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Wisconsin Department ofIndustry, 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 /> COUNT" <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must include,but t�\ <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. c C�C(- '�(20 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Johanna Hoffman GOVT.LOT 2&3 1/4 1//y14,,5 5 T 39 ,N,R 16 ]j(or)W <br /> PRp504 SOatEe Rd ILINGADDRESS LOT# BLOCK# SULotA1) O rerecorded Plat <br /> CITY,STATE 00 ZIP CODE PHONE NUMBER []CITY ❑VILLAGE (( OWN NEAREST ROAD <br /> Siren, WI 54872 ( ) Meenon I State Rd. 70 <br /> [ ] New Construction Use [x] Residential/Number of bedrooms 2 [ ] Addition to existing building <br /> [� Replacement I ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate •7 bed,gpd 2 •8 trench,gpd/ft2 <br /> Absorption area required 429 bed,ft2 375 trench,112 Maximum design loading rate .7 bed,gpd/ 2 .8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 98.6 ft (as referred to site plan bench ark) <br /> Additional design/site considerations onsite by Dan Hanks 4/3/95 <br /> Parent material Glacial Drift Flood plain elevation, if applicable NA ft <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE I AT-GRADESYSTEM IN FILL I HOLDING TANK <br /> U=Unsuitable fors stem ®S ❑U ®S ❑U KIS ❑U ®S ❑U ®S ❑U ❑S M]U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consisten Boundary Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trench <br /> w�i'aCl <br /> Fp <br /> e 1 0-4n 7.5 YR 3/2 --------- is lmsbk mvfr cs Zf-co .7 .8 <br /> 1 qa <br /> 2 4"-49 ' 10 YR 4/6 ---------- ms osg ml cs Zf-co .7 .8 <br /> Ground 3 9"-64 ' 10 YR 5/4 ----------- ms osg ml gs 2f .7 .8 <br /> l0�.2ft. 4 4"-70 ' 10 YR 6/3 c2d 5 YR 5/8 fs lfgr mvfr -- — NA :NA <br /> Depth to <br /> limiting <br /> faq64�[ <br /> Remarks: <br /> Boring# <br /> 1 0-3" 7.5 YR 3/2 --------- is lmsbk mvfr cs f-co .7 8 <br /> 2 2 "-49" 10 YR 4/6 ----------- ms osg ml cs f-co .7 8 <br /> 3 9"-64 10 YR 5/4 ---------- ms ' osg ml gs 2f .7 .8 <br /> Ground <br /> elev. 4 4"-72 10 YR 6/3 c2d 5 YR 5/8 fs lfgr mvfr -- -- NA 'NA <br /> 100.3 ft. <br /> Depth to <br /> limiting <br /> factor <br /> 64" 1 L <br /> Remarks: <br /> CST Name:-Please Print Wade Rufsholm Phone: 715)349-7286 <br /> Address: 24702 Lind Road P.O. Box 514 Siren,W1 54872 <br /> Signature: �` � �� Date: 4/3/9 CSTNumber: <br />