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NOV-26-97 WED 05 :25 PM DR LAURA KNIPFER 6138 655 3715 <br /> P. 01 <br /> ., •Wisconsin Department of Industry, <br /> LaborandHUmanAelations SOIL AND SITE EVALUATION REPORT <br /> Division of Safety 8 Buildingp Page 1 D( <br /> t,....•`'` • J In accord with ILN13 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 Dane <br /> not limited to vertical and horizontal reference point(RM),direction and%of elope,scale or <br /> dimensioned,north arrow, and location and distance to nearest road. PARCEL I.D.# <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE <br /> PROPERTY OWNER_ PROPERTY LOCATION <br /> M)K E q ,(.,A U A A 14) r P t✓E! GOVT.LOT 54,...) 114 nJ 1/4,S /g I p ,N,R I Z E <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# ' BLOCK# <br /> c?O Su+.i p� Rom) <br /> U csM# <br /> CITY,STATE P R A T f ZIP CODE PHONE NUMBERo Po S 0 <br /> ❑CITY ❑VILLAGE; (TOWN NEAREST ROAD <br /> Mgt r1AC.t, } (j i , S ssq (cog)G,ss- LI 32..o r1 Le)/+Jq C, ,J, 1" <br /> (r New Construction Use (Al Residential I Number of bedrooms ( 1 Addition to existing building , <br /> I ) Replacement G(J Public or commercial describe N( :R n/A R V CU N,c. . r.. •cm cc S F4 ob R tint.,a <br /> Cake qy l o c w-4 c, Renv.,r. $.45444-11 / - <br /> Code derived daily flow j 2 o gpd 41-''''-• Sao Recommended design loading rate ♦• bed, 2 hK d./ 2 �� <br /> '�rr33 ra b A A 9P trench,gp�fi <br /> ,Absorption area require�'2 e,5•o bed, h2 /G/D trench, 112 Maximum design loading rate 4.0- bed,gpd/It2 el 5 trench,gpd/fi2 <br /> Recommended Infiltration stir lace elevation(s) ,t'eo u'O0 5''- TTN ft (as referred to site plan benchmark) <br /> Additional design/site considerations Aferc• 4 li,e/A A/C t cJic.c AliC Akt,e,.4d 7 4/,4,t e4'.uic .•,A4 ey.d.Svv <br /> Parent material Loess over glacier till Flood plain elevation,it applicable �/O ft s�srxri <br /> S-Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT-GRAB SYSTEM�u FILL HOLDING K <br /> U e Unsuitable for system_ ❑S O U _ S ❑U ❑S Ed U ❑S WU ❑S ( -u Li S LA U <br /> SOIL DESCRIPTION REPORT <br /> Depth Dominant Color Mottles Structure GPO/ft2 <br /> Boring# Horizon Texture Consistence Barclay Roots . <br /> in. Munsell Qv Sz.Cont.Color Gr. Sz. Sh. Bed T) r <br /> ii <br /> 1 I O `t so 1e2'7 2 /.�o.f rt :I)L ZM s e!e .�s�4 C � 24' d•s b,6 m 9-Zp� lo`�2y�3 ZMArSK +yFr2 Ctrs /fir• d p.S' <br /> Ground 3 Zo •p /oiR sz �/ <br /> eiev. + _ L l�+�Q!< rf�l �� lt/� c1.7. o•3 <br /> fl. y� Gzp roVA.174" <br /> o /01'R j� i•t',t 7 1 r-1 a 4 g .-94 / C -- ----- <br /> Depihto 5 _3L .Vi' it, lit 'c/ C2.r) toyr- z In Pc, X-f2 ._-- —'.. ' — <br /> factor + <br /> 95-8 - l <br /> I <br /> . I <br /> Remarks: ,/o d i a,t/ .fie 4,/,-/6 4./.4 r-,a/d - - <br /> Boring # - -- <br /> l o- 9 /o Y�/l Viz_ A/c A/, S// �z�s8,‹ Hf/2. G� 2 0•5 D•l., <br /> 9- zs /0.7)/2. 4' G I Z N r18k ,./.e/ C r <br /> 5" V5 / ? <br /> 0 la R / <br /> �l G z y r <br /> Ground 3 Z 0 2 3 /0 I-�re 7/2, C f 1�si•3 K Mf-/ C tJ <br /> eiev. r <br /> 9,5,3 ft. - - . <br /> Depth to <br /> limiting <br /> factor I <br /> 960.2. <br /> Remarks: <br /> CST NName:--Pte se Print P ne: <br /> B irrenko t Surve in y g, Inc., Daniel'v. :Birrenkott (608)837-63 Fax (608) 837-1081 <br /> Address: 1677 No th Bristol Street P.O. Box 237, Sun Prairie, Wisconsin 53590 <br /> Signature; •� AlliCA1 Date; CST Number: 1906 <br />