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Wisconsin Department of Industry, SOIL AND SITE EVALUATION <br /> I,A *t and Human Relations Page 1 of 2 <br /> Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County <br /> Burnett <br /> include,but not limited to: vertical and horizontal reference point(BM),direction and <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> 034 - 1520 - 04 100 <br /> APPLICANT INFORMATION- Please print all information. Reviewed byy Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). /o/z S/9� <br /> Property Owner Property Location <br /> SECTION 1031 SERVICES INC Govt.Lot 3 1/4 1/4,S20 T 37 ,N,R 18 A/or)W <br /> Pro—ft Owner's Mailinc "ele-ress Lot# Block# Subd.Name or CSM# <br /> 40 I-ake Bellevue ,Suite 101 5 na CSM Vol 8 Pg 160 <br /> city State Zip Code Phone Number TrdUe LdKU Nearest Road <br /> Bellevue 14 . 98005 (612 ) 542-1772 ❑ City ❑ village ® Town Erickson Lane <br /> E(New Construction Use: Residential/Number of bedrooms 2 Addition to existing building <br /> ❑ Replacement ❑Public or commercial-Describe: <br /> Code derived daily flow 300 gpd Recommended design loading rate�n _bed,gpd/fe—ma trench,gpd/fl2 <br /> Absorption area required na bad,ft2 na trench,ft Maximum design loading rate J1a—bed,gpdtfF na trench,gpd/ff2 <br /> Recommended infiltration surface elevation(s) na it(as referred to site plan benchmark) <br /> Additional design/site considerations Holding tank <br /> Parent material Glacial _drift 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 for system ❑S M U ❑ s Q u ❑ s Q u I ❑ S Q u ❑ s Q u D S ❑ U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 <br /> in. Munsell Cu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench <br /> 1 1 0-8 10YR 3/2 none Si 2 of bk d 1 <br /> 2 8-25 10YR 5/2 c2d 10YR 7/2 Si 3 of m d h <br /> Ground 3 25-2P 10YR 5/2 c2d 5YR 5/8 c 3 v -- <br /> elev. -- <br /> 98-05—ft. <br /> Depth to <br /> limiting <br /> factor <br /> 'in. <br /> Remarks: This lot consists of rolling slonP,; 12 - 201limited legal area fnr- <br /> Boring# <br /> 13 <br /> Ground <br /> elev. <br /> t <br /> Depth to <br /> limiting <br /> factor <br /> in. Remarks: <br /> CST Name (Please Print) Sigr1atire Telephone No. <br /> Joan E Daniels 71-5-349-5533 <br /> Address Date CST Number <br /> PO Box 316 Siren WI 54872 10/15/96 CSTMO 3431 <br />