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org- ry SOIL AND SITE EVALUATION REPORT Pagej of3 <br /> uIldings in accord with ILHR 83.05, Wis. Adm. Code <br /> COUNTY <br /> Attach complete site plan on paper not less than 8 1/2 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 PA CEL I.D.# <br /> dimensioned, north arrow,and location•and distance to nearest road. g- 44/og-c 3-'�. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION RE IEWE DATE <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> s GOVT.LOT 7 1/4 1/ ,SS T q0 ,N,RIq E(or W <br /> PROPERTY OWNER':SMAILINGADDRESS LOT# I BLOCK# I SUBD.NAN EOR CSM# , <br /> 5 0 +AA <br /> CITY,STATE ZIP CO E (H�OI�N)NUMBER <br /> �6 [:)CITY ❑VILLAGE )ZOWN NEAREST ROAD � <br /> New Construction Use Residential/Number of bedrooms Z [ ] Addition to existing building <br /> [ ] Replacement ( ] Public or commercial describe <br /> Code derived daily flower gpd Recommended design loading rate •7 bed,g d/ft2 •g trench,gpd/ft2 <br /> Absorption area required 4ZA_bed,ft2 575' trench,1`12 Maximum design loading rate •7 bed,g pd/ft2 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 97. 1 ft (as referred to site plan bE nchmark) <br /> Additional design/Site considerations <br /> Parent material GIAGIR I DRi f`P Flood plain elevation,if applicable Nle ft <br /> S=Suitable for system COjJVENTIONAL MOUND N- ROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING�ANK <br /> U=Unsuitable for s stem R9 S ❑U S ❑U ;SS 11 U us ❑U ISS ❑U ❑S j5U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure ConsistenceBoundary Roots GPD/ft <br /> in. Munsell CU.SZ.Cont.Color Gr. Sz. Sh. Bed Trends <br /> R"..< >..,. A 1 0-5 R Z rte— Ort M �S 2M .7 <br /> hk;:'vYs 2 I¢ rte- IS OMS ei M 1 r-- ZM .? <br /> Ground <br /> ev. <br /> 3 ft. <br /> Depth to <br /> limiting <br /> factor,•r <br /> Remarks: <br /> Boring# <br /> '"MM, oms N+� Cs 2r1 •� 8 <br /> • 7 .$ <br /> Ground <br /> 3 6D-b9 7•s R y `f c2d ns s is oms Myr r I '. .� <br /> pelev. <br /> Is.9 ft. <br /> Depth to <br /> limiting <br /> fac or <br /> r� aF <br /> Remarks: �1 <br /> CST Name:—Pleass Print gl4qAgpS Phone:` <br /> Address: Z77,6,0 w 3s• A4095MX W!• SMS <br /> 3 <br /> Signature: ! Date: CSJ Number: <br /> 0 <br />