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WiisconsinDeµ'SrtmentofIndustry, 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 VET <br /> '90E <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCE I.D.if <br /> dimensioned, north arrow,and location and distance to nearest road. �. ,_cj. 03•-OCo <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIE EDB 1 DATE <br /> • `-_ <br /> PROPERTY OWNER: PROPERTY LOCATION 6 <br /> DEB E GOVT.LOT 1/4 •1/4,S $T qj ,N,R 1.6 E(or <br /> PROPERTY OWNER'S MAILING ADDRES$ LQT# BLOCK# SUBD.NAME M# p � " "� � <br /> 3275} _STMM W ME. Rn . 1 J � 3 ��,s. ,1 dJ�h��F <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITYV LLAGE XOVM NEAREST ROAD <br /> A UR I. S'�893 ( 51 - 3513 > 15 !AI ST, <br /> [ ] New Construction Use [ ] Residential/Number of bedrooms [ ] Addition to xisting building . <br /> Replacement Public orcommerdaldestxibe - pPT. EMP• St�oP <br /> Code derived daily flow 190 gpd Recommended design loading rate • 7 bed,gpd/ 2 trench,gpd/ft2 <br /> Absorption area required ZI2- bed,ft2 7-38'9 trench,112 Maximum design loading rate .7 bed,gpd/ 2 . 8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(S)H,(o ft (as referred to site plan benct mark) <br /> Additional design/site considerations <br /> Parent material GjALI AL. D91ii;T Flood plain elevation, if applicable An It <br /> S=Suitable for system C NVENTIONAL MOUNDIN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING ANK <br /> U=Unsuitable fors stem S ❑U CK S ❑U RS El Dd S 11U ad S ❑U ❑S U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxlary Roots GPD/ft <br /> in. Munsell Cu.Sz.Cont.Color Gr. Sz. Sh. Bed ITirench <br /> f <br /> "tz`$ t D 5 .5 rz 3 2 r--- s I� bK y r 2vF .7 S <br /> 54S 5 tz y q is wr 2MbK M �i CS 2 f .7 8 <br /> Ground 3 28' 9 5 R 4 tl r---' MS DM MI " 7 $ <br /> .elev. <br /> ft. <br /> Depth to <br /> limiting <br /> fa tilu <br /> Remarks: <br /> Boring# <br /> 1 - 4 7-SVIZ -31-z- Com' �s Vb IC Mv-�r C 5 <br /> q. :Zq 5 R N y ^— " s w r ZM b K M Fi CS 7 <br /> Ground 3 2y-5 5 R y y Hs OMS M CS " •7 A <br /> pe/IevQ. q 5S-10 .5 R MS owl M [ 00 <br /> ft. <br /> Depth to <br /> limiting <br /> factor r, <br /> Remarks: <br /> CST Name:—Please Print leflARD gol?KlAf 5 <br /> Phone: S,. <br /> 8646- #S7 <br /> Address: 2'17(00 Hwy, 3SrlurE ER !. M573 <br /> Date: G�umber:Signature: wA.to30 <br />