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m5urinsrnveparunenru1iriuusuy, 5UIL ANU 51I t tVALUAI IUN HtPORT Page?of 3 <br /> Labor arv+�`uman Relations <br /> Grvision 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. <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BK DATE _ <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> �� �- ` •(�� �Jris�/•¢user= GOVT.LOT { U4 I/4,S/O•T ,N,R /cf FEW <br /> PROPERTY OWNER':S MAILING AODRESV LOT# BLOCK# SUBf�.NAME OR CSM# <br /> Q to L.30 4 Ili eared L-tar�, l CSA-1 .j� p� � <br /> CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE WOWN NEAREST ROA <br /> new u-)L 5LP8o t (7PS) <br /> K New Construction Use Residential/Number of bedrooms Trt,,au.LlZ 2- [ ] Addition to existing building <br /> Replacement [ ] Public or commercial describe <br /> Code derived daily flow 3ex::) gpd Recommended design loading rate bed,gpd/ft2 . S trench,gpd/ft2 <br /> Absorption area required 429 bed, ft2 3-7S trench,ft2 Maximum design loading rate -7 bed,gpd/ft2 .8 trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s). - 94.w CAc- f'A0 ft (as referred tg site plan benchmark) <br /> Additional design/site considerations A d7y EJeAl: 1oo.o -' 1:�/2.9 ic, : - DoLtble ao 11 04,z Twee) <br /> Parent material 3/A-1_r4,- dA 4-F Flood plain elevation, if applicable z A ft <br /> S=Suitable for system CONVENTIONAL ' MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem 9 S ❑U N S ❑U SS <br /> ❑U ❑S NU El �,U ❑ S :1 U <br /> SOIL DESCRIPTION REPORT <br /> Boring # Horizon <br /> Depth Dominant Color Motties Structure GPD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed '.Trench <br /> I-P 7'' 7-'5Yi IL In,s6t< rY„- I 1 - -g <br /> ........ <br /> Z -7-29 7.5 Y fZ `I"/y -k%cr AJ <br /> Ground 'T YiL 2_. _n . -7 <br /> elev. <br /> (�ft. <br /> Depth to <br /> limiting IV <br /> factor VW" GKI <br /> 90•�` <br /> 9{3,6 Remarks: rT <br /> Boring # WL <br /> P ?" T.5`2R -VIA- 1 df <br /> `..2 )< -7-3-D -7.St Z /bC'r%E AJ '-VuD_ 1 . -Z <br /> Ground 3 30-1 -7-SYt2 Wz— a�.c 6 n�. �+p — 1F <br /> elev. <br /> ft. <br /> Depth to <br /> limiting <br /> fa for <br /> y,o3 Remarks: fir ��5� ,CIQ Qo1 w 03 <br /> CST-Name:—Please Print M & K Phone: <br /> Address: f}CR 59, BOX 478d <br /> Signature: Spooner, WI 54801 Date: CST Number: <br />