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Wisconsin Department of Indus", 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 81/2 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.# u <br /> dimensioned, north arrow,and location and distance to nearest road. Sp - <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED EI DATE <br /> 3F 5-1' <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> L s GOVT.LOT 3 1/4 1/4,S`ZST37 ,N,R /8 EIooW <br /> PROPF,RTYaOWNEFj':S`MAILING ADDRESS L�# BLOCK* SU D.NAME OR CSM# <br /> CITY, ((STATE ((�� ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD <br /> uD a W . 5 0 ( 51 86 - Z33 C ) . 13D. Z <br /> [ ] New Construction Use-p< Residential/Number of bedrooms 'L [ ] Addition to existing building <br /> Replacement [ ] Public or commercial describe <br /> Code derived daily flow .366 gpd Recommended design loading rate ` bed,gpd/ft2�trench,gpd/ft2 <br /> Absorption area required tubed,ft2 ' trench,ft2 Maximum design loading rate ^ bed,gpd/ft2 trench,gpd/ft2 <br /> Recommended infiltration surface elevations) NA ft (as referred to site plan benchmark) <br /> Additional design/site considerations OL n16 -rf71dk <br /> Parent material GLAC(Al f7 R I FT Flood plain elevation,if applicable NA ft <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE I SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ❑S Ot ❑S QU ❑S :4U 1 ❑S f3JU RS ❑U <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 Trench <br /> <` I 0 -20 2.5 tZ o N 2 2.6 ya 118el 3 bKc mvfi '�— <br /> Ground <br /> elev. <br /> 01"7_5 ft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> Boring # <br /> °9 .. <br /> ;:,:. I p-17 2.5 R 3 D nz z.S R¢ 8 c l 3 b K c Mvfi CS <br /> 2 " 2. ?-z 5 K 9/3 Mz Z•5 rc g cl 3 bK e. MJrf f � <br /> Ground <br /> elev. <br /> 00.0 ft. <br /> Depth to <br /> limiting .: <br /> factor <br /> Remarks: <br /> CST Name:—Please Print G O Phone: %6- <br /> �O Q� 6- '5 <br /> Address: 7_774,0 14wy 35 W7 . S 8 3 <br /> Signature: I IDg_ CST Number: <br /> 1) <br />