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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pae <br /> Labor and Human Relations age of <br /> Division bf Safety&Buildings in accord with ILHR 83.05, Wis. Adm. Code <br /> COUNTY <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include,but RN <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.# <br /> dimensioned, north arrow, and location and distance to nearest road. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEW Y DATE <br /> �e <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> GOVT.LOT 114 1/4,S 7 T 4 ,N,R E Iw <br /> PROPERTY OWNERSMA LING ADDRESS LOT# BLOCK# SUBD.NAME OR CSM# <br /> MgApow . <br /> CITY,STATE u ' IraIn =Omw <br /> MODE PHOS NU�ER CITY ❑VILL GE KOWN NEAREST ROAD <br /> �'T - <br /> D4 New Construction Use DQ Residential/Number of bedrooms 3 [ J Addition to existing building <br /> I I Replacement [ I Public or commercial describe <br /> Code derived daily flow +,;D gpd Recommended design loading rate •7 bed,gpd/ft2 .S trench,gpd/112 <br /> Absorption area required 03 bed,ft2 5703 trench, Maximum design loading rate •1 bed,gpd/ft2 •$ trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) ALT 91.1 ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material CILACJAL VR11=T 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 fors stem MLS ❑U RS ❑U OS ❑U B'S ❑U MIS ❑U ❑S *U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary RootsfPD <br /> in. Munsell Cu.Sz.Cont Color Gr. Sz. Sh.0-6 7$ R Z Il\� Mf OMS Yl I CS6-63 �v7 s ,r i~S onu I csGround (,3•�d S �¢ z/ f CZC� R S S s <br /> e v. <br /> Depth to <br /> limiting <br /> fa,c r •� <br /> Remarks: <br /> Boring # <br /> 0 7•S z MS '7 g <br /> 2 2 6 65 z.S R �1 N Ns <br /> 3 a... *7 8 <br /> Ground <br /> elev.. <br /> q7.v ft. <br /> Depth to <br /> limiting <br /> fac_ top <br /> 2 b� Remarks: 11AMb Ak SE 610 <br /> CST Name:—Please Print Phone: /S- $�6- /S7 <br /> IC ARIf� o iN <br /> dneee: 27760 lYwy 357 sr� r. .stf 3 <br /> Sgnature: 'I Date:r q` CST Number: <br />