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Wisconsin Department oflndusbry, SOIL AND SITE EVALUATION REPORT Pae of <br /> Labor and•Human Relations g <br /> Division of Safety&Buildings in accord with ILHR 83.05, Wis. Adm. Code <br /> COUNT( <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include,butIOT <br /> not limited to vertical and horizontal reference point(BMCE),direction and%of slope,scale or PA I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. O'er' -_ q7s-C36: (00 <br /> APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION REVIE ED Y DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> 3UAV 9.LKI U S GOVT.LOT 1/4, 114,S2S T. qj ,N,R 16 E(or <br /> PR PEERTY OWNERSMAILINGADDRESS Lam# BLACK# B�D.)r EO <br /> CITY,STATE 7 ZIP CODE PHONE NUMBER ❑CITY []VILLAGE OWN /NEAREST ROAD <br /> UAIIIBUS� 1. S 8 D 1 5 1444• 2 5 CFAr[2F9 57. <br /> [ ] New Construction Use Residential/Number of bedrooms 3 [ ] Addition to xisting building <br /> W Replacement [ ] Public or commercial describe <br /> Code derived daily flow q5D gpd Recommended design loading rate •7 bed,gpd/ft2 S trench,gpd/ft2 <br /> Absorption area required �q3 bed,ft2 %3 trench,tt2 Maximum design loading rate •1 bed,gpd/fl28 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 95. $ ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material GLACIAL '9RIET Flood plain elevation,if applicable 14A ft <br /> S=Suitable for system CQNVENTIONAL MOUND J�1 GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for s stem R S ❑U Ia S ❑U �Sl S ❑U f�S ❑U S ❑U ❑S RU <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure consistence Boundary Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trerldl <br /> ! 5 1.5 $ z �� a>s K ! Cs 2t4 7 8 <br /> ?4 61L <br /> Ground 3 39.10 1•S R +I ` �`� ri15 r ZM bK M� ^ - .7 $ <br /> I v. <br /> h. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> Boring # <br /> .SR 3 7- r- —� M$ 1 MbK W Cs 2.r% .1 .� <br /> 1•S K q 6 Ms r bg M1 C3 ZP4 -7 $ <br /> Ground . s u e MZM b K M-F� -r If •7 $ <br /> Ground <br /> Oft.N��ft. <br /> Depth to <br /> limiting <br /> fa o " <br /> Remarks: <br /> 5 b3 <br /> CST Name:—Please Print R ,�s Phone: <br /> Address: 07740 Avv 3-5* E8 7'ER ,f 93 7 <br /> Signature: ,/ d '` at24 - 15 CSTfJfoer: <br />