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of <br /> Wisconsin Human Rel bons Industry, SOIL AND SITE EVALUATION REPORT Page_of_ <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,b U <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or F PARCEL I.D.# d <br /> dimensioned, north arrow,and location and distance to nearest road. Q d Q�g , 2O -�� C •y <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED Y DA�!! `;y1?( <br /> PROPERTY OWNER: PROPERTY LO TION <br /> GOVT.LOT 1/45LJ-1/4,Sn T- 3q ,N,R 16 E(o�W <br /> PROPERTY OWNERS M (LING ADDRESS LOT# BLOCK# SUBD.NA <br /> �pE OR CSM# <br /> 2-5510 w 3S .Z`t (yZES Csg //o/ /•j ' <br /> CITY, TATE ZIP CODE P ONE UMBER []CITY []VILLAGE '18'fOWN I� AREST RROAD <br /> i- $ s 6)bG6-Wss <br /> [)Q New Construction Use [X] Residential/Number of bedrooms Z- [ ] Addition to existing building <br /> j ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate .S bed, 2�( <br /> 9Pd/ft _trench,gpd/ft2 <br /> Absorption area required (000 bed,ft2 0 trench,ft2 Maximum design loading rate .5 bed,9pd/ft2 .(o trench,gpd/ft2 <br /> Recommended infiltration'surface elevation(s .11 ft (as referred to site plan benchmark) <br /> Additional design/site conirations <br /> Parent material �' rQ c,'OL r` Flood plain elevation,if applicable ft <br /> $=Suitable for system CONVENTIONAL M ND IN-GROUND PRESSURE AT-GRADE Sy TEM IN FILL HOLDING T NK <br /> U=Unsuitable fors stem VIS ❑U S ❑U S ❑U WS ❑U us El U ❑S U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure GPD/ft <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Consistence Boundary Roots <br /> Bed Trends <br /> M I es <br /> Ground •/,G 7•S R Sl Y CZd ,�s >z ?"s DD6! <br /> elevM� -A— <br /> p <br /> . , <br /> 7�ft. <br /> Depth to <br /> limiting <br /> fact9r <br /> Remarks: <br /> Boring # <br /> 7 .1C <br /> r .6 <br /> Ground... S$• �$ 7S �/y �' ' .�r <br /> qQQlev. <br /> b.Z ft. <br /> Depth to <br /> limiting <br /> fact <br /> Remarks: Avow <br /> CST Name:—Please Print1C#!ARD OPEC/145 Phone: <br /> - 6 <br /> Address: is <br /> 2 5 <br /> Signature: Date: T Number: <br />