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ws;pnsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page_of_ <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 <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL D.# <br /> dimensioned, north arrow,and location and distance to nearest road. czyc� -y I I-?—C�'l <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEW DBY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Shawn Dewey GOVT.LOT 5,\ 114 1/4,S 1 T 40 ,N,H 14 Z<(or)W <br /> PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK# SUED.NAME OR MM# <br /> 2830 Augustine Road pcl. SW SE <br /> CITY,STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE OWN NEAREST ROAD <br /> Webster, WI 54893 (719 635-3555 Scott Augustine Road <br /> [B] New Construction Use I )t Residential/Number of bedrooms 3 [ ] Addition toe)'sting building <br /> [ ] Replacement [ j Public or commercial describe <br /> Code derived daily flow 450 gpd Recommended design loading rate -7 bed,gpd/ft2 -8 trench,gpd/ft2 <br /> Absorption area required 643 bed,ft2 463 trench,112 Maximum design loading rate .7 bed,gpd/ft .8 trench,gpd/112 <br /> Recommended infiltration surface elevation(s) 97.9 It (as referred to site plan benchmark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation,if applicable NA ft <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE I AT-GRADESTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ®S C]U $]S ❑U JOS ❑U ®S ❑U S ❑U ❑S ®U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> in. Munsell CU.Sz.Cont Color Gr. Sz. Sh. Bed Trerch <br /> "mi ". <br /> 1 1 0-4" 7.5 YR 3/2 ---------- is lmsbk mvfr cs f-co .7 .8 <br /> 2 4"-46 ' 10 YR 4/6 --------- is lmsbk mvfr as f-co .7 .8 <br /> Ground 3 6"-65 ' 7.5 YR 4/6 ----------- f-ms 2msbk mvfr cs f-co .7 .8 <br /> elev. <br /> 99.5 ft 4 5"-74 ' 7.5 YR 5/2 c2d 5 YR 5/8 cl m mfi -- if NA :NA <br /> Depth to <br /> limiting <br /> factor <br /> 65" <br /> Remarks: <br /> Boring# <br /> 1 0-5" 7.5 YR 3/2 ----------- is lmsbk mvfr cs3f-co .7 .8 <br /> k.:. <br /> F 2 2 5"-45 ' 10 YR 4/6 ---------- is lmsbk mvfr as 'If-co .7 .8 <br /> 3 5"-63 ' 7.5 YR 4/6 ----------- f-ms 2msbk mvfr cs2f-co .7 .8 <br /> Ground <br /> elev. 4 3"-72 ' 7.5 YR 5/2 c2d 5 YR 5/8 cl Is mfi -- if NA 'NA <br /> 99.4 1t. <br /> Depth to <br /> limiting <br /> factor <br /> 63" <br /> Remarks: !�A a <br /> CST Name:-Please Print Wade Rufsholm Phone: <br /> (715'j349-7286 <br /> Address: 24702 Lind Road P.O. Box 514 Siren, WI 54872 <br /> Signature: Date: CST Number: <br /> 4/16/9 3585 <br />