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.Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT PageofoZ, <br /> Labor and Human Relations <br /> Division of Safety&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 &(rne� <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PAR�C-R I.D.# <br /> dimensioned, north arrow, and location and distance to nearest road <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATIONREVIEWED BY DATE <br /> c 1)— - <br /> PROPE WNER: C/;en>' PROPERTYLOCATIO <br /> Cco/� — �pllm o S;mOn aT 1/4 1/4,S T�B ,N,R /� E(or <br /> PRO E OWNERS M AIL�iADD,ESS '+ LOT# BLOCK# SUBD.NAME OR CSM# <br /> CITY,STA E ZIP ODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEA E T ROAD <br /> I— X,WE, 5y�d53 (-7ISI$oZS- 4539 ea � s'�.�/l� <br /> [ ] New Construction Use [ ] Residential/Number of bedrooms — ( ] Addition to existing building -- <br /> I ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow gpd Recommended design loading rate _ bed,gpd/ftR — trench,gpd/ft2 <br /> Absorption area required — bed,ft2 trench,ft2 Maximum design loading rate — bed,gpd/ft2 � trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) it (as referred to site plan benchmark) <br /> Additional design/site considerations i o i S r/� <br /> Parent material 6/4cra �hs Flood plain elevation,if applicable l_�ft <br /> S=Suitable for system CONVENTIONAL MOUNDIN-GROUND PRESSURE AT-GRADE 'SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem MS ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure consistenceeound3y Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trer& <br /> /s 7 s <br /> s mu�pr 7 <br /> -� <br /> Ground 3 3 7-5-W eWS, iY156 rnV7Y -rr I . <br /> elev. <br /> /e�ll�ft. S-6(v 75- S — /s m <br /> Depth to jkAa 7--5-oC«�� S S /✓t 1h� ^� �� � <br /> limiting <br /> fa for „ <br /> (00 <br /> Remarks:— <br /> Boring <br /> emarks:Boring# <br /> ,S 3 S ms6K rn� {i C5 co <br /> .� <br /> 0 5CA <br /> NGroundcc3 38'A 7' R Wqv ms✓ h 7' r.2 ,3 <br /> QI� �' i W1 `�r r <br /> D wfft. <br /> Depth to <br /> limiting <br /> factor <br /> yy rinl <br /> Remarks: K7, G r Q 3 dZeR n-,V / 'e . <br /> CST Name:—Please Print KEITH E. STONER Phone: 7�$ 5 3,9. <br /> Address: EN, WI 54872 <br /> Signature: 6141 <br /> s 36IT,Number: <br />