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.:nest of Commerce SOIL AND SITE EVALUATION <br /> .dty and Buildings Page of <br /> ntegrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County <br /> include,but not limited to: vertical and horizontal reference point(BM),direction and uQN1rC <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> oag� «?^,o? X00 - <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 /> Proparty Owner Property�ocation <br /> A 1Z RV GuFRum Govt.Lot 1/4 1/4 1/4,S 1R T 140 ,N,R 14 E(or� <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 4col FUM{CE LJJ . <br /> City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road <br /> F,A ri A1 M�1 5512-2 )h52.-2251 SCMT <br /> ❑ New Construction Use: Residential/Number of bedrooms 2 Addition to existitl f building' <br /> 9 Replacement ❑Public or commercial-Describe: <br /> Code derived daily flow 3D gpd Recommended design loading rate bed,gpd/ft2 • g trench,gpd/ft2 <br /> Absorption area required gibed,ft2_315 trench,ft2 Maximum design loading rate bed,gpd/ft2 . 8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) �7. It(as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material GL CLAL 1>91V - Flood plain elevation,if applicable Na 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 W s ❑ u cgs ❑ U s ❑ u s ❑ u ❑ s -Pil U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Texture Gr.Sz.Sh. Consistence Boundary Roots <br /> Bed Trench <br /> 13 <br /> I a /1-- <br /> Z y �rls f lig 7 <br /> (�Ground <br /> ft. <br /> Depth to <br /> limiting <br /> fa for <br /> 74i-4—in. <br /> Remarks: <br /> Boring# <br /> Z <br /> M .'7 ..8 <br /> Ground <br /> 111Depth to <br /> limiting <br /> factor <br /> in. Remarks: <br /> CST Name (Please Print) Signature� Telephone No. <br /> foMizD 140PK1�15 tC 1.5 866- 416, <br /> Addr ss Date CST Number <br />