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• <br /> /Wisconsin Deo-rtr,;ent of Commerce SAIL EVALUATION REPORT Page 1 of 3 <br /> Division of Safety and Buildings <br /> in accordance with Comm 85, 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 Dane J <br /> include, but not limited to: vertical and horizontal reference point (BM),direction and Parcel I.D. <br /> percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0512-054-7024-0 <br /> Please print all information. Reviewed by Da1E <br /> Personal iNOrmation you provide may be used for secondary purposes(Privacy Law,s 15.04(1)(m)) <br /> Properly Owner Property Location <br /> Tom Forster Govt. Lot SE 1/4 SE 1/4 S 5 T 5 N R 12 E „ <br /> Property Owner's Mailing Address Lot# Block# Subd. Name or CSM# <br /> 4458 Hill Road 24 __ Blue Meadow Estates <br /> City State Zip Code Phone Number ❑City ❑Village ®'Town Nearest Road <br /> Oregon, I WI I 53575 I ( 219-9098 Albion Elidon Way <br /> 2 New Construction Use:® Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material Loess Over Glacial Till Flood Plain elevation if applicable N/A h. <br /> General comments Suitable For In-Ground Absorption System <br /> and recommendations: <br /> Boring# <br /> Boring <br /> 1 Pit Ground surface elev1 O4.6 ft Depth to limiting factor >11 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' <br /> in. Munsell Qu. Sz. Cont.Color Gr.Sz. Sh. 'Eff#1 'Eff#2 <br /> A 0-11 10YR3/2 None sil 2fsbk mvfr cs lvf-f 0.6 0.8 <br /> B1 11-24 10YR4/4 None sicl 2msbk mfr gs 1vf 0.4 0.6 <br /> B2 24-45 10YR4/4 None sicl lcsbk mfi cs 0.2 0.3 <br /> IIC 45-112 10YR5/4 None sl 1mpl mfr 0.4 0.6 <br /> Boring# <br /> ill Boring <br /> 2 g Pit Ground surface elev1 O1.7 ft. Depth to limiting factor >96 in. . <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 <br /> in. Munsell Qu. Sz. Cont. Color Cr. Sz. Sh. 'Eff#1 'Eff#2 <br /> Fill 0-7 cs <br /> A 7-17 10YR3/2 None _ sil _ lfpl mfr cs 1vf 0.4 0.6 <br /> B1 17-38 10YR4/4 None sicl Om mfi gs 0.0 0.0 <br /> I1B2 38-43 7.5YR4/6 None scl 2msbk mfr cs 0.4 0.6 <br /> IIC 43-96 10YR5/4 None sI lmsbk mfr 0.4 0.7 <br /> • Effluent#1 = BOD5>30<220 mg/L and TSS >30< 150 mg/L ' Effluent#2=BOD5<30 mg/L a d TSS <30 mg/L <br /> CST Name (Please Print) Signature CST Number <br /> Paul A. Hardy -_- Z /;r;;n 225394 <br /> Address Date Evaluation Conducted / Telephone Number <br /> 7226 Timberwood Drive, Madison, WI 53719 7-12-13, 5-12-. 6 608-848-4869 <br /> 1 <br />