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Labor and <br /> SOIL AND SITE EVALUATION REPORT Page_Lof_jQ_ <br /> Division of Safey&Buildings in accord with ILHR 83.05, Wis. Adm. Code <br /> COUNTY <br /> Attach complete site plan on paper not less than B 1/2 x 11 inches in size. Plan must include,but u r r/J / - <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 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWE B DATE <br /> PR ERTYOWNER: PROPERTY LOCATION <br /> ske GOVT.LOTA SE1/4 Ei/4,Sa.6T %m ,N,R ��— E(orj <br /> PROPERTYOWNER'::,� LINGADDRESS LOT BLOCK# SUBD.NAME0 M# <br /> .36 /J ✓e Y. c V. P. l s <br /> TY,STAT ZIP CODE PHONE NUMBER ❑CITY ❑VI4LAGE RrOWN N�gREST AD <br /> V/ /17' SSia c6/� ���6999 TacKsoh Lee <br /> >f New Construction Use X Residential/Number of bedrooms oZ [ J Addition to existing building o .f <br /> [ J Replacement [ ] Public or commercial describe N/,1 <br /> Code derived daily flow 3,0 0 gpd Recommended design loading rate 0 6 bed,gpd/ft2 0.. ' trench,gpd/ft2 <br /> Absorption area required z9 bed,ft2 37.5" trench,112 Maximum design loading rate 0. 7 bed,gpd/ft2 O.X trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s)_pt/. 93.0u' a/Z 9/. '16 ft (as referred to site plan benchmark) <br /> Additional design/site considerations S 7' Sllv e c /,4e < X/uh / 1 be c e 1J a <br /> Parent material rr i Flood plain elevation, if applicable /1 It <br /> S=Suitable for system CONVENTIONAL MOUND IN ROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem BS ❑U 19 S ❑U US ❑U 9S ❑U ❑S �U ❑S KU <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPD/ft <br /> Boring # Horizon Texture Consistence Roots <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trends <br /> 7.s yS 0 - sAl ad o. <br /> S „ 7s` y- D - s 7 op <br /> Ground ' 7S S--t} rh S /� d. 7 O. <br /> elev <br /> p�ft. <br /> qy.s-o <br /> Depth to <br /> limiting <br /> factor <br /> hnh,r� <br /> Remarks: ac I'oe 6or;"re <br /> Boring # <br /> na: i 6 7.s-rw v- dsa rP 6, 7 10,S <br /> s- <br /> ;Y5ZrXe V- <br /> — s 0 - S Aci s <br /> Ground 3 " 7 S 'S-ri` M 7S 7 O.S1 <br /> elev. <br /> p�Pt. <br /> Sep�iGto <br /> limiting <br /> factor <br /> .S7„ LL <br /> Remarks: a e ,tic ac 3b o <br /> CST Name:—Please Print J nth �h Phone: <br /> a. l/pica U BGG - �G/Y <br /> Address: <br /> lv.s01� f'i/!e Qra d d . 41e 6,J 7cr W%.f. <br /> Sign i Date: CST Number: <br /> v/t/ a Y �sTi`I v3y 3 <br />