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Department of SOIL AND SITE EVALUATION REPORT Page.' Labor and Hwman Relations g _of <br /> Division of Safety 8 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 13UJQVA7r <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL ISD.# // <br /> dimensioned, north arrow,and location and distance to nearest road. 6to— `( 3,z3 — o,5 -3� <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> MIKE HOAT-qoMa GOVT.LOT J5' 1/4 .1/4,S73T y0 ,N,R 6 E]or6 <br /> PROPERTY OWNER':S MAILING ADDRESSY LOT# BLOCK# SUED.NAME OR CSM# <br /> CITY,STATE ZIP CODE PONE NUMBER []CITY ❑VILLAGE MOWN N REST ROAD <br /> O 1 . 020 ( ) - 2166 <br /> [ __Lftj24 tin <br /> ] New Construction Use Residential/Number of bedrooms 2 [ ] Addition to existing building <br /> ZA Replacement [ ] Public or commercial describe <br /> Code derived daily Flow 3oO gpd Recommended design loading rate .7 bed,gpd/ft2 .S trench,gpd/ft2 <br /> Absorption area required q2 bed,ft2 375' trench,ft2 Maximum design loading rate •7 bed,gpd/ft2 .S trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) JOE;.0 ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material WtIAL PRI Fr Flood plain elevation, if applicable Kh ft <br /> S=Suitable for system CONVENTIONAL I MOUND N-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem S ❑U I9 S ❑U ®S ❑U Ms ❑U ®S ❑U ❑S DI 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 Gr. Sz. Sh. Bed jTlench <br /> "$ 1 0- (, 74, z .-�� s 7 8 <br /> 9 S •"7 , 8 <br /> Ground 3 61-70 7 czd W MS 7 $ <br /> elev. <br /> Io"ft. <br /> Depth to <br /> limiting <br /> fac r r� <br /> Remarks: n/ <br /> Boring# <br /> a, <br /> S 7zl 7 5 �� MS oets Lfl <br /> s>< ; .7 . $ <br /> Ground <br /> elev. <br /> �0-S,I—ft. <br /> Depth to <br /> limiting <br /> factor <br /> >Z <br /> Remarks: <br /> CST Name:—Please Print D� Phone: <br /> 6— Y1,57 <br /> Address: �,/� I J� 89 <br /> W <br /> Signature: ) , ate: 6 CST Number: <br />