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Wisconsin Department of SOIL AND SITE EVALUATION REPORT Page I of 3 <br /> ttlbCParxf Human Relations <br /> Divisan of Safety a Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> COU <br /> Attach coKiplete site plan on paper not less than 81/2 x 11 inches in size.Plan must include,but a, <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCE I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIED B DATE <br /> PROPERTYrO�WNER: PROPERTY LOCATION <br /> • - ttK;, _buUA%3AVN GOVT.LOT 4 1/4 . ,1r4,S-1 T Sg ,N,R 14 t=W <br /> PROPERTY OWNER':S MAILING ADORE LOT# BLOCK# SUBD.NAME 0 CSM# . <br /> z2 5 AAlJ.o,t �L.OAO 2 csMj I.. t? '310 <br /> CITY,STAT ZIP CODE PHONE NUMBER []CITY []VILLAGE J?(rOWN NEAREST ROAD <br /> Ma SS 119 •t34-27•51 eus S.L:1 sdLt LA VZ <br /> pQ New Construction Use IK] Residential/Number of bedrooms 3107- i'PaW!j [ ] Addition to E xisting building <br /> [ ) Replacement [ ] Public or commercial describe <br /> Code derived daily flow 450 gpd Recommended design loading rate • '7 bed,gpd/ fl trench,gpd/ft2 <br /> Absorption area required (043 bed,ft? 5b3 trench,ft2 M um d i,gn loading rate -7 bed,gpd 2_�trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 44 a:4Atx 93.3! 44 it (as referred to site plan bench ark) . <br /> Additional design/site considerations • ICO.Cr K Tun e <br /> Parent material %A%� Q iA • Flood plain elevation,if applicable ti It <br /> S=Suitable for system CONVENTIONAL I MOUNDIN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for s stem ®S ❑U ❑S 1�U Cgs 1:1U &S <br /> ❑U ❑S I$U ❑S �J U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure ConsistandelBoundal Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. I Bed Trench <br /> tea? r(1 I <br /> z mabK -Are a <br /> -t 3-�' . . 8 <br /> Ground .14 -t.SY�L41#4 t. emk <br /> ev. - <br /> Depth to <br /> limiting . <br /> factor <br /> 0 <br /> .14,u <br /> Remarks: <br /> Boring# � ' bIo Cod 3 $ <br /> 1 3" -7.SY+233z .h m K rn <br /> r a <br /> 2 3-al -1.5Yi .41-f I • %sbK .x-Yr o <br /> 1� • <br /> 5'{R `1 .r .-7 .$ <br /> Ground <br /> elev. <br /> q"ft <br /> Depth to <br /> limiting <br /> factor 3` _ <br /> Z4•'• <br /> Remarks: <br /> CST Name:—Please PrintS•EPTIL` & EXCAVATIONPhone. <br /> Address: HCR 59, BOX 4784 <br /> Signature: Swagenei, 1. ate: CST Number: , <br /> ,Q <br /> (715)6W7482 S 45 ­V`DebS <br />