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Nsconsin Department of Commerce SOIL EVALUATION REPORT Page_i of <br /> Division of Safety and Buildings <br /> in accordance with Comm 85,Wis. Adm. Code <br /> County Burnett <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 03�(_ oa— <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). D� <br /> Property Owner Property Location ❑ El <br /> Mary McCory&Jack Holmes Govt.Lot NW 1/4 sE 1/4 S 12 T 41 N R 16 E(or)W <br /> Property Owner's Mailing Address Lot# Block# Subd. Name or CSM# <br /> P.O.Box 93 <br /> City State Zip Code Phone Number ity []Vllage own Nearest Road <br /> Danbury Wl 1 54830 1 ( ) Swiss Hwy 35 <br /> QNew Constriction UseE] Residential/Number of bedrooms 2 Code derived design flow rate 300 GPD <br /> Replacement Public or commercial-Describe: <br /> Parent material Rlacial till Food Plain elevation if applicable <br /> General comments non-pressurized in-ground system system range:95.92'-96.17' <br /> and recommendations: <br /> Boring <br /> # <br /> F <br /> ❑ Boring r 69 <br /> Q Pit Ground surface elev. 98.67 ft. Depth to limiting factoin. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. "Eft#1 'Eff#2 <br /> 1 0-6 1Oyr2/1 none Is 2msbk mvfr gw 2m .7 1.6 <br /> 2 6-157,5 4/4 none is Osg ml 9w 2m .7 1.6 <br /> 3 15-69 7.5yr4/4 none s Osg ml 2m .7 1.6 <br /> 2 0 Boring 68 <br /> ❑ Boring# El pit <br /> Ground surface elev. 98 25 ft. Depth to limiting factor in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> in. Munsell Qu.Sz. Cort.Calor Gr.Sz.Sh. Eft#1 'Eff#2 <br /> 1 0-4 1Oyr2/1 none Is 2msbk mvfr gw 2m .7 1.6 <br /> 2 4-12 7.5yr4/4 none Is Osg ml gw 2m .7 1.6 <br /> 3 12-68 7.5yr4/4 none s Osg m] 2m .7 1.6 <br /> Effluent#1 =BOD,>30<220 mg/L and TSS>30:5 120 mg/L 'E D <30 mg/L and TSS<30 mg/L <br /> CST Name(Please Prink) ignature CST Number <br /> Travis Butterfield 652879 <br /> Address IVDate Evaluaboruortauctea Telephone Number <br /> 14430 W State Rd.77 Hayward,W1 54843 9/13/04 715 634-6080 <br />