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Wisconsin Department of Industry, 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 U R <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. ,V-- 5-3 <br /> Ad- <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DAT <br /> alkl. <br /> PROPERTY OWNER: PROPERTY LOC TION <br /> STEVE IEKSChFE GOVT.LOT NE 1/4 IVE1/4,SF(T 141 N,R 16 E(or(�) <br /> 300501 <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# BLOCK# $68 ^AAC^^^ AA <br /> 14eo o s <br /> CITY,STATE ZIP CODEPHONE NUMBER [-]CITY ❑VILLAGE OWN NEAREST ROAD <br /> �+I • 83o ( 5) -30 o MISS MWF-RVA Rc <br /> ( ] New Construction Use X Residential/Number of bedrooms 2 [ ] Addition to existing building <br /> Replacement [ ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate .7 bed,gpd/ft2 . 8 trench,gpd/ft2 <br /> Absorption area required Z9 bed,ft2 3 75 trench,ft2 Maximum design loading rate •7 bed,gpd/ft2 • `d trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) OS ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material QLAcoqL QR! Pr Flood plain elevation, if applicable )gfg ft <br /> S=Suitable for system CONVENTI NAL MOUND IN-GROUND PRESSURE AT-GRADE Y TEM IN FILL HOLDING TANK <br /> U=Unsuitable <br /> for stem ❑SU S ❑U D S 1�U S ❑US 1]U El XU <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed ITre& <br /> z: q ?•S K3 �--- Is D M.5 tn. M\1`Y' 5 Zv 3 8 <br /> [ < <br /> q-45 7-5tz q14 �� s OMS M\1 1'Y CS ? S <br /> Ground 3 $ (�`( S R +1 `� S S 8 S t Z n s bk <br /> elev. <br /> ft. <br /> Depth to <br /> limiting <br /> fac AA <br /> Remarks: <br /> Boring # <br /> O-$ TSO 3/7- Mv4f' 5 2v� 7 8 <br /> <_2. 3 �' 7•S ~� IS M�/fY CS D S <br /> Ground 3 q•45 5 SI MsbK MV�• 5 6 <br /> elev. <br /> 47.1 ft. <br /> Depth to <br /> limiting <br /> factor <br /> lRemarks: <br /> CST Name:—Please Print fc q qRD 0 /NS Phone: 71-5 <br /> %6 • -S <br /> Address: 27760 W 35 EBsTFR WI . 5048 J , O <br /> Signature: • / Date: CST Number: <br /> to 44L' d $• 6 -9(0 3670 <br />