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Wisconsin Department of Commerce SOIL AND SITE EVALUATION O ' <br /> Division of Safety and Buildings k <br /> " 1 Page I of 3 <br /> Buread of Integrated Services in accordance with Comm 83.09, Ws. Adm. Code <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 _61wr n e <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> Digi- Z7293-ol- foo <br /> APPLICANT INFORMATION- Please print all information. Reviewed byDate <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). /� L <br /> Property Owner Property Location ! I <br /> F—I mar Govt.Lot S''y 0014 i)01/4,S 23 T 38' ,N,R (E; E(o( <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> q(o I.ICh'►tvert' t'1'lRRS}I �j .� <br /> City State Zip Code one Number Nearest Road <br /> c� ❑ City Village r�� Town /+� <br /> LOK6 L,�. 4 •71 ( TTS) j L,A1FcLt.&TfL �berrr MAQSH <br /> ® New Construction Use: ®Residential/Number of bedrooms 3 Addition to existing building <br /> ❑ Replacement ❑Public or commercial-Describe: <br /> Code derived daily flow --So gpd Recommended design loading rate .7 bed,gpd/f12 -�&_trench,gpd/1`12 <br /> Absorption area required (.43 bed,ft2 $4R_trench,ft2 Maximum design loading rate <br /> q�� � g� g �bed,gpd/fl2�trench,gpd/ftz <br /> Recommended infiltration surface elevation(s)_L7.2i-r f13.2 )t(as referred to site plan benchmark) <br /> Additional design/site considerations ee'l AK r e '7' <br /> Parent material +4t 2t Flood plain elevation,if applicable ft <br /> S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U = Unsuitable for system S ❑ U ❑S ® U ❑S [A U ❑S ® U ❑S ® U ❑ S Mu <br /> SOIL DESCRIPTION REPORT <br /> Boris # Horizon Depth Dominant Color Mottles Structure GPD/ft2 <br /> Boring Texture Consistence Boundary Roots <br /> Wl" <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed , Trench <br /> " 7.SYR3z /✓TtrKe 1 M ^"%rfir 3W-• .7 '• 8 <br /> L `I- T.Sylit4 e .4) D111 n>1x ccdJ - M .7 ,. 8 <br /> Ground Z,Syp�y t�xe r . 7 . 8 <br /> elev. <br /> 9 Lft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: ?LF +b -36" 3 Vt 0 46 'm Q..,•rc.J 33 o r14' <br /> .c <br /> Boring# <br /> i V" .5 V 0231 �f r . 7 ,• 8 <br /> [2] 7S-ye 41g -;Zf -7 <br /> Ground <br /> l] <br /> Depth to <br /> limiting <br /> factor cru <br /> ?4.6!-in. Remarks: <br /> CST Name (Please Print)MEDS SOIL TESTING Signature Telephone No. <br /> AddressDate CST Number <br /> Spooner, 154801 <br />