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'Nistonsin Department of Commerce SOIL AND SITE EVALUATION <br /> Division .)f Safety and Buildings' Page of <br /> Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code <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 /> 39` 3Y33 m / , ,?c5)c <br /> APPLICANT INFORMATION - Please print all information. Reviewed byDate <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). /T 1 �/ 1g <br /> Owner PropertyLocation /3'�j _— <br /> Property <br /> ((( l/ !( ( b <br /> Gary & Rl onda Erickson Govt.Lot NE 1/4 NW 1/4,S 33 T 39 ,N,R 17 k (or)W <br /> Property Owner;Mailing Address Lot# Block# Subd.Name or CSM# <br /> 9641 County Road D __1 - _ <br /> City State Zip Code Phone Number El City ❑ Village ® Town Nearest Road <br /> Webster, WI 154893 1 (715 ,866-8408I Lincoln 1 County Road D <br /> ® New Construction Use: ❑i Residential/Number of bedrooms Addition to existing building <br /> ❑ Replacement NIPublic or commercial-Describe: A(Jc.f/o.✓ i 0 paz oda <br /> Code derived caily flow v7o c' gpd Recommended design loading rate •5 bed,gpd/ft2 •6 trench,gpd/ft2 <br /> Absorption area required `7/X2 bed,ft23�..7--_trench,ft2 <br /> Maximum design loading rate _5 bed,gpd/ft2 _6 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 97.0 ft(as referred to site plan benchmark) <br /> Additional desigln/site considerations NA. <br /> Parent materia, Glacial Drift 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 ns ❑ U CTS ❑ U ® S ❑ U ® S ❑ U ® S ❑ U ❑ S X] U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench <br /> 1 <br /> 3-2" 7.5 YR 312 is lmsbk mvfr cs 3f—m .7 .8 <br /> 2 2"-87" 7.5 YR 5/6 grsl , lmsbk mfr -- -- .5 .6 <br /> Ground <br /> elev. — <br /> 100.k. <br /> Depth to -- <br /> limiting <br /> factor — <br /> 87"in. <br /> Remarks: <br /> Boring # <br /> - <br /> 0-7" 7 5 YR 1/7 lc lmchk mvfr rc Rf—in 7 R <br /> 2 7 '-91" 7 5 YR. 5/6 grsl _ 1mchk mfr -- , -- 5 6 <br /> Ground <br /> elev. ft. / , <br /> 101 <br /> S <br /> Depth to — / 17c'limiting ` b <br /> factor <br /> 91111-1. Remarks: <br /> CST Name (Please Print) Signature Telephone No. <br /> Wade Rufsholm l��cZ---`/? 4Zy/- (715) 349-7286 <br /> Address Date CST Number <br /> 24702 Lind Rd. P.O. Box 514 Siren, WI 54872 4/2/98 3583 <br />