (as referr d to site plan benchmark) , <br /> Additional design/site considerations 9 Km E/ci/• i".a' sJ ) 3/. S"AE s <br /> Parent material 444W4 A.& dAa fid• Flood plain elevation,if applicable ii,/�ft <br /> S=Suitable for system I CONVENTIONAL MOUND IN-GROUND PRESSURE I AT-GRADESYSTEM'IN FILL HOLDING TANK <br /> U=Unsuitable fors stem MS ❑U S ❑U IRS ❑U as [IU ❑S 14U ❑S 19U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> in. Munsell Cu.Sz.Cont.Color Gr. Sz. Sh. Bed ITmnch <br /> %.�a <br /> Fz- <br /> 7.5YrZZz • 7'" 4,116 7 5YIZ'1 4 e s&K rz We ,5 .1. <br /> Ground 3 sfo: ,4Z y Mme hrt 17.4- eon 1,.,.1 . 97S <br /> elev. / <br /> Depth to <br /> limiting <br /> factor <br /> �L <br /> 72 N <br /> Remarks: �x <br /> Boring# ( <br /> Z' Z q.35 7.SY12 'f -home V7'r vl S •(o <br /> • 7 <br /> Ground 2 �'O7e rri'ub %qtr G'a� /vF� .$ <br /> elev. 57-721 4 ino A/ r,,.fl 1 -7 .$ <br /> Depth to <br /> limiting <br /> %k am <br /> �) <br /> Remarks: <br /> CST Name:—Please Print mPhone: <br /> ATICIN <br /> Ad <br /> dress: N6228 Cour Ltne Rd. <br /> Signature: (715)635-7482 Date: 7 S 6 CSyt34(og <br />