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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pageof <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 81/2 x 11 inches in size. Plan must include,but E <br /> not limited to vertical and horizontal reference point(BM),direction and q of slope,scale or PARCEL I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. 03d ��3 J <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIDAED DATE <br /> PROPERTY OWNER: PROPERTY LOCATION X N <br /> Lf-0 _Siallq GOVT.LOIP>,` ,S:- 1/4 1/4,S 13 T q' ,N,R & E(or <br /> PROP RTYOW ER':S ILINGADDRESS LOT* BLOCK# <br /> l�. 8 5 r <br /> CITY,STATE ZIPCODE PONE NUMBER ❑CITY ❑VILLAGE �OW NEAREST ROAD <br /> SUPERIOR I. SLJ 80 ( 15) .t o I 7 <br /> ] New Construction Use M Residential/Number of bedrooms Z ] Addition to existing building <br /> pQ Replacement [ ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate bed,gpd/ft $ trench,gpd/ft2 <br /> Absorption area required q7_9 bed,ft2 375' trench,ft2 Maximum design loading rate .7 bed,gpd/fi28 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 46.2 tt (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material GLACIAL DRifrT' 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 fors stem N S ❑U N S ❑U ®S ❑U EI S ❑U M S ❑U ❑S JR U <br /> SOIL DESCRIPTION REPORT <br /> Boring If Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> in. Munsell Cu.Sz.Cont Color Gr. Sz. Sh. Bed Trt lcil <br /> c.... '�. l. p-5 i•5 R 317- �— MS OMS 1 C5 ZM <br /> U <br /> $ <br /> 2 5-60 1.5 R 4/q �� Ms OMS <br /> Ground <br /> elev. <br /> %1.-9 ft. <br /> Depth to <br /> limiting <br /> factor „ <br /> >7� <br /> Remarks: <br /> Boring # <br /> I 0 5 ?•5 R Z �� MS KSl CS .7 <br /> %� �F, 2 5 SG 7.5 K qjq ��� My <br /> Ground <br /> elev. <br /> 100.Zft. <br /> Depth to <br /> limiting <br /> fact r6� P-4 <br /> Remarks: <br /> CST Name:—Please Print 1 0V / 5 Phone: IS' '36G- Y157 <br /> Address: 27 60 w 3S E857LK Wl . S�}893 <br /> Signature: r/ Date: gs CSTNumber:er: <br /> 1T l - <br />