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of <br /> LaborandHu an Rel tions 'sty, SOIL AND SITE EVALUATION REPORT Page <br /> Labor and Human Relations <br /> Division of Safety 8 Buildings in accord with ILHR 83.05,Wis.Adm. Code <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include,but COUNly <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PAM4:L I.D.# <br /> dimensioned, north arrow,and location and distance to nearest road. W—0 I _ <br /> APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION REVIE NEDBY u 9 J <br /> PROPERTYOWNER: lI A_ <br /> 5S <br /> PROPERTY LOCATION <br /> Duane Hazelton GOVT.LOT 1/4 1/4,S 8 T 41N N p 16 g(or)W <br /> PROPERTY OWNER'S NIAILINGADDRESS LOT if BLOCK# SUBD.NAMEO CSM# <br /> P.O. Box 218 6 S 7 1 Original ownsite of Danbury <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD <br /> Danbury, WI 54830 1713 866-8857 Swiss <br /> First Street <br /> [ ] New Construction Use[ ] Residential/Number of bedrooms [ ] Addition to existing building <br /> (4 Replacement [XI Public or commercial describe Bar <br /> Code derived daily flow 400 god Recommended design loading rate 1.2 bed,gpd 2 1.2 trench,gpd/ft2 <br /> Absorption area required 375 bed,ft2 375 trench,ft2 Maximum design loading rate 1.2 bed,gpd 2 1.2 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 97.8 ft (as referred to site plan benchmark) <br /> Additional design/site considerations NA <br /> Parent material Glacial Drift Flood plain elevation,if applicable NA ft <br /> S=Suitable fOr System CONVENTIONAL MOUND IN-GROUND PRESSURE A❑T-$DEE U SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem ❑S 11 U ®S ❑U IDS Q U ❑S [RU <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure GPD/ft <br /> in. Munsell Qu.Sz.Cont Color Consisten Boundary Roots <br /> =N Gr. Sz. Sh. <br /> +1 138"-48 <br /> 11 ' 10 YR 3 2 Bed Tnd---------- isif r mvfr cs f—co-28 ' 10 YR 4/4 ----- <br /> -- is lmsbk mvfr gs f—coGround 10 YR 4/6 c2d 5 YR 5/8 sl 2msbk mfr <br /> elev. -- -- -- <br /> 96.3 ft <br /> Depth to <br /> limiting <br /> 2f8gjor <br /> Remarks: <br /> Boring# <br /> Y 1 0-8" 10 YR 3/2 <br /> --------- is lfgr mvfr cs f—co .7 .8 <br /> Y 2 8"-31 ' 10 YR 4/4 ---------- is lmsbk mvfr gs f—co .7 8 <br /> 3 1"-48 ' 10 YR 4/6 c2d 5 YR 5/8 sl 2msbk mfr _ <br /> Ground <br /> elev. <br /> 96.8 ft. <br /> Depth to <br /> limiting <br /> factor <br /> 31" <br /> Remarks: <br /> T Name:—Please Print Wade Rufsholm Phone: <br /> Address: (71.5)349-7286 <br /> Signature: 24702 Lind Road P.O. Boa 514 Siren, WI 54872 <br /> Date: CST Number: <br /> 5/4/95 3583 <br />