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WiscensinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Pa e <br /> Labor and Human Relations age of <br /> Division of Safety 8 Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> COUNTY <br /> Attach complete site plan on paper not less than 8 1/2 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 PARCEL I.D.`#�. ll <br /> dimensioned, north arrow,and location and distance to nearest road. L - l S' _?) - Cd vo. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Mike Waltzing GOVT.LOT iM 1/4 SM 1/4,S 32 T 40 N,R 16 LE(a)W <br /> PROPERTY OWNER'S MAILING ADDRESS LOT# I BLOCK# SLVD NAM pR <br /> P.O. Bog 497 1 S�/` S <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ErOWN NEAREST ROAD <br /> Webster, WI 54893( 71$ 866-4605 Oakland St. Hwy. 35 <br /> [if New Construction Use [ j Residential/Number of bedrooms [ ] Addition to existing building <br /> I ] Replacement (g] Public or commercial describe Campground Dump Station <br /> Code derived daily flow 500 gpd Recommended design loading rate .7 bed,gpd/ft2 .8 trench,gpd/ft2 <br /> Absorption area required 715 bed,ft2 625 trench,ft2 Maximum design loading rate .7 bed,gpd/ft2 .8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 95.4 ft (as referred to site plan benchmark) <br /> Additional design/site Considerations Greater than 1,000' to any lake or river <br /> Parent material Glacial Drift Flood plain elevation,if applicable NA ft <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE I AT-GRADE SYSTEM IN FILL I HOLDING TANK <br /> U=Unsuitable for s stem ®S ❑U ®S ❑U ®S ❑U ®S ❑U 50 ❑U ❑S ®U <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPD/ft <br /> Boring# Horizon Texture Consistence 8oudary Roots <br /> x;;>. : :;; <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trench <br /> 'ttl <br /> 1 0-2" 7.5 YR 3/2 ------ is lmsbk mvfr cs Zf-co .7 .8 <br /> 1 «.; <br /> "Y 2 2"-71 ' 7.5 TR 4/6 — ms osg ml cs Zf-co .7 .8 <br /> Ground 3 1"-74 ' 7.5 YR 5/6 c2d 5 YR 5/8 fs 2msbk mvfr -- — NA NA <br /> elev. <br /> 97.4 ft <br /> Depth to <br /> limiting <br /> 713or <br /> Remarks: <br /> Boring # <br /> yqu<; 1 0-2" 7.5 YR 3/2 ------ is lmsbk mvfr CIS !f-co .7 .8 <br /> 2 2 2"-72 ' 7.5 YR 4/6 -------- ms osg ml !f-co .7 ] .8 <br /> Ground <br /> elev. <br /> 97.6 ft. <br /> Depth to <br /> limiting <br /> factor <br /> >72" <br /> Remarks: <br /> T Name:—Please Print Wade Ruf sholm Phone: <br /> (715)349-7286 <br /> Address: 24702 Lind Road P.O. Bog 514 Siren, WI 54872 <br /> Signature: Date: CST Number: <br /> ����— 4/25/95 3583 <br />