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'Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page_Of_ <br /> Labor and Human Relations <br /> Aivision of Safety&Buildings in accord with ILHR 83.05,Wis. Adm. Code COUN <br /> TY <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must include,but not limited to vertical and horizontal reference point IBM),direction and%of slope,scale or PA <br /> dimensioned, north arrow,and location and distance to nearest road. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION RE77 <br /> IEWE DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> 50 1— GOVT.LOT 1/4 1/ ,S I S T �Q ,N,R I. E( W <br /> PROPERTY OWNERS MAILING ADDRESS LOT# BLOCK# SUBD.NAM ORCSM# <br /> %071 QF-MAK RD <br /> CITY. STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE OWN NEAREST ROAD <br /> Wl . 1 ) 01LM r( �n- <br /> [ ] New Construction Use [ ] Residential/Number of bedrooms 2 [ ] Addition to existing building <br /> pQ Replacement [ ] Public or commercial describe <br /> Code derived dairy flow 300 gpd Recommended design loading rate •7 bed,g 1)1:110 .8 trench,gpd/ft2 <br /> Absorption area required q7_9—bed,ft2 �1 75 trench,112 Maximum design loading rate .7 bed, pd/112 - 8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s)�S• q It (as referred to site planbenchmark) <br /> Additional design/site considerations <br /> Parent material 11"C I A L DRIFT Flood plain elevation,if applicable NA 11 <br /> S=Suitable for system ONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE YSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for stem S ❑U off S ❑U MS ❑U 9S ❑U P6 S ❑U ❑S A&U <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Texture Structure Cons' tenceBoundary Roots GPD/ft <br /> Boring# Horizon in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. I I FB—e—dFTw& <br /> .nMS MS M[ `1-V <br /> 3 1 0-5 7•S R3 2 r� — $ <br /> Z S 58 7.S rzy ply M <br /> Ground 3 8 6'{ 7•� 2y C RS $ p5 OMS Mi cs <br /> .1 .4 <br /> elev. <br /> sft. <br /> Depth to <br /> limiting <br /> factg�• <br /> 55 Remarks: <br /> Boring# <br /> e f D- 5 7•S R 3 2 M <br /> M[ C_� 2M zx1 <br /> bo 6L S x czd S >:S Ss MS OMs <br /> Ground <br /> elev. <br /> R1.51t. <br /> Depth to <br /> limiting <br /> faqtor, <br /> Ip0 or,, <br /> Remarks: <br /> CST Name:—Please Print Phone: � <br /> ok,as <br /> rens: 2.7760 /-�w 5 �BST'EK W1 Sy8 3 <br /> Date: CST Number: <br /> Signature: / A Q _ Z(o _ 9S 76 <br />