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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT a Page 1 of <br /> Labor and Human Relations <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 81/2 x 11 inches in size.Plan must include,but -6V_rL^'t ed <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.If <br /> dimensioned, north arrovy, and location and distance to nearest road. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWS DATE <br /> �.4 <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> o0Y GOVT.LOT nv_) 1/4 SLJ1/4,S 1 T 38 ,N,R ISI- E4#W <br /> PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCSUBD.NAME 09 CSM_# <br /> •+5 oAn 6 <br /> CITY,STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE NfOWN NEAREST ROAD <br /> [ ] New Construction Use bQ Residential I Number of bedrooms Addition to existing building <br /> pCj Replacement [ I Public or commercial describe <br /> Code derived daily flow 460 gpd Recommended design loading rate 1 .2 bed,gpd/ft2 1.Z. trench,gpd/ft2 <br /> Absorption area required 5-1S bed,112 '5n5 trench,ft2 Maximum design loading rate I•L bed,gpd/0 I.2. trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) ".0 fZ_n "m _ft (as referred to site plan benchmark) �l <br /> Additional design/site considerations L bey E[Ey• ioo o.- .viG o., 30- Ad4;1e Q oAg 7Ree) /-,217a QXeAt4/ <br /> Parent material 44a"44, d4lp r Flood plain elevation, if applicable .1 R ft <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ❑S N U N S ❑U ❑S N U ❑S 9U ❑S $U ❑S NU <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary fflGPD/ft2 <br /> in. Munsell Cu.Sz.Cont Color Gr. Sz. Sh.3" -7 SYR 3/s oma,G �C Z. /&� .s�/3-.$S 7.5`/J2 VIV " 8 at <br /> Ground ,3 Sf3 7 S R. ` t <br /> elev. <br /> 91,E It. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: '/��r � +/ G/av 3. 7y' A6o✓� L� +.%�� FAaro e <br /> Boring # �✓ <br /> x.,<< 7.SVe 372. <br /> ..... 5YR <br /> 2 7.SY� sF8 /.,.sbK rx r es am . S •6 <br /> SYR-vg <br /> Ground 7.5,/,e #4 non owtAt /i '"T • <br /> elev. �• <br /> 96.i It. <br /> Depth to <br /> limiting <br /> factor <br /> 94 76 <br /> /4,0 , <br /> Remarks: iT W 3�S1 ivy (imi2fv. FReao/t <br /> CST Name:—Please Print 1WPhone: <br /> Address: HM 59, 80 4M <br /> Signature: opu0mr, M SM Date: CST Number: <br />