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Wisconsin Department of Indus", SOIL AND SITE EVALUATION REPORT Page I of <br /> Labor and Human Relations <br /> Division of safety a 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 Burnett <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. /S< -iii?3 5- 0 - /00 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED DATE ^ <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> JEFFERY ALBRFCHT GOVT.LOT 5 1/4 1 4,S 5 T38 N.R 1 ( r)W <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# BLOCK# SUED.NAME 0 4 CSM# <br /> 4705 SUNNYSIDE RD 3 na na <br /> CITY STATE MN 55424oDE PHONE NUMBER ❑CITY ❑VILLAGE pprrOWN NEAREST ROAD <br /> ( 61? 926-9901 LaFollette Johnson Rd <br /> I New Construction Use [x] Residential/Number of bedrooms 2 [ I Addition to existing building <br /> [ I Replacement [ 1 Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate .7 bed,gpd 2 .8 trench,gpd/ft2 <br /> Absorption area required 429 bed,ft2 375 trench,ft2 Maximum design loading rate,Lbed,gpd/ 2,8—trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 99.65 a 1 t area 96.5@(as referred to site plan bench mark) <br /> Additional design/site considerations S I pe alt req to meet mip.lmax wd@ cover <br /> Parent material unknown Flood plain elevation,if applicable na ft <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADESYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ®S ❑U ®S ❑U lidS 1:1U 11S ®U ❑S D U ❑S ;0L1 <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD/ft <br /> in. Munsell Ou.Sz.Cont.Color Gr. Sz. Sh. Bed Trench <br /> 1911 <br /> 1 0-4 10YR 2/2 none S 0 sq ml a w 2 m 7 8 <br /> \"J 2 4-32 7.5YR 4/4 none S 0 sg ml g i 2 m .7 .8 <br /> Ground 3 32-108 7.5YR 4/6 none S 0 sg ml -- -- .7 .8 <br /> elev. <br /> 105_5 fl <br /> Depth to <br /> limiting <br /> Remarks: <br /> Boring # <br /> 1 0-6 10YR 2/2 none S 0 sg ml a w 2 m .7 .8 <br /> 2 <br /> 2 -22 10YR 4/4 none S 0 So ml <br /> tea. <br /> Ground -96 5YR 4/6 -- - <br /> elev. <br /> 103�Of7f• <br /> Depth to <br /> limiting <br /> factor <br /> 96" <br /> Remarks: <br /> CST Name.—Please Print Joan E Daniels Phone: 715-349-5533 <br /> Address: PO Box 316 Siren WI 54872 <br /> Signature: Date: 6/2795 CSTNurt9tM03431 <br />