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Wisconsin Department of Safety and Profession ServicesLe5 Page of <br /> � _ Division of Industry Services 5 ��)c.—` <br /> _�_ SOIL EVALUATION REPORT <br /> In accordance with SPS 385,Wis.Adm.Code County <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, Burnett <br /> but not limited to:vertical and horizontal reference point(BM),direction and percent slope, Parcel I.D. <br /> scale or dimensions,north arrow,and location and distance to nearest road. 070242 9142421 1.0011100 <br /> Please print all information. �i-w=� b•y /Al �QDat/ �] <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). (A , j.. I(J/�b�v <br /> Property Owner Property Location ❑ 0 <br /> Greg Phillips Govt.Lot SE v4 NW y, s 24 T 39 N R 14 E(or) W <br /> Property Owner's Mailing Address Site Address or CSM and Lot#: <br /> 9640 State Rd 19 Bass Lake Ln <br /> City State Zip Code Phone Number 0 City 0 Village El Town Nearest Road <br /> Mazomanie WI 53560 ( ) Rusk Bass Lake Ln <br /> ewConstruction Use: Residential/Number of bedrooms 3 Code derived designflow rate450 GPD <br /> Replacement //� ❑Public or commercial—Describe: Flood Plan elevation if applicable ft. <br /> Parent material C.��Li C..4( D,.t 1,..4+s[1 <br /> General comments and recommendations: <br /> 1 Boring# Boring 96.5 108 87.5 <br /> Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 <br /> 1 0-4 10YR 3/2 Is 2msbk mvfr CS 3m .7 1.6 <br /> 2 5-32 7.5YR 4/4 Is Osg ml cw .7 1.6 <br /> 3 33-108 7.5YR 4/4 s Osg ml .7 1.6 <br /> 2 Boring# Boring 1 08 <br /> EPit Ground surface elev.95 ft. Depth to limiting factor in./elev.86 ft. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 <br /> In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 <br /> 1 0-6 10YR 3/2 Is 2msbk mvfr cs 3f .7 1.6 <br /> 2 7-36 7.5YR 4/4 Is Osg ml cw .7 1.6 <br /> 3 37-108 7.5YR 4/4 s Osg ml .7 1.6 <br /> CST Name(Please Print) Signature CST Number <br /> Dan Burch 253808 <br /> Address Date Evaluation Conducted Telephone Number <br /> N5921 County Hwy K Spooner WI 54801 July 28 2022 715.416.1642 <br /> *Effluent#1 =BOD>30 5 220 mg/L and TSS>30 5 150 mg/L *Effluent#2=BOD,5 30 mg/L and TSS 5 30 mg/L <br /> SBD-8330(R04/21) <br />