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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 /> COUNTY <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include,but u h <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PA CEL I.D.# - I I ? - -100 <br /> dimensioned, north arrow,and location and distance to nearest road. 0'k(� -LI 118'�-7CY) <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWEDB ?? DATE <br /> J' <br /> PROP RTYOWNER: PROPERTYLQCA71ON See. /7)LIS <br /> 11to, � C h CG GOVT.LOT 6,,? 1/4 1/4,S T Zt`0 ,N,R E(or <br /> PROPERTY OWN R':SMAILINGA DRESS LO7J# BLOCK# SUBD NAME OR CSM# <br /> P0 r �Y. 6 N L1 . U-Is 8 <br /> C TY,STATE ZIP CODE PHONE NUMBER E]CITY ❑ ILLAGE WOWN N AREST RO D <br /> /c Val/r, 11, n. 2 (6Q 5v� - 9 C-0 fr a 'c t J e �Pc1/. <br /> New Construction Use>4 Residential/Number of bedrooms oZ [ I Addition to existing building <br /> [ J Replacement [ J Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate 77 bed,gpd/(t2 •rl trench,gpd/ft2 <br /> Absorption area required 4/,2 C_bed,ft2 3 7.T trench,ft2 Maximum design loading rate 7 bed,gpd/0_,�trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) y,S-&K ft (as referred to site plan benchmark) <br /> Additional design/siteconsiderations <br /> Parent material [/J'1aci a ti// Flood plain elevation, if applicable it <br /> S:Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for sstem 9S ❑U :?s <br /> 11U IWS ❑U OS ❑U ❑S 11 ❑S X11 <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Texture Structure Consistence TGPD/ftBoring# Horizon in. Munsell Cu.Sz.Cont Color Gr. Sz. Sh.p-3 sYR 3s„`nS S O - S /Ground - SY.P rio — - <br /> elev. <br /> CIS,n. <br /> Depth to <br /> limiting <br /> factor <br /> >7.7 <br /> Remarks: <br /> Boring# 3 S / f' C <br /> �g 10-3 <br /> > .:...,::<<... `j -� 7,jr Y S6 f' f 7Syie ° G -J el A <br /> Ground <br /> elev. j .s <br /> 9L ft. 7 <br /> Depth to •f 0 - 1.9 A <br /> I — — <br /> limiting <br /> ta-9” <br /> Remark%. <br /> CST N e:-Phe a Print -T -- Phone: <br /> dress: ,- /,1C /gen R(1• We J S L7 <br /> Sign re: Date: CST Number: <br /> /99/9— CSTN 7`f <br />