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ntof <br /> Labor and man elationdustry, SOIL AND SITE EVALUATION REPORT Page I ofd_ <br /> Labor and Human Relations <br /> Division of Safety&Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> COU <br /> Attach 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 PARC .D.#!� <br /> dimensioned, north arrow,and location and distance to nearest road. - `-/L�?_� <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED 8 DATE <br /> PROPERTY OWNER: <br /> PROPERTY LOCATION <br /> C�jA <br /> r-wr GOVT.LOT SE 1/4 SE,1/4,S 7T 40 ,N,R I4f BCW <br /> PROPERTYOWNER':SDDRESS OT# BLOCK# SUBD.NAME RCSM# <br /> -��15 IZOHD Vc <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE jKrOWN NEAREST ROAD <br /> vohe� ,.�: s�-sol, (�rs)bss•31zs a�a �hA1c�, <br /> [ ] New Construction Use Residential/Number of bedrooms z. [ ] Addition to existing building <br /> N Replacement [ ] Public or commercial describe <br /> Code derived daily flow .30o gpd Recommended design loading rate -7 bed,gpd/ 8 trench,gpd/ft2 <br /> Absorption area required z4 bed,ft23't S trench,112 Maximum design loading rate -7 bed,gpd 2 ._atrench,gpd/ft2 <br /> Recommended infiltration surface elevation(s)_ qZ .'7 ' ft (as referred to site plan benct mark) <br /> Additional design/site considerations wu ' tz•' tJtv4c OAK -zew EiEJ too.o, 2..401S,A <br /> Parent material lae rg� de Flood plain elevation,if applicableft <br /> --r—-- <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE I AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for system S ❑U ❑S t�U ®S ❑U ❑S ®U ❑S U ❑S k� I <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure GPD/ft <br /> sum. Nnench <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Consisten Botrdary Roots <br /> Z �yrtrna <br /> d <br /> 2. Io A) <br /> _49- <br /> Ground 31t Juelev. <br /> ft. a1. 7.SYP- 4 <br /> Depth to <br /> limiting <br /> factor <br /> $ff.8 <br /> 79" <br /> Remarks: ►� <br /> Boring# <br /> i z ZSYR 3I� n.m.e. irn L 3Jf -7 8 <br /> Z Z-7-2- 7.5YR414 cnQQa/ 111n.sbK rnJtr ea/ d 7 $ <br /> Ground .7 ?.5Y414 <br /> elev. <br /> 95$ft. <br /> Depth to <br /> limiting <br /> factor <br /> `.3 <br /> 7811 <br /> Remarks: <br /> CST Name:—Please Print M & K P <br /> hone- <br /> Address HCR 59, Box 4784 <br /> Signature: purer, CST Number: <br /> `/ ."3K9 <br />