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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pa e <br /> Labor and Human Relations g _of <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 Burnett <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Ka <br /> Andrew Knox GOVT.LOT 1/4 1/4,S 13 T 40 N,R 15 IE(or)W <br /> PROPERTY OWNERS MAILING ADDRESS LOT# I BLOCK it SUBD.NAME OR CSM# a c-ie u9K E__ <br /> 17088 Hamilton Drive 9 to *85 ognumvdaRldof e <br /> ClTAT ZIP CODE PHONE NUMBER [:]CITY ❑VILLAGE OWN NEAREST ROAD <br /> ev llw, MN 55044 ( 612 431-3758 Jackson Bonner Lake Rd. <br /> (]d New Construction Use [K] Residential/Number of bedrooms 3 [ ] Addition to existing building <br /> I ] Replacement [ ] Public or commercial describe <br /> Code derived daily Bow 450 gpd Recommended design loading rate .5 bed,gpd/ft2 .6 trench,gpd/ft2 <br /> Absorption area required 900 bed,ft2 750 trench,ft2 Maximum design loading rate .5 bed,gpd/ft2 .6 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 96.5 Replacement 97.7 ft (as referred to site plan benchmark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation,if applicable NA ft <br /> S=Suitable for system c)NVENTIONAL W�JD NGROUND PRESSURE gg��GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ®S ❑U ❑U ®S ❑U ®S ❑U ®S ❑U ❑S ®U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary RootsFBe <br /> D/ft <br /> ......:.:::...... <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Trerd <br /> r.0-6 7.5 YR 3/2 is lmsbk mvfrCISf-co .8 <br /> 2 "-67" 7.5 YR 5/6 ------ f-ls Imsbk mvfr gs f-co .6 <br /> Ground 3 7"-78 ' 7.5 YR 5/8 ----------- fs lmsbk mvfr -- 2f .5 .6 <br /> elev. <br /> 98_4 ft. <br /> Depth to <br /> limiting <br /> f78 ' <br /> Remarks: <br /> Boring# <br /> >; <br /> 1 0-7" 7.5 YR 3/2 ----------- is lmsbk mvfr cs3f-co .7 .8 <br /> a <br /> 2 7"-65 ' 7.5 YR 5/6 ----------- f-Is lmsbk mvfr gs3f-co .5 .6 <br /> 3 6511-7217.5 YR 5/8 ---------- fs lmsbk mvfr -- 2f .5 .6 <br /> Ground <br /> elev. <br /> 98.2 ft. <br /> Depth to <br /> limiting 3 rj <br /> factor f <br /> 72" <br /> Remarks: <br /> CST Name:—Please Print Phone: <br /> Wade Rufsbolm 4 - 86 <br /> Address: Boa 514 Siren, WI 54872 <br /> Signature: Date: CST Number: <br /> fir/ 8/5/97 3583 <br />