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Wisconsin Department ofIndustry, SOIL AND SITE EVALUATION REPORT ISI, Page_of <br /> Labor and Human Relations <br /> Division of safety a Buildings in accord with ILHR 83.05,Wis. Adm. Code <br /> COUNTY <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include,but Bu Al <br /> not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEI I.D.# `t <br /> dimensioned, north arrow,and locatiort and distance to nearest road. -.5�,�6- OA'l00 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIE ED BY 'ITE, <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> ,�I M M 0 0GOVT.LOT �t�L1A+ 1/4,S T 91 ,N,R It, E(orePROPERTYOWNER':SMAILINGADDRESS LOT# BLOCK# SUBD.NAME O CSM# <br /> 2 to ZINDt 5 ST. <br /> CITY,STATE ZIP CODE PONE NUMBER ❑CITY []VILLAGE MOWN NEAREST ROAD <br /> OS E 14 I . -5`1020 IS)29A 3952 Swiss CR4t'(.9 �R v. <br /> ( ] New Construction Use Wj Residential/Number of bedrooms 2 [ ] Addition to existing building <br /> Dq Replacement [ ] Public or commercial describe <br /> Code derived daily flow 30 0 gpd Recommended design loading rate 3 bed,gpd/ •S trench,gpd/ft2 <br /> Absorption area required 1429 bed,ft2 3'75 trench,ft2 Maximum design loading rate .7 bed,gpd/ft •$ trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) 93.8 ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material Ca L.R c t 8 L DRiff Flood plain elevation, if applicable Nq ft <br /> S=Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable fors stem [9S ❑U ®S ❑U ®S ❑U 7S]S ❑U ®S ❑U ❑S IOU <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consisten Botrtary, Roots GPD/ft <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trench <br /> sati:�Q; <br /> I I D- 6 .5 Q- Ali ns em-S d I cs 7M 8 <br /> 2 b 99 RS YX H4 �— Ms 0 d1 (M 1 S <br /> Ground <br /> elev. <br /> 7.3 ft. <br /> Depth to <br /> limiting <br /> factor <br /> > 79 <br /> Remarks: <br /> Boring# <br /> 1 0-5 7.5 2 3/7- MS OH5 144C5 2M .Z � .S <br /> 2 5-66 7.5 R `� N �`� MS OHS Al GS ZM � •$ <br /> Ground 3 (off-?1 -7_S R 4/q C2d 7.5 2 5 S IAS OHS M1 $ <br /> elev. <br /> gb.Zft. <br /> Depth to <br /> limiting <br /> factor <br /> (P to <br /> Remarks: 1a <br /> CST Name.—Please Print 1414A)Z0 Qp/Vn/S �S-Phone: 6 �l/5 <br /> Address: 2—'77&C) 14wX 35 l.✓ BSTr•-R /. 649J3 <br /> Signature: 'I Tat qs j ��u�mber: <br />