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wyconsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page_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 <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. <br /> APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Duane J. Hayes GOVT.LOT 1 1/4 1/4,S12 T 37 N,R 18 Aor)W <br /> PROPERTY OWNERS MAILING ADDRESS LOT# BLOCK# SUED.NAME OR CSM# <br /> 738 S. Piety Pcl. G.L.1 <br /> CITY,STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE EFOWN NEAREST ROAD <br /> Ellsworth, WI 54011 (715) 273-3184 Trade Lake Public Access Road <br /> [ ] New Construction Use [ Residential/Number of bedrooms 2 ( ] Addition to existing building <br /> (g] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate NA bed,gpd/ft2 NA trench,gpd/ft2 <br /> Absorption area required NA bed,ft2 NA trench,ft2 Maximum design loading rate NA bed,gpd/ft2 NA trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) NA ft (as referred to site plan benchmark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation, if applicableINA <br /> U400 B <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for s stem ❑S ®U ❑S �1 U LIS kl U 11S 5D U ❑S i U a S ❑U <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPD/ft <br /> Boring# Horizon Texture Consistence Bourt�ry Roots <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trerldl <br /> 1 <br /> ,0 <br /> ....1..... 1 0-11" 10 YR 2/2 ---- -- sl 2msbk mfr cs 2fc 5 6 <br /> 2 11"-41" 2.5 YR 6/0 c2d 5 YR 5/8 c 3vfm mefi -- — 0 0 <br /> Ground <br /> elev. <br /> 100.2 ft <br /> Depth to <br /> limiting <br /> factor <br /> 11" <br /> Remarks: This lot has insufficient area for any kind of system. <br /> Boring# <br /> Ground <br /> elev. <br /> ft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> CST Name:—Please Print Wade Rufsholm Phone: <br /> (715)349-7286 <br /> Address: <br /> 54872 <br /> Signature: ate: CST Number: <br /> 8/13/94 3583 <br />