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WiisconsinDepartment 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 /> COUNT <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 PARCE I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. 9— "z_' <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEV ED BY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> S. \40F,(58K - GOVT.LOT 1/4 1/4,5 T '40 ` ,N,R ' E(ore <br /> PROPERTY OWNER: MAILING ADDRESS LOT# BLOCK# SUBD.NAME 0 CSM# <br /> 7ZZ3 A AL tJ UA. NE Nott_ 5u8P- <br /> 01Y,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD <br /> 1 $2- 56 1 AIDIt LN <br /> [ ) New Construcfion Use (yQ Residential/Number of bedrooms Z [ ] Addition to existing building <br /> �(] Replacement [ ] Public or commercial describe . <br /> Code derived daily flow 300 gpd Recommended design loading rate .S bed,gpd/ 2 .S trench,gpd/ft2 <br /> Absorption area required 375 bed,ft2 315 bench,ft2 Maximum design loading rate .d bed,gpd/ 2 •S trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) B•32 It (as referred to site plan bench ark) <br /> Additional design/site considerations <br /> Parent material 4LP44 A L DRI- T Flood plain elevation,if applicable ft <br /> S=Suitable for system CONVENTIssNAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING T NK <br /> U=Unsuitable for s stem ❑S �l U ❑S RU 9S ❑U ❑S 14U ❑S 14U El U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure ConsistenceBouixiary Roots GPD/ft <br /> n. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench <br /> q^ I 6 7.5 ygs IMb)4 .8 <br /> M� r CS 2rt <br /> ............ 7- <br /> Ground <br /> Ground ,3 4I-64 7.5 R LlC2C� R 8 7s ZFb>� LAITY �T S <br /> elev. <br /> 103ft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> Boring# <br /> :;it:_::g-:? O-.J 7.5 R 3 Z M r CS Z-M i•$ <br /> e <br /> :<t.... xx. <br /> s 2 Z 5 59 s 4 �— �s �Mbtc Hv{r eb Zw1 �) <br /> r <br /> ` 3 9-6 7.5 R Czd R s g s ;L4'bk Mfr r-- �� •� •� <br /> Ground <br /> elev. <br /> 100�7_ft. <br /> Depth to <br /> limiting <br /> fac59,r <br /> r LJ <br /> - L <br /> Remarks: <br /> CST Name:—Please Print X1,cHliqgo 0 S Phone: 5- <br /> adress: 27760 Hwy .35- W9,5 TER )• S $`T3 <br /> Signature: Date. - �Jumber: <br />