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Wisconsin Department of Commerce SOIL AND SITE EVALUATION .� h p� P <br /> Wis. age 1 of 3 <br /> Division of�Safety and Buildings Oki <br /> in accord with Comm 83.05, s.Adm.Code <br /> Attach complete site plan on paper rot less than8'/x 11 inches in soe: Plan must <br /> include,but not limited to:vertical and horizontal reference pant(BM),direction and Bumett <br /> Percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel(D M <br /> APPLICANT INFORMATION- Please print all information. 032 5212 03 100 <br /> Personal iMamation you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Reviewed By <br /> Property Owner Property Location (� •�( <br /> O'Lou lin john Govt.Lot 2 SE 1/4 SE 1/4 S 12 T 41 N,R 15 W <br /> Property Ownels Mailing Address Lot# Block# Subd.Nano or CSM# <br /> 2925 Nevada Ave S 25 V 344 P 613 <br /> City State Zit Code PhoneNumber City Village ®Town Nearest Road <br /> Minneapolis MN 55426 Swiss I N Deer Lk Rd <br /> ❑ New Construction Use: ❑ 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, gpoltt' .8 trench, gpolft` <br /> A!>sorption area required 429 bed,ff 375 trench,ft' Maximum design loading rate .7 bed,gpolfF 8 trench,gpd(ft' <br /> Recommended infiltration surface elevation(s) 94'4" ft(as referred to site plan benchmar <br /> Additional design/site considerations <br /> Parent materialskanial outwash Flood plain elevation,if applicable NA ft <br /> S=Suitable for system Converww Mound In-Ground Pressure AT-Grade System in fill Holding Tank <br /> U=Unsuitable for system ®S ❑ U ® S ❑ U ® S ❑ U E S ❑ U ❑ S ® U ❑ S ® U <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPD/ft' <br /> gin Horizon Texture Gnnsisten Boundary Roots <br /> � in. Munsell Qu. Sz.Cont.Color Gr. Sz.Sh. Bed Trench <br /> 1 1 0-4 7.5YR3/2 none Is sg nil gs 2m, .7 .8 <br /> 2 5-72 7.5YR5/6 mrae s sg ml if .7 .8 <br /> Ground <br /> elev <br /> 96'-3'it <br /> Depth to <br /> limiting <br /> factor <br /> >72 <br /> Remarks: <br /> Z 1 0-4 7.5YR3/2 none 1s <br /> 2 5-86 7.5YR5/6 none s <br /> Ground <br /> elev <br /> 981-7 R <br /> Depth to <br /> limiting <br /> factor <br /> >86 <br /> Remarks: hand au6ered lore hole <br /> CST Name(Please Print) S Telephone No. <br /> Wayne Nutt715-259-7366 <br /> Address 2523 Webb Creek Drive,Webb Lake,W1 54W30 Date CST Number Ref# <br /> 6020/99 3571 198 <br />