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Wisconsip Department of Commerce SOIL AND SITE EVALUATION Page 1 of 2 <br /> 1 Division of Safety and Buildings in accord with Comm 83.05,Wis.Adm. Code <br /> Attach complete site plan on paper not less than 8'/:x 11 inches in size. Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and County <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. - Burnett <br /> Parcel I.D.# <br /> APPLICANT INFORMATION- Please print all information. 020-4304-01 800 <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.e4(1)(m)). Reviewed By Date <br /> Property Owner Property Location <br /> Mettlet-iRobert&Janice Govt.Lot SW 1/4 SW 1/4 S 4 T 40 N,R 16 W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 7384 Hayden Lake Rd Lot 1 CSM Vol 15 Pg 191 <br /> City State Zip Code PhoneNumber City Village ZTown Nearest Road <br /> Danbury WI 54830 715-656-3193 Oakland Hayden Lake Rd <br /> n New Construction Use: Residential/Number of bedrooms 4 UAddition to existing building <br /> Replacement Public or commercial describe <br /> Code Derived daily flow 600 gpd Recommended design loading rate •7 bed,gpolft2 .8 trench,gpd/ft' <br /> Absorption area requited 857 bed,ft' 750 trench,ft' Maximum design loading rate .7 bed,gpd/ftz .8 trench,gpdff <br /> Recommended infiltration surface elevabon(s) 93.00 ft(as referred to site plan benchmark) <br /> Additional design I site considerations <br /> Parent material glacial till _ _ _ _ Flood plain elevation,if applicable na It <br /> S=Suitable for system Conventional MoundIn-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U=Unsuitable for system MS ❑ U ® S ❑u M S ❑ u ® S ❑ U El ® U ❑ S ® U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon <br /> Depth Dominant Color Mottles Structure GPD/ft' <br /> in. Munsell Qu.Sz.Cont.Color Texture Gr.Sz.Sh. Consistence Boundary Roots Bed Trench <br /> 1 1 0-11 l OYR 4/3 none I's 0 sg d 1 g i 3 of .7 l .8 <br /> 2 11-32 7.5YR 5/6 none m s 0 sg d I g i 3 of .7 .8 <br /> Ground 3 32-89 7.5YR 5/4 none c s 0 sg d 1 7 8 <br /> elev _ <br /> 95.50 ft <br /> Depth to <br /> limiting - <br /> factor <br /> >89' <br /> Remarks: <br /> 2 1 0-8 1 OYR 4/3 none I's 0 sg d I g i 3 of .7 .8 <br /> 2 8-31 7.5YR 5/6 none m s 0 sg d 1 g s 1 co .7 .8 <br /> Ground 3 31-89 7.5YR 5/4 none c s 0 sg d 1 - .7 .8 <br /> elev -- <br /> 95.50 fl <br /> Depth to <br /> limiting <br /> factor <br /> >89, <br /> Remarks: <br /> CST Name(Please Print) Signature: ,t/ _— // Telephone No. <br /> Joan E Daniels � / /�L� 715-349-5533 <br /> Address PO Box 316,Siren,W1 54872 Date CST Number Ref# <br /> 9/16/98 3431 121 <br />