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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 <br /> Labor and Human Relations <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 <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. IDZ.$_413+-05—l000 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION 'REVIEWED BY DATE <br /> l01�� <br /> PROPERTY WNER: PROPERTY LOCATION 'IP-P o i F L S <br /> vlL GOVT.LOT SS 1/4 nLz 1/4,S34• T 40 N,R I+ t�95W <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# I BLOCK# SUBD.NAME OR CSM# <br /> 81 n Z - <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE NTOWN NEST ROAD <br /> D< New Construction Use X Residential/Number of bedrooms 2-- [ ] Addition to existing building <br /> [ ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 3oa gpd Recommended design loading rate 7 bed,gpd/ft2 8 trench,gpd/ft2 <br /> Absorption area required 42-Ir bed,ft2 3"75 trench,ft2 Maximum design loading rate -7 bed,gpd/ft2. 8 trench, pd/ft2 <br /> Recommended infiltration surface elevation(s) 9 a• S ft (as referred to site plan benchmark) ' s � � ' l V <br /> Additional design/site considerations AL &r0EAej- i fl .D' -F j 041 ota c.,re \oc,K, ,,3h,Ll-. <br /> Parent material Fes,$AL.AZ_ <br /> + Flood plain elevation, if applicable -- ft <br /> t:�Uunjsuitable <br /> able for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDINfors stem �lS ❑U ❑S �IU �S ❑U l�S ❑U ❑S KU ❑S �U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft <br /> .................. <br /> in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench <br /> ................. <br /> .................. <br /> Ground <br /> elev. <br /> R ft. <br /> Depth to <br /> limiting <br /> factor <br /> '94'' <br /> Remarks: <br /> Boring # 3 <br /> -r $ <br /> 2. Z 4 -1•S Z 4 4 a+�e irn — IV $ <br /> Ground <br /> elev. <br /> q ft. <br /> Depth to <br /> limiting <br /> factor <br /> Remarks: AS) <br /> CST Name:—Please Print SEPTICPhone: <br /> Address: HCR 59, BOX 47d <br /> Signature: o' Date: CST Number: <br /> g /0-16-9, .Y)31,61 <br />