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Yvlsoonsin Department of Commerce SOIL AND SITE EVALUATION <br /> Division of Safety and Buildings Page of 2 <br /> Bureau of Integrated services in accordance with s. ILHR 83.09, Wis. Adm. Code <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County <br /> include,but not limited to: vertical and horizontal reference point(BM),direction and 444� <br /> percent4rope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> 1117_<-p Z. <br /> APPLICANT INFORMATION- Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property Location <br /> K1/1 ►kr i j(�. So RT Govt.Lot ,3 1/4 1/4,S. T sip ,N,R /'o F. )W <br /> Property is Mailing Address Lot# [Blbck# Subd.Name or CSM# <br /> ii-ba4 LJ¢s-r orn+ Root) Sl';s V.ziS A SB <br /> City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road <br /> hPX t47Scoff I <br /> ❑ New Construction Use: ❑Residential/Number of bedrooms Addition to existing building <br /> ❑ Replacement ®Public or commercial-Describe: <br /> bx� �G 3' S noi•nseo+� o►�, I�F LD.L43- <br /> Code derived daily flow ti4e- gpd Recommended design loading rate 7 bed,gpd/ft2 .S trench,gpd/flz <br /> Absorption area required ac%jf, ed,ft2�trench,ft <br /> Maximum design loading rate •-7 bad,gpd/ft2 •—9trench,gpdHt2 <br /> Recommended infiltration surface elevations)f+•6i;jmem 4 eaL51�w94-2:)!z! ft(as referred to site plan benchmark) <br /> Additional design/site considerations L t&A Q": anolru) ) 1A"/0 to '0% S3. p s <br /> Parent material Flood plain elevation,if applicable ft <br /> S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U = Unsuitable for system ®S ❑ U ❑S Iffi u ❑ S ® u ❑ S ® u ❑S ® u ❑s RU <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. // Bed ,Trench <br /> I I 5" � 5`�'Q3Iy ¢ IMS 10 W_ v -Ay CS 3w 1 '•$ <br /> 2 31 7. YR.4 ihv.. e"4!3rkJ ceJ 3. .-7 8 <br /> Ground 5 AIN elev. ^'r► CO/ T Z •g <br /> IanL2ff. " <br /> Depth to <br /> limiting <br /> factor <br /> _L10 in. <br /> (( , <br /> 90•8�r Remarks: t�.cATt ween` ►�lA !fr-rEut ML%iALAeL.1 <br /> Boring# <br /> Ground <br /> elev. <br /> Depth to <br /> limiting <br /> factor b/.'71 <br /> glF__In. Remarks: M & K �L:, 5 D F. 98•7�S.E <br /> CST Name (Please Print) GEM & EXUAVA I MpJtu Telephone No. <br /> N8228 County Une Rd. <br /> Address (715)835-7482 0 Date CST Number <br /> 3Z 9f7 as VS79 <br />