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.Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of <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 81/2 x 11 inches in size.Plan must include,but ""'S�P- <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. 0 6 -09 4co <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> ^X e- <br /> PROPERTYOWNE : PROPERTY LOCATION <br /> OKVI —L 'P»HL-I (7 GOVT.LOT NE1/4$VJ 1/4,S21oT 39 ,N,R )6 E(ore <br /> PROPERTY OWNERS MAILING ADDRESS LOT# BLOCK# SUBD.NAME OR CSM If <br /> 109 CHERR ST. <br /> CITY,STATE I <br /> crZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MTOWN NEAREST ROAD <br /> �iEpWIrJG 'll�b� I Iz-)388 - 2y )D �„J �• <br /> dQ New Construction Use a] Residential/Number of bedrooms Z [ ] Addition to existing building <br /> I ] Replacement [ ] Public or commercial describe <br /> Code derived daily flow 300 gpd Recommended design loading rate •7 bed,gpd/ft2 •$ trench,gpd/112 <br /> Absorption area required 4201 bed,ft2 S7 S tren ft2 Maximum design loading rate -7 bed,gpd/ft2 ' $ trench,gpd/112 <br /> Recommended infiltration surface elevation(s) 57.9 HLT U-2 ft (as referred to site plan benchmark) <br /> Additional design kite considerations IOrR 93 BE <br /> Parent material C7 RRC I A L 'DRI fT Flood plain elevation,if applicable 74A ft <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADESYSTEM IN FILL HOLDING T NK <br /> U=Unsuitable fors stem IK S ❑U S ❑U 5dS ❑U EIS ❑U MLS ❑U ❑S <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPD/ft <br /> Boring# Horizon Texture Consistence Boundary Roots <br /> in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trench <br /> p : n ► �s z a <br /> 7— s R � y Ms0 Ms M1 Cs ZM .7 •$ <br /> Ground 3 6�1 'IO �.5 R C2cl MS Irh 1 $ <br /> elev. <br /> 012.J ft. <br /> Depth to <br /> limiting <br /> factor r r <br /> Remarks: <br /> Boring# <br /> 0-9 7.S LP, 30 OMS Nl CS 2- <br /> TAS <br /> M$ 0M$ M C.S 2- 1 g <br /> Ground"` 3 9 CIJ 7. i s M5 o TAS �� '1 0 <br /> elev. <br /> �n.sft. <br /> Depth to <br /> limiting <br /> fa for it <br /> Remarks: \� �rr�" �• <br /> CST Name:—Please Print )� OPY.J S Phone: 715-SG6 - q IS / <br /> Address: 27760 Hwy 35 kN/,5057L2 kJ/• �8� <br /> Signature: Date: CST Number: <br /> zs- 91 3 Oo <br />