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wsconsinDepartment otIndustry 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 8 1/2 x 11 inches in size.Plan must include,but w 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. 5)111— "?, ()— <br /> APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION REVIEWED BY _/jD TE <br /> PROPERTY OWNER: PROPERTY LOCATION L <br /> David Taylor GOVT.LOTj NW 1/4 SW 1/4,S 10 T 38 ,N,R 15 %(or)W <br /> PROPERTY OWNER'S MAILING ADDRESS LOT BLOCK# SUBD.NAME OR CSM# <br /> 23961 Nyberg Road <br /> CITY,STATE ZIP CODE PHONE NUMBER []CITY tjVILLAGE C TOWNNEAREST ROAD <br /> Siren WI 54872 ( 711 LaF llette Cran Marsh <br /> lid New Construction Use Ig] Residential/Number of bedrooms 2 [ ] Addition to existing building <br /> [ ] Replacement [ ] Public or oommercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate _bad,gpd/ft2_-8_trench,gpd/ft2 <br /> Absorption area required 79n bed,ft2 ?so trench,ft2 Maximum design loading rate--_7--bed,gpd/ft2Tg_trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 99.3 ft (as referred to site plan benchmark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation,if applicable NA It <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE', AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ❑S ®U EIS ❑U ❑S ®U ❑S ®U ❑S ®U ❑S ®U <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 Gk. Sz. Sh. Bed Trench <br /> vim. $:tt 1 0-6" _---—_—__ bk mvfr csif—co .7 .8 <br /> R <br /> 1 2 V-36 ' 7.5 YR 5/6 ---------- is !Jmsbk mvfr gsIf—co 7 <br /> 8 <br /> Ground 3 6"-49 ' 7.5 YR 4/6 c2d 5 YR 5/8 scl 'Zmsbk mfr -- -- NA NA <br /> elev. <br /> 98.5ft. <br /> Depth to <br /> limiting <br /> factor <br /> 36" <br /> Remarks: <br /> Boring# <br /> 1 p_6" 7.5 YR 3/2 --------- is lmsbk mv£r cs f—co .7 .8 <br /> „2, <br /> 2 6”-35 7.5 YR 5/6 --------- is Rmsbk mvfr gs 3f—co .7 .8 <br /> BOA <br /> 3 5''-48' 7.5 YR 4/6 c2d 5 YR 5/8 scl 2msbk mfr -- -- NA NA <br /> Ground <br /> elev. <br /> 98_5 ft. <br /> Depth to <br /> limiting <br /> factor <br /> 35" <br /> Remarks: <br /> CST Name:—Please Print Phone: <br /> Wade Ru£sholm 715 349-7286 <br /> Address: 24702 Lind Road P.O. Box 514 Siren, WI 54872 <br /> Signature: Date: CST Number: <br /> ILO <br /> 6/6/96 <br />