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WiisconsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page of <br /> Labor and Human Relations <br /> Division of Safety&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 B DATE <br /> PROPS OWNER: PROPERTY LOCATION P,-/ / <br /> 0/0f. GOVT.LOT 1/4 SC 1/41S_76T 4// ,N,Rf6 E(oro <br /> PROPERTY OWNER':S MAILING ADDRESS 44OT# I BLOCK# SUBD.NAME ORCSM III <br /> 9 �Y 72414c& 4egr <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE WOWN NEAREST ROAD <br /> [ q New Construction Use kj Residential/Number of bedrooms +2 [ J Addition to existing building — <br /> I ] Replacement [ ] Public or commercial describe _ <br /> Code derived daily fiow060 gpd Recommended design loading rate ad,gpd/ft2_,f-trench,gpd/ft2 <br /> Absorption area required `lam 9 bed,ft2 trench,ft2 Maximum design loading rate7 bed,gpd/ft2 -8 trench,gpd ft2 <br /> Recommended infiltration surface elevation(s) 9S. ft (as referred to site plan benchmark) <br /> Additional design/site considerations — <br /> Parent material G/'+C ,A:/ d 0/1 "f Flood plain elevation,if applicable /iJA ft <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem fz�S ❑U I$S ❑U ®S ❑U I�S ❑U $ ❑U ❑S JQ 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 Trdt <br /> M tEr`>. a ,S 4- 7-s 15 s 9t--rt . ) ,-p <br /> Ground 3 fi- Y 7 S -5 0S • ) •V <br /> elev. <br /> Depth to <br /> limiting <br /> factor <br /> 7J5' <br /> Remarks: <br /> Boring # <br /> p- G <br /> 7 <br /> a m -/4 ,5-0� — 15 s 3 g <br /> Ground 8` S S <br /> elev. <br /> QZ7 ft. <br /> Depth to <br /> limiting <br /> fact?71 <br /> Remarks: <br /> CST Name:—Please Print Phone: <br /> Address: dOX ��-/ S // e�� G✓� 55�8� <br /> Signature: w Date: CST Number: <br />