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Wisconsin.Departmentoflndusby, SOIL AND SITE EVALUATION REPORT I�� 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 8 1/2 x 11 inches in size. Plan must include,but ijerr <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.If �,,., <br /> dimensioned, north arrow,and location and distance to nearest road. O Iv-�I w- —OU{-6(no <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED B $DATE� <br /> PROPERTY OWNER: PROPERTY LOCATION v <br /> OB 'Mooze GOVT.L07 1/4 1/4,S . T ,N,R E(or)W <br /> PROPERTY OWNERS MAILING ADDRESSLOT# BLOCK# SUED.NAME O CSM# <br /> 0 th ST. F—. ' S G 5tIOCktjo &5QCjj ASS. PLHT k(?� <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD <br /> Sqj306 ((0121 'Z EENo Keyigw <br /> New Construction UseX Residential/Number of bedrooms Z [ ] Addition to existing building <br /> Replacement [ ] Public or commercial describe <br /> Code derived daily Bow 300 gpd Recommended design loading rate _bed,gpd/ft2 .% trench,gpd/ft2 <br /> Absorption area required 37< bed,ft2 375 trench,ft2 Maximum design loading rate_gybed,gpd trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 100.97- ft (as referred to site plan bench ark) <br /> Additional design/site considerations <br /> Parent material Cil.AGfAL DRIFT Flood plain elevation,if applicable t4A ft <br /> S=Suitable for system CONVENJIONAL MOUND N- ROUND PRESSURE T- RADE TEM IN FILL HOLDINWK <br /> U=Unsuitable for s stem ❑S U gS ❑U S ❑U 5(S El U S ❑U ❑S pYU <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPD/ft <br /> Boring# Horizon Texture Cons sten Boundary Roots <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trench <br /> <a I 2 ti-- $ OMS MI CS ZM .7 $ <br /> MI �,W <br /> a 2 (6' t r 5 PL 4 �— MS OMS MI CS 2M ? 8 <br /> Ground 3 'M-55 7. ma 6 Ks & Zfbk Mfr If' •T ,(a <br /> elev. <br /> IO.7- Oft. <br /> Depth to <br /> limiting <br /> factor ,r <br /> 49 <br /> Remarks: <br /> Boring# <br /> MS OMS IKI CS 2r+ 7 i •$ <br /> Z 6-S3 7.S MS 0 H-SCI y1C5 2- .7 •$ <br /> 3 S3-Go 7.y1r qlqczAS RS ` 2f6k NTr S . 6 <br /> Ground <br /> elev. <br /> IO2-aIt. <br /> Depth to <br /> limiting <br /> facto .. <br /> -3 <br /> Remarks: \�ga <br /> CST Name:—Please Print 71C#'9,R0 <br /> P 'AtS Phone: /S <br /> Address: <br /> 2?76o w 3S b,lEastE2 w1• .S�/893 <br /> Signature: _ Date: CST Number: <br /> 9""j - 2 S 3670 <br />