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L consinDepaatrnent fIndustry, SOIL AND SITE EVALUATION REPORT Page of <br /> ns <br /> Division of Safety&Buildings in accord with ILHR 83.05, Wis. Adm. Code <br /> COUN -�- <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include,but AR RDf 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. _ O� -�� -O OIOo <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIE NEDBY'\ DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Ey Keuo&6 GOVT.LOT ` 1/4 1/4,S T. ,N,R 15 E(or WD <br /> PROPERTY OWNER': MAILING ADDRESS LOT# BtOe" SUB�D�N� E R SM# <br /> Z-7019-7 Ar1Q Lx- RO . AS <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD <br /> W I • 54$93 ( )gkb '] 0 S0 LK • RD <br /> [ ] New Construction Use [ ] Residential/Number of bedrooms 3 [ ] Addition tc existing building <br /> Replacement [ ] Public or commercial describe <br /> Code derived daily flow S-D gpd Recommended design loading rate • •7 bed,gpd'O1.5•8 trench,gpd/ft2 <br /> Absorption area required V13 bed,ft2S(o3 trench,ft2 Maximum design loading rate •1 bed,gpd jft2 • $ trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 9g•Z ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material GA I Rl K IE Flood plain elevation, if applicabl ft <br /> S=Suitable for system CONVENTIONAL MOUNDIN-GROUND PRESSURE AT-GRADE SYSTEM INFILL HOLDING TANK <br /> U=Unsuitablerorsstem ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U <br /> SOIL DESCRIPTION REPORT <br /> Boring# rHorizo Depth Dominant Color Mottles Texture Structure Consiste ce Boundary Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Tre& <br /> ``$ 6-5 I-S K 3 2 �� MS OMS '('1� CJ $*� GZ 7.S R 4j`( �— M$ OMS µ� CS '( '7Ground �Z-bin 7•S R 4 St S 5 J Mb1c MV t �` • � g <br /> elev. <br /> l ft. <br /> Depth to <br /> limiting <br /> fa for / <br /> Remarks: <br /> Boring # <br /> 5 ons M/ _S .7 8 <br /> Z 2 6s 1.� �� MS MS M� < s S <br /> n to <br /> Ground <br /> 6 S I r7 bre MJ�r 7 . <br /> `e�lev' <br /> !1\Ib ft. <br /> Depth to <br /> limiting <br /> factor,, <br /> Remarks: <br /> CST Name:—Please Print 1(Aw Awnr s Phone: S• D6- 1S7 <br /> Address: 2-7-760fiwy 35 W(.OSr WI- 5g813 <br /> Signature: bar: <br />