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Wisconsin Department <br /> Hu <br /> Labor and Human ti of In SOIL AND SITE EVALUATION REPORT Page_of_ <br /> Human Relations <br /> Division of Safety&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 R EI <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PAR EL I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. <br /> APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION REVIEWED B DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> C90WN CO L l E E GOVT.LOTS S /4 `3 I/4,S T 1 N,R �$ E(or) N� <br /> PRQPEPTY NE C�AILIr�G AODDRES3o Lf# BLOCK# SUB .NAME R i # <br /> �i (r(ppS��T��I�aClu }�C `1ZIP 37$IHON�E4 ER OQ ]CITY MISS OWN ARESTROAD <br /> S IV R. <br /> New Construction Use;< Residential/Number of bedrooms Z [ ] Addition to existing building <br /> j ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate .7 bed,gpd 2 .9 trench,gpd/ft2 <br /> Absorption area required qZ9 bed, 1112 375 trench,1t2 Maximum design loading rate.7bed,gpd 2 . 8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) R3.g ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material GLPO4L W&J: Flood plain elevation,if applicablE ft <br /> S=Suitable for system ONVENTIONAL MOUND INN-Gs IN-GROUND PRESSURE ®S DE❑U SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem i S ❑U ES <br /> ❑U 5D �I S ❑U ❑S U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure GPD/ft <br /> in. Munsell Cu.Sz.Cont.Color Gr. Sz. Sh. Cons sten Bxurrday Roots <br /> < : :„ Bed Trerxir <br /> M 5 On sM l C S 2 M `► 8 <br /> MS OMS 0) •7 <br /> Ground <br /> -elev. <br /> .3 ft. <br /> Depth to <br /> limiting <br /> f'trr <br /> Remarks: <br /> Boring# <br /> w . 1 Gt i 0•S -J.Sy►z 3�z �� s µs I 2N '► $ <br /> Ground <br /> lev. <br /> ft. <br /> Depth to <br /> limiting <br /> fac[0{j° <br /> Z l-1 <br /> Remarks: ccs, <br /> T Name:—Please Print �CfI RftD D y s Phone: ^/S 157 <br /> ddress: <br /> Signature: <br /> 11 Dat1e 5 C3S��umber: <br /> rT `T' <br />