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VWscgnsinDeparerentofIndustry, SOIL AND SITE EVALUATION REPORT Page1of <br /> Labor and Human kelations <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 8 1/2 x 11 inches in size. Plan must include,but 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. 039–`1100-0d– 700 900 <br /> APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> c !- <br /> PROPERTY OWNER: � PROPERTY LOCATION <br /> ^ 2 <br /> 1 n r j GOVT.LOT 3 W— 49,S.29 T 37 ,N,R ] g E(or OW <br /> PROPERTY OWNERS MAILI G ADDRESS LOT# BLOCK# SU D.NAME 6FFeft# <br /> U N i -e ttof I� — feta+ o-F Sunrise Poin> <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE OWN NEAREST ROAD*-�5G95+2o&7 <br /> Ie Grovz til 553 1 c�tIR LU0- 5w,rrse,Po)ntRd. <br /> [ ] New Construction Use Residential/Number of bedrooms 3 [ ] Addition to existing building <br /> +,A Replacement [ ] Public or commercial describe �— <br /> Code derived daily flow J+SU gpd Recommended design loading rate bed,gpd/ft2 �i trench,gpd/ft2 <br /> Absorption area required 375- bed,ft2 375 trench,ft2 Maximum design loading rate S bed,gpd/ft2_. 1�e_trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 10 .967, ft Aupe erred to site�Igp benchmark) <br /> Additional design/site considerations I 07,26 on rc Laf 1v place ►r+ouMa�+�n a31oslopc, <br /> Parent material G lac;a- FfoW plain elevation,if applicable N ft <br /> S=Suitable for system CONV NAL ND IN-GROU PRESSURE AT-GRAD SYSTEM I FILL HOLDIN NK <br /> U=Unsuitable fors stem El U S [:] <br /> ❑U ElS U El U ❑S U ❑S �U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary RootsGPD/ft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trend& <br /> sn,s6K fr�fr- 3�a <br /> ol P,Ala <br /> E II-ao Io 33 �—= 5lmy T I S <br /> sA 46, <br /> Ground 3 as-3L 1 o`{ A I �— 5 rnsbK 3-(-co S , <br /> elev. <br /> cl <br /> Io\4R6 b <br /> Depth to <br /> limiting 5 40-5;4 Oy 2 u�u s S g I m-d m�'" <br /> fac r ,� <br /> Remarks: - 5 [{ <br /> Boring# <br /> 1 0-B loy2ala o2rnsu\ C <br /> Ground <br /> 3 [tp 3(0 lo`4RNly C tovQV 5C f 1-r5bKmfr r-- 3(-cb R ,3 <br /> elev. <br /> IOI,)0ft. <br /> Depth to <br /> limiting <br /> If to ,r <br /> Remarks: r&C <br /> T Name:—Please Print Phone: <br /> t r E. er- 7tS - S3 ---�3­? <br /> Address: Crreek )2J- -Soetn <br /> WT V070,a <br /> Signatu _ Date- I Q CST Number:7g <br />