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Wisconsin Department of Industry, SOIL AND SITE EVALUATION <br /> C'Abor and Human Relations Page 1 of 3 <br /> Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County <br /> include,but not limited to: vertical and horizontal reference point(BM),direction and Burnett <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> 014 - 2220 - 02 300 <br /> APPLICANT INFORMATION- Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). �/ <br /> Property Owner Property Location <br /> Michael & Judi Vasatka Govt.Lot E'/z 1/a SE 1/4,s 20 T38 N,R 15 /t/(fir)W <br /> Proeny Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 3361 County Rd "B" PO Box 41 na na na <br /> c%i ren State Zip Code Phone Number Lal-ollette Nearest Road <br /> WI 54872 (715 ) 349-5533 110 City ❑ village ® Town <br /> Count Rd "B" <br /> ❑ New Construction Use: ®Residential/Number of bedrooms <br /> ® Replacement � Addition to existing building <br /> P ❑Public or commercial-Describe: <br /> Code derived daily flow 450 gpd Recommended design loading rate -7 bed,gpd/ft2—$_trench,gpd/ft2 <br /> Absorption area required_643 bed,ft2 5Fi 3 trench,ft2 Maximum design loading rate -7 bed,gpd/f?____$_trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 93.00 ft(as referred to site plan benchmark) <br /> Additional design/site considerations Conventional <br /> Parent material f,l a r i a 1 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 ®s ❑ U ® s ❑ u ® s ❑ u Els ❑ u ❑s ® u ❑ s O u <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 <br /> rin. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed , Trench <br /> 10-6 10YR 3/2 none i s 1 m sbk m 1 a w 3 of .7 8 <br /> 2 -46 7.5YR 4/6 none s 0 sg m 1a q 2 f 7 .8 <br /> Ground <br /> elev. - SYR -- <br /> 96,U ft. <br /> Depth to <br /> limiting <br /> > 4 rr <br /> in. <br /> Remarks: <br /> Boring# <br /> 1 0-9 10YR 212 nonp i s 1 f sbk m I A W 3 of .7 .8 <br /> 2 - 0 sg m 1 a q 2 <br /> ,13 3 30-7 7.5YR 5/4 none s 0 sq m 1 -- - <br /> Ground <br /> elev. <br /> Depth to <br /> limiting <br /> factor <br /> >JL <br /> jin, Remarks: <br /> CST Name1Please print)Daniels Kg ture Telephone No. <br /> Joan 1 715-349-5533 <br /> Address PO Box 316 Siren WI 54872 Date 6/25/96 CST N11mb@r 3431 <br />