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Wisconsin Department of Industry, SOIL AND SITE EVALUATION <br /> Labor aid Human Relations Page of 3 <br /> Division of Safety and Buildings in accordance with s. ILHR 83.09,Wis. <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County <br /> include,but not limited to: vertical and horizontal reference point(BM),direction and Burnett <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> 12 - 42 - 20 01100 <br /> APPLICANT INFORMATION - Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property Location <br /> David Bryan Govt.Lot 1 1/4 1/4,S20 T 40 ,N,R 15 �Ajr)w <br /> Property Owners MailingAddress Lot# Block# Subd.Name or CSM# <br /> 2p512 Euclid Pace na na na <br /> City State Zip Code Phone Number Nearest Road <br /> Minneapolis MN 55405 ( 612 ) 374-3280 11 City El Village ® Town 5248 Count Rd "A" <br /> ❑ New Construction Use: ®Residential/Number of bedrooms 3 Addition to existing building <br /> El Replacement ❑Public or commercial-Describe: <br /> Code derived daily flow 450 gpd Recommended design loading rate .7 bed,gpd/ft2_ B—trench,gpd/ft2 <br /> Absorption area required 64R bed,ft2 563 trench,ft 2 Maximum design loading rate -7 bed,gpd/ft2 -6 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 94.00 ft(as referred to site plan benchmark) <br /> Additional design/site considerations 12 x 60 Conventional hpd ilcin9 infiltrator <br /> Parent material nutwa ch Flood plain elevation,if applicable 4a 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 ❑ U f S ❑ U ® S ❑ U El S ® U ❑ S [� U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 <br /> E31in. Munsell Qu.Sz,Cont.Color Gr.Sz,Sh, Bed Trench <br /> 1 0-8 7.5YR 3/2 n m l <br /> 2 8-30 7.5YR 5/4 none S 0 sq m <br /> Ground 3 30-95 7.5YR 5/4 none S 0 sq m 1 <br /> elev. <br /> 97.15 ft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: <br /> Boring If <br /> 1 0-6 7,111 2 2 6-103 7.5YR 5/4 none <br /> Ground <br /> elev. <br /> Depth to <br /> limiting <br /> factor <br /> 10 in. Remarks: Hann allgarpri hnro hole 11piform &Qi is <br /> CST Name (Please Print) Signatur Telephone No. <br /> Joan E Daniels <br /> Address Date CST Number <br /> PO Box 316 Siren WI 54872 6/4/96 CSTMO 3431 <br />