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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pae <br /> Labor and Human Relations • g _of <br /> Division of Safety&Buildings in accord with ILHR 83.05, Wis. Adm. Code <br /> COUN <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.D.# <br /> dimensioned, north arrow,and location and distance to nearest road, --> <br /> -c/nj- U k -1 O(? <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIE EDB DATE <br /> L <br /> PROPERTY OWNER: PROPERTY LOCATION �--k-qs- <br /> Peter Braun GOVT.LOT 1/4 1/4,S 4. T 41 N,R 15 j(or)W <br /> PROPERTY OWNERS MAILING ADDRESS L07# BLOCK# SUED.NAM€0 CSM# <br /> 5035 Burls Trail (moi 1 <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE JEJOWN NEAREST ROAD <br /> Danbury, WI 54830 ( 715 656-3264 Swiss I Burls Trail LA <br /> [ J New Construction Use I$] Residential/Number of bedrooms 2 [ J Addition to xisting building <br /> [ ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate .7 bed,gpd/ft -8 trench,gpd/ft2 <br /> Absorption area required 429 bed,ft2 375 trench,1112 Maximum design loading rate .7 bed,gpd/ .8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 96 ft (as referred to site plan bench ark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation, if applicable NA ft <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE AT�GRADE YSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for s stem ®S ❑U RIS ❑U �I S ❑U ®S ❑U I [Is [OU <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPD/ft <br /> Boring# Horizon in. Munsell Qu.Sz.Cont Color Texture Gr. Sz. Sh. Consistence Barriary Roots <br /> Bed Tny1d1 <br /> 1 0-4" 7.5 YR 3/2 ----------- is lmsbk mvfr cs f—co .7 .8 <br /> � 1 <br /> 2 4"-42 '7.5 YR 4/6 ----------- ms osg ml cs f—co .7 .8 <br /> Ground 3 2"-82 '10 YR 5/6 --------- ms osg ml -- if .7 .8 <br /> elev. <br /> 98.4 ft. <br /> Depth to <br /> limiting <br /> factor <br /> >82" <br /> Remarks: <br /> Boring# <br /> 1 0-4" 7.5 YR 3/2 ----------- is lmsbk mvfr cs f—co .7 .8 <br /> 2 2 4"-4017.5 YR 4/6 ----------- ms osg ml cs !f—co .7 <br /> .8 <br /> 3 0"-76 '10 YR 5/6 ----------- ms osg ml -- if .7 i .8 <br /> Ground <br /> elev. <br /> 98.1 ft. <br /> Depth to <br /> limiting <br /> factor <br /> >76" <br /> Remarks: <br /> CST Name:—Please Print Phone: <br /> Wade Rufsholm (7 .5)349-7286 <br /> Address: 24702 Lind Road P.O. Box 514 Siren, WI 4872 <br /> Signature: Date: CST Number: <br /> 4/19/195 3583 <br />