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Labor , SOIL AND SITE EVALUATION REPORT Page!of 3 <br /> , Division of Safety&Buildings in accord with ILHR 83.05,Wis.Adm.Code COUNTY <br /> • ,,, <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must include,but Dan e <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. 07-08/0-(o( 25D '7 <br /> APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIVED BY DATE <br /> D(C(r S--2 3-qY <br /> PROPERTY OWNER: PROPERTY LOCATION <br /> Seroti- P o, r.40 GOVT.LOT f tjj 1/4 AE 1/4,S /OT 8 ,N,R k) E(or)W <br /> PROPERTY OWNER':S MAILING ADDRESS LOT# BLOCK# SUBD.NAME OR CSM# <br /> ,_3190 R:teK Knot( Or. 45 '- Sunbor.tf- Add/- <br /> CITY,STATE ZIP CODE PHONE NUMBER ['CITY OVILLAGE '®TOWN NEAREST ROAD <br /> trko..c con Iii 5'3 10171 bo8)g37-;?043 _ Bur Kg_ Fh.rK K..otl pr; <br /> ( 1 New Construction Use A Residential/Number of bedrooms.5 [ I Addition to existing building <br /> LA Replacement [ I Public or commercial describe <br /> Code derived daily flow 755 gpd Recommended design loading rate .4 bed,gpd/ft2 _S trench,gpd/ft2 <br /> Absorption area required 1%7 5 bed,ft2 1560 trench,ft2 Maximum design loading rate .4' bed,gpd/ft2 •6- trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) Q'4.3 ft (as referred to site plan benchmark) <br /> Additional design/site considerations <br /> Parent material loess over ill Flood plain elevation,if applicable /i A ft <br /> S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK <br /> U=Unsuitable for system ®S ID CIS ❑U ws ❑U OS ❑U OS IIU 0 ®U <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz. Sh. Bed Trench <br /> w 1 0- 11 104 23h... 5 i / Zfsbk r,-Fr c,5 3� .S _fo <br /> ' -' 2 II-3e. 1oYR 3v- CI 2csbk mFr 95 z.,.c . L( _5 <br /> Ground 3 38-4$ f011R4ry Sep 1 01 sbk r -Cr oS , a -3 <br /> elev. <br /> a13.6ft. 11 4& 96 fotlR '/y , SI 1C-f)I - rn 'r ,1-1 .S. <br /> . <br /> Depth to <br /> limiting - <br /> fKtor <br /> Remarks: <br /> Boring# <br /> .... I D-f7 IO? 31.z. 5; 1 zf 3 6 k w-4"-r e.5 3c .5 . 6, <br /> A.. 2. I7-4Z loya 3jy c1 z- sbk tn�r qs 2� , V .S <br /> Ground 3 `f'L-47 IoYR 4/y 5c-1 I n•S b(( 'Cr c S , .2 -3 <br /> 43ft. 4 47-88 10YR7ii S ( we( r\c'r , yi ...s- <br /> Depth to <br /> limiting <br /> Remarks: <br /> CST Name:-Please Print Phone: <br /> � cven Tcsme_r !oo S 83'7 -5297 . <br /> Address: <br /> 6 0 1? Ra+--mar, Rd. M a.d i Son w I .Buoy <br /> Sgnature:/47: .-- Date /7- Q y CST Number: <br /> - - 3y Z./ <br />