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- •• ••.- • • %j <br /> san of Safety 8 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 URME7t <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.# <br /> dimensioned,nortb arrow,and location.and distance to nearest road. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> E GOVT.LOT 1/4 1/4,S T N,R ' E(or W <br /> PROPERTY OWNER':S MAILING ADDRESS kUll <br /> BLOCK# SU��AMF OR CSM e <br /> SCO LX T1� / <br /> CITY, ATE IP CODE PHONE NUMBER ❑VILLAGE SOWN NEAREST ROAD <br /> A R ! . ( I SaT c <br /> oAf <br /> X New Construction Use Residential/Number of bedrooms 2- [ ] Addition to existing building <br /> [ ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 3C0 gpd Recommended design loading rate •7 bed,gpd/ft2_S trench,gpd/ft2 <br /> Absorption area required a—bed,ft2 37$ trench,ft2 Maximum design loading rate •� bed,gpol0 trench,gpd/9 <br /> Recommended infiltration surface elevation(s) 9 l•$ p $Q . (v ft (as,referred to sitwplan benchmark) <br /> Additional design!Site considerations <br /> Parent material._ [LALaL DMT Rood plain elevation,if applicable NA . ft <br /> S=Suitable for System CO VENTIONAL OUND N-GROUND PRESSURE AT-GRAD TEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem S ❑U �S ❑U S ❑U S ❑U ®S ❑U ❑S <br /> SOIL DESCRIPTION REPORT <br /> oring# Horizon Depth Dominant Color Mottles Texture Structure GPDlft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Consistence Botrdary Roots <br /> Bed ITw& <br /> ` [ [ •S R3 � '�� s DMS M( Cs .7e ,$ <br /> around <br /> lev. <br /> 5.0n <br /> lepth to <br /> miting <br /> ictor <br /> Remarks: <br /> oring# <br /> Z �^ �S OMS M l CS 2M <br /> <2 2 ' 7L 1.5 .R 4lq oMs M1 rf_,M 7 8 <br /> round <br /> {I; 01 <br /> +:-L ft. <br /> lepth to <br /> miting <br /> tor <br /> Remarks: <br /> T Name:—Please PrintG OP Phone: <br /> reas: f760 .35 W6=99X <br /> Signature: / ate: CST umber: <br /> 70 <br /> ItitML�l - 23- `�S <br />