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Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of T <br /> Division of Safety and Buildings in accord with Comm 83.05,Wis.Adm. Code <br /> Attach complete site plan on paper not less than 834 x 11 inches in size. Plan must County <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Bllt[lett <br /> percent slope,scale or dimemsions,north arrow,and location and distance to nearest road. parcel I.D.# <br /> APPLICANT INFORMATION - Please print all information. 034-1520-03050 <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s-15.04(1)(m)). Reviewed By Date <br /> Property Owner Property Location _ (L/ <br /> Graves,_Patricia GovL Lot SE 114 SW t14,S 20 T 37 N R 18 (W� <br /> Property Owners Mailing Address Lot# Block# Subd.Name or CSM# <br /> 451 300 TH. AVE. Frederic, Wis. 5 --- C.S.M. Vol.15-Pg. 46 <br /> City State Zip Code PhoneNumber ❑City ❑Village ZTown Nearest Road <br /> Frederic Wl 54837 ,j Z - YZ,r4P Trade Lake I Cedar Ponit Teff. <br /> ❑ New Construction Use. Residential/Number of bedrooms 1 [_]Addition to existing building------------ <br /> Replacement Public or commercial describe <br /> Code Derived daily flow 150 gpd Recommended design loading rate •7 bed,gpd/ft2 .8 trench,gpd/ff <br /> Absorption area required 214 bed,T 187 trench,ft Maximum design loading rate .7 bed,gpd/ft2 .8 trench,gpd/ftz <br /> Recommended infiltration surface elevation(s) 83.1 ft(as referred to site plan benchmark) <br /> Additional design/site considerations Soil Borings for septic system and for possible privy <br /> Parent material---------------------------------- Flood plain elevation,if applicable ---------- ft <br /> S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> U=Unsuitable for system s ❑ u ® S ❑ u7 ® s ❑ u ® S ❑ u ❑ s u ❑ 5 ® u <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon <br /> Depth Dominant Color Mottles Structure GPD/ft� <br /> in. Munsell Qu.Sz.Cont.Color Texture Gr.Sz.Sh. Consistent Boundary Roots ---- <br /> Bed Trench <br /> 1 1 0-5 10YR3/3 ------------------ 1 lfsbk mvfr as lm .4 .5 <br /> 2 5-14 10YR5/4 flf7.5YR6/8 cl 2msbk mfr gw lvf .4 .5 <br /> Ground <br /> Gro fl p l oYR6/2 <br /> elev <br /> 86.4 ft. 3 14-34 10YR4/4 ------------------ cl 2msbk mfr as lvf .4 .5 <br /> Depth to 4 34-48 7.SYR4/4 ------------------ s osg ml gw ---- .7 .8 <br /> - --- - -- <br /> limiting 5 48-79 10YR5/6 ------------------ cs osg ml ---- ---- <br /> .7 8 <br /> factor -- - <br /> >79" <br /> Remarks: <br /> 2 1 0-8 10YR3/3 ------------------ 1 lfsbk mvfr as lm .4 .5 <br /> 2 8-16 10YR4/4 fIf7.5YR6/8 cl 2msbk mfr gw lvf .4 .5 <br /> Ground 3 16-32 10YR5/6 ------------------ s osg mlgw ]vf .7 8 <br /> elev -- - <br /> 86.6 ft. 4 32-64 7.5YR4/4 ------------------ s osg ml cw It - 7 8 <br /> Depth t0 5 64-80 10YR5/6 ------------------ cs osg n11 --- .7 .8 <br /> - -- - <br /> limiting <br /> factor -- <br /> >80" <br /> Remarks:—__— <br /> CST Name(Please Print) Signature: Telephone No. <br /> _ Jacque Hawkins Y 7 Z" 6 y y�__ _ <br /> Address ! / Date CST Number Ref# <br /> l L U �� l�uGt�i BJ�� 6/21/99 Z Z. Z 8 7 L 279 <br />