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Wisconsin Department of 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 /> COUN p <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must include,but R <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. -3 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> LA VONN GOVT.LOT ktAkl/4 1/4,SZ5T 9 ,N,R 14 E(or W <br /> PROPERTY OWNER':S MAI ING ADDRESS LOT# BLOCK# SUBD.NAME R CSM# <br /> X 2z <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN N AREST ROAD <br /> IIJ l E <br /> 1`4114- 55OB I I f4 OW RNEX <br /> D4New Construction Use [7C] Residential I Number of bedrooms 7- [ ] Addition to existing building <br /> I [ Replacement [ ] Public or commercial describe <br /> Code derived daily flow 3O gpd Recommended design loading rate bed,gpd ft2-,Strench,gpd/ft2 <br /> Absorption area required 1 ' q bed,0 315 tree/ch ft2 Maximum design loading rate _bed,gpd ft2 .$ trench,gpd/h2 <br /> Recommended infiltration surface elevation(s) Qty•$ // R 95.9 ft (as referred to site plan benc imark) <br /> T' <br /> Additional design/site considerations <br /> Parent material 6WJAL FDIC 1 Flood plain elevation,if applicable__ �fl ft <br /> S=Suitable for system CONVENTIONAL I OUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDINGtTANKU=Unsuitable fors stem S ❑U S ElU �S 11U �S ❑U WS ❑U ElS <br /> SOIL DESCRIPTION REPORT <br /> Boring <br /> Depth Dominant Color Mottles Structure GPD/ft <br /> Texture Consisten �� Roots <br /> # Horizon in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Tnend1 <br /> .................. <br /> 1 -5 -S R 3t?_ R 1 CS <br /> >4 ,/ <br /> CS ZM .� a <br /> Ground 3 y0 63 .$ R y y S W p µl 1 $ <br /> lev. <br /> 6.6 ft. <br /> Depth to <br /> limiting <br /> factor •r <br /> 7 3 <br /> Remarks: <br /> Boring# <br /> I D-G 7.S <br /> q3. <br /> 3 2. MS 6M4 <br /> Z` 2 6 bo <br /> 7-SIA _4b �- µs $ M► Cs 2-M <br /> G1 <br /> round <br /> ¢6V ft. <br /> Depth to <br /> limiting <br /> fa tr,00 <br /> Jam— Remarks: -A <br /> CST Name:-Please Print �AQl7 f7P r Phone: <br /> Address: <br /> 5• p'6_ js' <br /> Address: Z7-16 o w 1�/f�sr ga13 OHO I <br /> Signature: Date: 3 0 CS mber: <br />