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Wisconsin Department of Industry, SOIL AND SITE EVALUATION Pae 1 of 6 <br /> Labor ane Human Relations 9 <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 /> 034 - 9015 - 01 500 <br /> APPLICANT INFORMATION- Please print all information. Reviewed by //7�Da�t/e <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 2/ <br /> Property Owner Property Location <br /> Robert Garin Govt.Lot 1 1/4 1/4,s22 T37 N,R18 /d(br)w <br /> Pr 0 ers M iljng Address Lot# Block# Subd.Name or CSM# <br /> `53d'4 rrnder�le Lane 5 na Denn's Pine Lake Subdivision <br /> City State Zip Code Phone Number Trade Lake Nearest Road <br /> White Bear Lae MN 55110 (612 ) 653-1040 ❑ City ❑ Village XrTown pine Lake Rd <br /> ® New Construction Use: ©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 na bed,gpdflt2 na trench,gpd/ft2 <br /> Absorption area required na bed,tt2 na trench,ft Maximum design loading rate na bed,gpd/t na trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) Holding tank ft(as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material Glacial till Flood plain elevation,if applicable na 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 ❑ s p U ❑ s l�] u ❑ s 6c7 u ® s ❑ u <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 <br /> in. Munsell Cu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench <br /> 1 0-2 sl 2 f bk m 1 a s 3 of .7 '.8 <br /> 1 8 <br /> 2 2-24 10YR 4/4 none c 3 of m mefi -- --- ny n <br /> Ground <br /> elev. <br /> 92 65 ft. <br /> Depth to <br /> limiting <br /> fa or <br /> Z in. <br /> Remarks: <br /> Boring# <br /> 132 1 0-9 10YR 2 f m mfr a w 3 of InD n <br /> 2 9-22 10YR 4/4 c2d 7.5YR 5/8 scl 2 f m mfr a w inp n <br /> 3 22-2 10YR 4/2 c2d 7.5YR 5/8 c 3 of m mefi -- -- <br /> Inri : nn. <br /> Ground <br /> elev. <br /> 98_55-ft. <br /> Depth to <br /> limiting <br /> factor <br /> bin. Remarks: <br /> CST Name (Please Print) Sig a e Telephone No. <br /> Joan E Daniels 715 - 349- 5533 <br /> Address <br /> 4 - <br /> Address Date CST Number <br /> PO Box 316 Siren WI 54872 7/18/96 CSTMO 3431 <br />