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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Of <br /> Labor aid Human Relations <br /> Division of Safety&Buildings in accord with ILHR 83.05, Wis.Adm. Code <br /> COU �t <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include,but <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCE I. .# _ <br /> dimensioned, north arrow,and location and distance to nearest road. 0-913,r-^ OI JW <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEW ED BY DATE <br /> 4 <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Richard Parker GOVT.LOT 1/4 1/4,S 7 T 40 ,N,R 16 Yj(or)W <br /> PROPERTY OWNERS MAILING ADDRESS LOT# BLOCK# BUBO.NAME 0 CSM# <br /> 14271 Drake Road 5 Pardun's River Pines <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE MTOWN NEAREST ROAD <br /> Apple Valley, MN 55124 (612) 423-9705 Oakland E. Yellow River Rd. <br /> [g] New Construction Use [id Residential/Number of bedrooms 2 [ ] Addition to existing building <br /> [ ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate .7 bed,gpd/ 2 .8 trench,gpo1ft2 <br /> Absorption area required 429 bed,ft2 375 trench,ft2 Maximum design loading rate 1Lbed,gpd/ 2--.8_ trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 96.2 ft (as referred to site plan benchmark) <br /> Additional design/site considerations MA <br /> Parent material r1 ari al nri fr Flood plan elevation, if applicable MA ft <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE ATGRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for system I v S ❑U cis ❑U I J7 S ❑U I Cis ❑U EIS EI U ❑S FL]U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon <br /> Depth Dominant Color MoTexture consistenceBoundary Mottles Structure GPD/ft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Roots Bed iTrerxtl <br /> 1 0- 591 7.5 YR 3/2 is if r mvfr cs 3fc .7 .8 <br /> t 2 5"-27' 7.5 YR 5/6 is lfgr mfr cs 2fc .7 .8 <br /> Ground 3 7"-73' 7.5 YR 6/4 ms osg mfr — — .7 .8 <br /> elev. <br /> 98_3 ft. <br /> Depth to <br /> limiting <br /> factor <br /> >73" <br /> 9�•cid <br /> Remarks: <br /> Boring# <br /> 1 0- 4" 7.5 YR 3/2 is lfgr wvfr cs 3fc .7 .8 <br /> 2 2 4"-31' 7.5 YR 5/6 is lfgr afr cs 2fc .7 i .8 <br /> 3 1"-80' 7.5 YR 6/4 ms osg mfr — — 7 8 <br /> Ground <br /> elev. <br /> 99.Lft. _ <br /> Depth to --_. . _:• ; , ' <br /> limiting <br /> factor <br /> >> 8011 a <br /> V.y3 Remarks: <br /> CST Name.--Please Print Wade Of—sh—olin Phone: <br /> (715)349-7286 <br /> Address: 24702 Lind Road P.O. Boa 514 Siren, WI 5872 <br /> Signature: Date: 11/10/ 4 CST Numbe <br /> 3583 <br />