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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of <br /> Labor and Human Relations <br /> Division of safety a Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> COUN <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 PARCE I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. c)) -5M?3 -Of -707 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIE DBY I] DATE <br /> 19-qq <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Clark Jewell GOVT:LOT 1/4 1/4,S 33 T 39 N,R 17 $(or)W <br /> PROPERTY OWNER'S MAILING ADDRESS LOTH BLOCK# SUBD.NAMEO CSM# <br /> 9651 County Road D pcl. NENW <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE [MOWN NEAREST ROAD <br /> Webster, WI 54893 ( 715 349-5400 Lincoln County Road D <br /> [ ] New Construction Use X] Residential/Number of bedrooms 3 [ ] Addition to E xisting building <br /> 11 Replacement [ ] Public or commercial describe <br /> Code derived daily flow 450 gpd Recommended design loading rate .7 bed,gpd .8 trench,gpd/ft2 <br /> Absorption area required 643 bed,ft2 562 trench,ft2 Maximum design loading rate _bed,gpd/ 2 .8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 93.4 It (as referred to site plan bench ark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation, if applicable NA It <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE I AT-GRADESYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for s stem ES ❑U KI ❑U C$S 11U 50S ❑U EIS ®U ❑S ®U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texturetlfsbk <br /> Consisten Boundary Roots GPD/ft <br /> in. Munsell Cu.Sz.Cont Color Bed Tierch <br /> 1 <br /> 1 0-7" 10 YR 3/2 -- --- is mvfr cs 2fc .7 .8 <br /> 2 "-30" 10 YR 4/6 ------- is mvf cs 2fc .7 .8 <br /> Ground 3 3 "-76" 10 YR 5/8 ---------- ms mfr --- -- .7 .8 <br /> elev. <br /> 95.3 ft <br /> Depth to <br /> limiting <br /> factor <br /> >76" <br /> Remarks: <br /> Boring# <br /> 1 0-8" 10 YR 3/2 -------- is lfgr mvfr cs 2fc .7 8 <br /> a 2 � 2 "-34" 10 YR 4/6 ---------- is lfsbk mvf cs 2fc i .8 <br /> g 7 <br /> 3 3 "-78" 10 YR 5/8 --- ms lag mfr --- -- 7 <br /> ----- .8 <br /> Ground <br /> elev. <br /> 95.5 ft. <br /> Depth to <br /> limiting <br /> fa <br /> >78^or i <br /> Remarks: 3� <br /> CST Name:—Please Print Wade Rufsholm Phone: (7L5)349-7286 <br /> Address: <br /> W1; 872 <br /> Signature: /` I ate: CST Number: <br /> �/ <br /> 11/12 94 3583 <br />