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Wiscon.n Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 2 <br /> abor aia Human Relatiops <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 Burnett <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 REVIEWED BY DATE <br /> Part of 4 77 <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Town of Scott GOVT.LOT NW 1/4 NE 114,s 21 T 40 N,R 14 /$jbr)W <br /> PL flE (,OUntyMAILINGADDRESS LOT# BLOCK# SUBD.NAME OR CSM# <br /> LttiyU 1 L fftttl0 Illi na na na <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILIIp6t� IN NEAREST ROAD <br /> WEBSTER WI 54893 ( 719 635-6363 Cty A & H <br /> [ ] New Construction Use [ ] Residential/Number of bedrooms [x] Addition to existing building Town hall <br /> [� Replacement Qt] Public or commercial describe Existing garage <br /> Code derived daily flow 486 gpd Recommended design loading rate .7 bed,gpd/ft2 .8 trench,gpd/ft2 <br /> Absorption area required 695 bed,ft2 608 trench,ft2 Maximum d? n loading rate JLbed,gpd/ft218_trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 101 .00 417 7�`s< ft (as referred to site plan benchmark) <br /> Additional design/site considerations Bed design w/dosing into conventional system 20x40 <br /> Parent material Unknown Flood plain elevation,if applicable na ft <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ®S ❑U ®S ❑U ®S 0 I ❑S ®U ❑S ®U ❑S ®U <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> Boring# Horizon in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trench <br /> 1 0-3 10YR 211 none S 0 sg ml a s 1 f 7 8 <br /> 2 3-24 7.5YR 4/4 non -- <br /> Ground 3 24-60 7.5YR 4/6 none S 0 sq ml a q -- 7 .8 <br /> elev. <br /> 102-�LO-ft. 4 60-84 7.5YR 4/6 f 1 f 5YR 5/8 S 0 sq ml <br /> Depth to <br /> limiting <br /> factor <br /> 60„ <br /> Remarks: Water at 73" <br /> Boring# 1 0-6 10YR 2/1 none S 0 sg ml a s 2 c .7 .8 <br /> 2 'n 2 6-42 7.5YR 4/4 none S 0 Sg ml a g 2 m .7 .8 <br /> 3 42-88 7.5YR 4/6 none S 0 so mf' -- -- <br /> Ground <br /> elev. <br /> 102.75ft. <br /> Depth to [ <br /> limiting <br /> factor <br /> AR" . _ _ . <br /> Remarks: Hor 3 slightly rmmpArtPd <br /> p Phone: <br /> CST�l0ag�.�Ple�sarlfels 715-349-5533 <br /> Address: PO Box 316 Siren 01 54872 <br /> Sgnature: C Date: 7/8/94 CST Number: <br /> �i CSTM0TMO 3431 <br />