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Wisconsin •-,•.,rnu..•, • -•- •.....- nal Services ,�/ <br /> n�nii /] C.l `` o -.2/7 <br /> VV E SOIL EVALUATION REPORT Page 1 of 2 <br /> W2'.1 v2 J in accordance with SPS 383,Wis. Adm. Code <br /> 0 •// `�j 7{1•.,1 County BURNETT <br /> . <br /> complete';ite plan on pa• • loss than 812 x 11 inches in size.Plan must <br /> 1 d -,but not limited to:vertical: • horizontal reference point(BM),direction and Parcel I.D. 07-020-2-40-16-04-5 05-002-011000 <br /> per•=i -- - - - -• -,norm arrow,and location and distance to nearest road. <br /> Burnett ounty R • by Date <br /> Land Services De sat print all information. <br /> Personal information you provide may be used for secondary purposes(Privacy Law,S.15.04(1)(m)). mg - �' , a/I5/7 3 <br /> Property Owner Property Location <br /> E( ❑NISSA TUPPER Govt.Lot 2 --- 1/4 1/4 S 04 T 40 N R 16 E(or)W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSMff <br /> 1696 JAMES ROAD — — -- <br /> City State Zip Code Phone Number Deity DI Village ['Town Nearest Road <br /> MENDOTA HGTS 1 MN 1 55118 1 ( 651 ) 206-3282 O AND 1 HAYDEN LAKE ROAD <br /> 0 New Construction Use° Residential/Number of bedrooms NA Code derived design flow rate NA GPD <br /> ❑Replacement ❑ Public or commercial-Describe: <br /> Parent material SANDY OUTWASH Rood Plain elevation if applicable NA ft. <br /> General comments BORING REQUIRED TO OBTAIN PERMIT FOR PIT PRIVY. <br /> and recommendations: <br /> Bt-1-1 c rv& c PIT PRi V y 15 '1.0+ PER C i,:ti'Eg-' <br /> 1 Boring# 0 Boring <br /> ❑ pit Ground surface elev. NA ft. Depth to limiting factor St in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. `Eff#1 'Eff#2 <br /> 1 0-,�S 75yRZ,4/2_ — IS Cs di — C,7 (.! <br /> z 3-c' '7,5 viz 74 s 0.51 nAr - - 0;7 ►.(v <br /> 3 32_- 1.1R 4j4 — 3 0 in 1 _ — 0.7 1,6 <br /> cGs. <br /> e <br /> ( ttu k d1 - (,Y J /mac`- ieall.4. a V.( .as urvwne er a cvto/ t o 1 cit, 130 M <br /> Boring# El Boring <br /> Pit Ground surface elev. ft. Depth to limiting factor 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. 'Etf#1 'Eff#2 <br /> • <br /> .Effluent#1 =BOOS>30<220 rrg/L and TSS>30<150 mg/L •Effluent#2=BOOS<30 mg/L and TSS<30 mg/L <br /> CST Name(Please Print) )S' CST Number <br /> MARY JO HUPPERT(Hollister's Soil Testing&Design) 224832 <br /> Address Date Ev n Conducted Telephone Number <br /> 25720 Firefly Lane,Webster,WI 54893 05- 15,2022 715-426-1775 <br /> SBD-8330(R07/13) <br />