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Wisconsin Department of SOIL AND SITE EVALUATION REPORT Page!of <br /> Labor and Human Relations <br /> Division of safety 8 Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> COUNTY <br /> � <br /> Altach complete site plan on paper not less than 8 1/2 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.a <br /> dimensioned,north arrow, and location and distance to nearest road. 39, /4, 0,3:.0/700 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED DATE <br /> PROPERTY OWNER PROPERTY LOCATION <br /> Zft, otiCNNf'EIn GOVT.LOT 3 114 1' ,'1/4,S 3 'T 37 AR 14 AM W <br /> PROPERTY WNE 'S MAILING ADDRESS LOT k BLOCKN SUED.NAME OR CSM N ,r �t.3�,p/.0.5, <br /> /9G S• oj0bPAP k#-(_ . _„ie I ho I AoA-ree xN 114+V97- onoo <br /> CITY,ST TE ZIP CODE PHONE NUMBER ITY ❑VI GE TOWN NEAR T ROAD <br /> 'or <br /> 4")% 51180/ ( 1 yAC C�ioin bo.J <br /> [ I New Construction Use I [ Residential/Number of bedrooms [ [ Addition to existing building <br /> >4 Replacement I I Public or commercial describe <br /> Code derived daily flow _1p0 gpd Recommended design loading rate : 7 bed,gpd/ft2 trench,gpd/ft2 <br /> Absorption area required 4.21 bed,ft2 s375U_ <br /> ench,112 Maximum design loading rate.7 bed,gpd/ft2�Uench,gpd/ft2 <br /> Recommended Infiltration surface elevation(s) q?.S!r It (as referred to site plan benchma=,/i-. or<uJ <br /> Additional design/site considerations G��se ons &04#��.Zirc ad ' i"� V bury 00.o' <br /> Parent material Flood plYn elevation,If applicable rr .9 it <br /> S:Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouldary Roots GPD/ft <br /> In. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Tiench <br /> 1 D-K" 7.SVX3/z- .fA� .yr // 4S ap —r <br /> Ground 3 - <br /> ur 75M <br /> elev. , <br /> ft B-/9y 7.3 R,4jq .7 '•.. <br /> Depth to <br /> limiting <br /> factor <br /> I <br /> 83+0' j <br /> Remarks: HOE �r �eri c3 ' 8e�ou1 G w5 �Uleu. <br /> Boring # <br /> i <br /> Z z -9' 7SYR-v as 3-t' 5 `. <br /> Ground 9-'Ro" '/ e 5 C m.!? its 37� . 7 1. 8 <br /> ele . <br /> ft. L 7.SYAt 4 .wed-S DMsa . 7. <br /> Depth to —-----— <br /> limiting <br /> factor <br /> qL' <br /> 87.9' <br /> Remarks: �'r <br /> CST Name:-Please Print M & K Phone: <br /> Address: <br /> NCR 59 Box 478d <br /> Signature: Spmer, WI 54801 Date: CST Number: <br /> V4)6ag ;482 /o�aS-sz .n4F <br />