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G�ecje-4!, 30*0 <br /> Wisconsin 50artment of Commerce SOIL AND SITE EVALUATION Page I of 2 <br /> Derision 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 County <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Burnett <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> APPLICANT INFORMATION - Please print all information. 034-1521 -05 500 <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Reviewed By Date�'�3d'Olb <br /> Property Owner Property Location <br /> Young Donald Or Gail Govt.Lot na &W 1/4 W 1/4 S 21 T 37 N,R 18 W <br />-- Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 12055 Little Trade Dr na na Na <br /> City State Zip Code PhoneNumber City Village ®Town Nearest Road <br /> Grantsburg WI 54840 715-488-2510 Trade Lake I Little Trade Dr <br /> ❑ New Construction Use: ® Residential/Number of bedrooms 2 ❑Addition to existing building <br /> Replacement ❑ Public or commercial describe <br /> Code Derived daily flow 300 gpd Recommended design loading rate .5 bed,gpolft' .6 trench,gpolfF <br /> Absorption area required 600 bed,ft' 500 trench,ft' Maximum design loading rate .5 bed,gpolfF .6 trench,gpolfF <br /> Recommended infiltration surface elevation(s) holding tank ft(as referred to site plan benchmark) <br /> Additional design I site considerations — <br /> Parent material glacial till Flood plain elevation,if applicable it <br /> t S=Suitable for systemI Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U=Unsuitable for system ❑S ® U ❑ S ®U ❑ S ® U ❑ S ® U ❑ S ® U ® S ❑ U <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPD/ft <br /> Horizon Texture Consistence Boundary Roots — <br /> in. Munsell Qu,Sz.Cont.Color Gr.Sz.Sh. Bed Trench <br /> ` 1 0-6 10YR 3/3 none sil 2 m sbk m 1 a s 3 of .5 .6 <br /> 2 6-8 l OYR 4/3 none c I 3 f m mvfi g s .4 .5 <br /> Ground 3 8-20 10YR 4/3 c2d 5YR 5/8& c 3 f m mvfi np np <br /> elev <br /> 100.00 it 1 OYR 2/2 <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> 2 1 0-3 10YR 3/3 none <br /> 2 3-10 10YR 3/3 c2d 5YR 5/8 sit <br /> Ground <br /> elev <br /> 101.50 ft <br /> Depth to <br /> limiting <br /> factor —T- <br /> 3- <br /> Remarks: — <br /> CST Name(Please Print) Signatur Telephone No. <br /> Joan E Daniels 94� 715-349-5533 <br /> Address PD Box 316,Siren,WI 54872 Date CST Number Ref# <br /> 6/26/00 223463 186 <br />