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Wisconsin Department of Indus", SOIL AND SITE EVALUATION REPORT Page 1 of 3 <br /> Labor ar Human Relations <br /> Division of Safety 8 Buildings 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 PARCELID <br /> dimensioned, north arrow,and location and distance to nearest road <br /> APPLICANT INFORMATION-PLEASE PRINT`ALL INFORMATION EVIEWEDB W DATE <br /> - ��4.)� <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> 05rdf34sot <br /> 4" GOVT.LOT a y 114 1/4,S/6•T .3N,R ^4 R*W <br /> PROPERTY OWNER':S MAILING A Did Lam, LOT# BLOCK# SUB .NCS <br /> OR CSM#1 Cd <br /> �(oL 30 �&; u3 <br /> CITY,STATE ZIP CODE PHONE NUMBERCITY ❑VILLAGE ®TOWN NEAREST ROA <br /> netv% U31% 5LPSo I 1P IZLISK. Cry <br /> K New Construction Use j>Q Residential I Number of bedrooms'' TR. aLQZ 2. [ ] Addition to existing building <br /> j ] Replacement [ ] Public or commercial describe_ egg <br /> Code derived daily flow 3oo gpd Recommended design loading rate .•i bed,gpd/ft2_,_.�trench,gpd/ft2 <br /> Absorption area required 429 bed,ft2 375 trench,ft2 Maximum design loading rate__,_-7 bed,gpd/ft2 .S trench,gpd/ft2 <br /> Reoommem"'nfiltration surface elevation(s). : 9 & C�Acr fl/.0*) ft (as referred-tp site plan benchmark) <br /> Additional design/site considerations A Aw QCV•/oo o-1 4 /9 is L, Doccble .20/' 0*ie_Thee) <br /> Parent material GI AcrAc. da .Ff- Flood plain elevation,if applicable :t q It <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE `' SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for s stem 9 ❑U ®S ❑U ®S El E:]S ®U ElS ElS 9 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 ITrench <br /> I I -7" 7.5YR Nft. vr.e I.xs6K 10 . 7 •8 <br /> Z. Z-24 Z.5 Y iz.4/4 <br /> Ground 3 7.SYIL L"I2 .ne�� ir+.� — l-F - 7 <br /> elev. <br /> LIQ ft. <br /> Depth to <br /> limiting <br /> factor <br /> 7;L11 <br /> 93.6 Remarks:?,T <br /> Boring# <br /> M2- z-30 -r SYZ .o) PKI <br /> �� nn <br /> Ground 3 30-7 -ZSY(Z 4/z. ^'►c12 — 142 <br /> elev. <br /> ft. <br /> Depth to <br /> limiting <br /> f for � <br /> y,o3 F F_ <br /> Remarks: <br /> emame:Please Print M & K Phone: <br /> Address: HCR 59, BOX 4784 <br /> Signature: Spooner, WI M1 Date: CST Number: <br />