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Wisconsin Department of Commerce SOIL AND SITE EVALUATION <br /> Division of Safety and Buildings Page—of— <br /> Bureau of Integrated Services in accordance with s. ILHR 83.09,Wis. 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 <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parbel I.D.# <br /> 07_0 3Z.5- 03 .Sad <br /> APPLICANT INFORMATION- Please print all information. Reviewed by Dat _ <br /> Personal intonnationyou Pride maybe used for secondary purposes(Privacy taw,s.15.04(1)(m)). <br /> Property Owner Property Location <br /> SCart' Fox GovL Lot 2-3-4 1/4 1/4,S T40 ,N,R /6 E(orQ <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 2D(0'9I IOth Sr. /Q I OAKcANn 5#09,5 <br /> city State Zip Code Phone Number El city [ImIlage 0 Town Nearest Road <br /> IV£vjRtciA14OND VJ1 S4017 ( 115 )2%-ZDZ.7 Q i` 1FV- <br /> New Construction Use: Residential/Number of bedrooms ' Addition to existing building <br /> Replacement N Public or commercial-Describe: <br /> Code derived daily flow 49D gpd Recommended design loading rate •7 bed,gpd/ft2•S trench,gpd/ft2 <br /> Absorption area requiredj0 3 bed,It (0¢¢3�� Ue ,ft Q Maximum design loading rate •? bed,gpd/ft2 •S trench,gpd/ft2 <br /> Recommended Infiltration surface elevation(s) J7 (� 7 s3 ft(as referred to site plan benchmark) <br /> Additional designtsite considerations PfreAzr Vs-- <br /> Parent material 6LACI j iL DQ 1 FT Flood plain elevation,if applicable NA 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 NIS ❑ u lad s ❑ u Ms Elu ❑s o u <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Rootsr.7 <br /> PD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. <br /> G! <br /> Trench <br /> 1 I 0-6 R f 2 -�- /s 05 6t< s v 4 <br /> Z 6-30 %f ,r 4 6 /`--J s oik ,t o(e 2co '- 8 <br /> Ground %9-49 7• L S OS /t'1 /1' . Z� g <br /> e9-3 ; <br /> ft. <br /> Depth to <br /> limiting <br /> f"r <br /> Remarks: <br /> Boring# <br /> I 6 z s y � s Z� •� .•s <br /> 2 7- 2q 6 w r e s Zia ,-7 . ,S <br /> 3 T. R 4 �-� S W l/l(r Zee, 7 ,8 <br /> Ground <br /> ev. ft , <br /> Depth to <br /> limiting <br /> facWr <br /> lin. Remarks: <br /> CST Name (Please Print) Signature Telephone No. <br /> 1 c pK/ � 15 $<ob' 157 <br /> Addresb Date CST Number <br /> 2-1766 14wv 35 I�95MR W) - 54893 4-22-98 5&70 <br />