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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of <br /> Labor and Human Relations <br /> Division of Safety 8 Buildings in accord with ILHR 83.05,Wis.Adm. Cade <br /> COUNTY <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but rAew <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCELLII.D.# _ <br /> dimensioned, north arrow,and location and distance to nearest road. U�o —333J—dj <br /> APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION REVIEWED BY 1' DATE <br /> IT ) H') <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Robert Hudzinski GOVT.LOT 1/4 1/4,S 35 T 39 ,N,R 16 f( w <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# BLOCK# SUBD.NAME OR CSM# <br /> E8315 Hwy. 33 <br /> CITY,STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE [MOWN NEAREST ROAD <br /> Reedsburg, WI 53959 ( ) Meenon Hwy. 70 E <br /> [BI New Construction Use p[I Residential/Number of bedrooms 2 [ I Addition to existing building <br /> I I Replacement [ I Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate NA bed,gpd/ft2 HA trench,gpd/ft2 <br /> Absorption area required HA bed,ft2 HA trench,ft? Maximum design loading rate NA bed,gpd/0 HA trench,gpolft2 <br /> Recommended infiltration surface elevation(s) NA ft (as referred to site plan benchmark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation,if applicable 956 ft 6j)Q9232 <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE I AT-GRADESYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ❑S ®U ElS ®U ❑S ®U EIS [idU EIS ®U fl S ❑U <br /> SOIL DESCRIPTION REPORT <br /> Depth I Dominant Color Mottles Texture Structure Consistence Bour-day Roots GPD/ft <br /> Boring # Horizon in. Munsell Cu.Sz.Cont.Color Gr. Sz. Sh. Bed Trends <br /> 1 = 1 0-11" Fill <br /> 2 11"-1 10 YR 2/2 ------- is 1£gr mvfr cs lfc .7 .8qA <br /> Ground 3 6"-30 10 YR 5/4 c2d 5 YR 5/8 med.s osg mfr <br /> elev. <br /> 96.2 ft. <br /> Depth to <br /> limiting <br /> factor <br /> 0 <br /> Remarks: Water observed at 27" <br /> Boring# <br /> nyF <br /> Ground <br /> elev. <br /> ft. <br /> Depth to <br /> limiting <br /> factor <br /> r <br /> Remarks: <br /> CST Name:—Please Print Wade Rufsholm Phone: (715)349-7286 <br /> Address: 24702 Lind Road P.O. Boa 514 Siren, WI 54872 <br /> Signature: Date: CST Number: <br /> 10/1/94 3583 <br />