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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page_of_ <br /> ' Labor and 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 URlivET <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.#S-y 36 OI FOD D <br /> dimensioned, north arrow,and location and distance tonearest road. <br /> APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION AEVIEWED�Y, DA E <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> 1-nm FkAZEE GOVT.LOT Ai 1/4 C,L41/4,S T' I ,N,R E(or <br /> PROPERTYOWNER':SMAILINGADDRESS LOT# BLOCK# &09&.-NAM&QQ.G Mk <br /> ZO o cRES <br /> CITY,STATE ZIP CODE• PHONE NUMBER []CITY ❑VILLAGE MOWN NEAREST ROAD <br /> -5514-37— ( I Sr. cRor ,e. <br /> D(] New Construction Use Residential/Number of bedrooms Z [ ] Addition to existing building <br /> I ] Replacement ( ] Public or commercial describe <br /> Code derived daily flowW gpd Recommended design loading rate .'7 bed,gpd/ft2 . 8 trench,gpd ft2 <br /> CL <br /> Absorption area required bed,ft2 ajS trench,ft2 Maximum design loading rate .� bed,gpd/ft2 .$ trench,gpolft2 <br /> Recommended infiltration surface elevation(s) 1q.0 ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material_6 f 1�Ip L 12X I Flood plain elevation,if applicable ISA ft <br /> S Suitable for system CO VENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING T NK <br /> U=Unsuitable fors stem S ❑U S ❑U M S ❑U '4S ❑U 0 S ❑U ❑S AU <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> in. Munsell CU.Sz.Cont.Color Gr. Sz. Sh. Bed Trends <br /> 1 0 8 7.5. 93 z .7 $ <br /> «: Z $'ZS 7•-< R 41 (o rte_ Mf 4a <br /> Ground 7•S R �� MJ 1 a <br /> 0ev, <br /> -0 0 ft. <br /> Depth to <br /> limiting <br /> factor, • <br /> Remarks: Akmy AL!og /I✓y <br /> Boring# <br /> I MS 1141 3 .S <br /> -7-:;,19 y to •7 S <br /> 75 7.S Req MS 614.5 M <br /> Ground <br /> elev. <br /> "11. 1 ft. <br /> Depth to <br /> limiting <br /> factor <br /> 7� <br /> Remarks: <br /> CST Name:—Please Print Ic;IAR O Phone: 15 66^ IS <br /> Address: Z 0 „r 3 - 54 3 J <br /> Signature: ate: CST Number: <br /> W�M.fI -7 - 16 3670 <br />