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Wisconsin Department of Industry, SOIL AND SITE EVALUATION <br /> Labor and Human Relations Page_of <br /> Division of Safety and Buildings in accordance with s. ILHR 83.09,W is. <br /> Attach complete site plan on paper not less than 8 1/2 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 /> q', a3 ZOO <br /> APPLICANT INFORMATION - Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). /a 3 <br /> Property Owner Property Location <br /> Doug Lilj enberg Govt.Lot 9 1/4 1/4,S 31 T 40 ,N,R 15 gE(or)W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 6750 County Road A 9 Armar Subdivision <br /> City State Zip Code Phone Number nn Nearest Road <br /> Webster WI 4893 715 )866-8647 El City Jac�SVon ge ® Town Pope Road <br /> ® New Construction Use: ®Residential/Number of bedrooms 7 Addition to existing building <br /> ❑ Replacement ❑Public or commercial-Describe: <br /> Code derived daily flow 300 gpd Recommended design loading rate gibed,gpd/tt2 _,fi—trench,gpd/ft2 <br /> Absorption area required 429 bed,ft2 375 trench,ft2 Maximum design loading rate -_7bed,gpd/fl2 '8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 95.9 ft(as referred to site plan benchmark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation,if applicable KA ft <br /> S = Suitable for system Conventional Mound In-Ground Pressure AT-GradeSystem in Fill Holding Tank <br /> U = Unsuitable for system [I S ❑ U ® S El ® S EIU I ® S ElU [It S ❑ U I ❑ S 11 U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> in. Munsell Ou.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench <br /> 1 1 0-611 7.5 YR 3/2 ------------ is imsbk mvfr cs3f-co .7 .8 <br /> 2 "-4 7.5 YR 5/6 ------------ is lmsbk mvfr gs3f-co .7 .8 <br /> Ground 3 4311-6 ' 7.5 YR 5/6 ------------ fs lmsbk mvfr I gs 3f .5 .6 <br /> elev. <br /> 97.6 ft. 4 6L"-6811 7.5 YR 5/8 c2d 5 YR 5/8 fs ]Lmsbk mfr -- -- .5 .6 <br /> Depth to <br /> limiting <br /> fir <br /> _in. <br /> Remarks: <br /> Boring# <br /> 1 0-5 ' 7.5 YR 3/2 —--------- is lmsbk mvfr cs f- <br /> 2 2 5"-4)"7.5 YR 5/6 ----------- is lmsbk mvfr s If-co <br /> 3 401'-59 ' 7.5 YR 5/6 ----------- fs lmsbk mvfr s 3f . <br /> Ground 4 5 "-64 ' 7.5 YR 5/8 c2d 5 YR 5/8 fs lmsbk mfr -- -- <br /> 9��e3r' <br /> Depth to <br /> limiting <br /> factor s C g <br /> soar in. Remarks: L <br /> CST Name (Please Print) Signature Telephone No. <br /> Wade Rufsholm (715) 349-7286 <br /> Address Bog 514 Siren, WI 54872 Date 9/23/96 CST Number3583 <br />