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WiisconsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page of <br /> Labor arta Human Relations <br /> Division of Safety&.Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> COU 1jY <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 PA EL I.D.# �^— <br /> dimensioned,north arrow,and location and distance to nearest road. U -9LI3loci <br /> -G - i <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REV EWED DATE <br /> /0' <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> PE �f �-1 <br /> TICK AASSEL. GOVT.LOT I/4 NW1/4, 30T I0 ,N,R ` E(o W <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# BLOCK# # <br /> $31 1ZWK1) • SUITE -335 S3 A L RM <br /> CIpLSTATE MfJ • SSZIP'{aj DE ( 0Z)NUMBER ❑CITY VILLAGE OWN iREST6 9`ROAN� �0 <br /> X New Construction Use jXj Residential/Number of bedrooms nl [ ] Addition o existing building <br /> j ) Replacement [ ] Public or commercial describe <br /> Code derived dairy flow WO gpd Recommended design loading rate • 1 bed,g /ft2 • $ trench,gpd/ft2 <br /> Absorption area required %5S bed,ft2 '150 trent),ft2 Maximum design loading rate bed,g /ft2 ' trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) Ste/ LT_ Qs••3 ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material CjLACI4JL DRI4:-F Flood plain elevation,if applicable NA ft <br /> S=Suitable for system CO VENTIONAL M UND 'IN- ROUND PRESSURE AT-GRADE SY TEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem I�S ❑U S ❑U I?S ❑U f�S ❑U WS ❑U ❑S MIJ <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure Consis nce Bouxlary Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trends <br /> I :Fa I �'$ 7•S R 9 2 �— MS Mtl CS Z.H •7 <br /> 2 .$ <br /> a. ? $ 32 (-1 M 1 <br /> 7.5 a 3 4 ms es 2n .7 ,$ <br /> Ground 3 3z-67 7.5 JR y (o �' M S p H <br /> �e�l v. <br /> -t 4 ft. <br /> Depth to <br /> limifing <br /> f>t 7 <br /> Remarks: <br /> Boring# <br /> I 0' 7S R 3 2 N I CS ZM •-7 8 <br /> 3 <br /> 2 Z 7- 30 -7,511Z a y rOMS "I C3 I r -7 A <br /> Ground 3 30 .10 7.5 R G OMS M1 ti . % <br /> elev'. <br /> OIL ft. <br /> Depth to <br /> limiting <br /> fac <br /> Remarks: t � <br /> CST Name:—Please Print 91CPA90 0 ) Phone: 1 - $(o6_ qlS 7 <br /> Address: 2-7 w 3S 6kesr6g 5L/893 <br /> Signature: / , Date' CST Number: <br />