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Wisconfin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 <br /> 'Division of Safety and Buildings in accord with Comm 83.05,Wis.Adm. Code <br /> Attach complete site plan on paper not less than 8'%x 11 inches in size. Plan must County <br /> include,but not limited to:vertical and horizontal reference point(Bouny <br /> M),direction and Burnettpercent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Parcel I.D.# <br /> APPLICANT INFORMATION- Please print all information. 012-9225-03 900&012-9225-04 <br /> Personal information you provide may be used for secondary purposes(Privacy law,s.15.04(1)(m)). Reviewed By <br /> Property Owner Property Location <br /> Hauser Russell Govt.Lot na 1/4 1/4 S T 40 N,R 15 W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 7063 17th St N 29&30 na Deer Lodge Add'nNoyager Village <br /> City State Zip Code PhoneNumber City Village ®Town Nearest Road <br /> Saint Paul N4N 55128 (OSI.-739-2306 Jackson I Deer Lodge Trai) <br /> Z New Construction Use: Z Residential/Number of bedrooms 3 ❑Addition to existing building <br /> ❑ Replacement ❑ Public or commercial describe <br /> Code Derived daily flow 450 gpd Recommended design loading rate .7 bed,gpdKF .8 trench,gpolfts <br /> Absorption area required 643 bed,f? 562 trench,fP Maximum desi n loading rate .7 bed,gpolft2 .8 trench,gpd/ff <br /> Recommended infiltration surface elevation(s) 95.00 Q?2. 6"66 ft(as referred to site plan benchmark) <br /> Additional design/site considerationver <br /> Parent material glacial till Flood plain elevation,if applicable na ft <br /> S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U=Unsuitable for system NS E] U E ❑U ® S ❑ U ❑ S 2 U ❑ so U ❑ S N u <br /> SOIL DESCRIPTION REPORT <br /> Horizon Depth Dominant Color Mottles Structure GPD/fg <br /> Boring# in. Munsell Qu.Sz.Cont Color Texture Gr.Sz.Sh. Consistence Boundary Roots Bed TTrench <br /> 1 1 0-5 7.5YR 3/2 none f s 0 sg m l a W 3 of .7 .8 <br /> 2 5-28 7.5YR 3/4 none In s 0 sg m 1 as 2 m .7 .8 <br /> Ground 3 28-82 7.5YR 4/6 none m s 0 sg m 1 - 7 8 <br /> elev <br /> 97.30 ft <br /> Depth to <br /> limiting <br /> factor <br /> >82' <br /> Remarks: <br /> 2 1 0-4 7.5YR 3/2 none f s 0 sg in 1 as 3 of .7 .8 <br /> 2 4-28 7.5YR 3/4 none In s 0 sg m 1 as .7 .8 <br /> Ground 3 28-86 7.5YR 4/6 none m s 0 sg m 1 - 7 8 <br /> elev <br /> 98.45 ft <br /> Depth to g S <br /> limiting <br /> factor <br /> >88' <br /> Remarks: <br /> CST Name(Please Print) Signature: �yTelephone No. <br /> Joan E Daniels I/ / 715-349-5533 <br /> Address PO Box 316,Siren,WI 54872 Date CST Number Ref# <br /> 4/7/00 223463 169 <br />