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D E C C O V -� 50 <br /> ! 1,1 # 123 ORIGINAL <br /> ARIA1/ <br /> °`` ''i�� is I sin'Departm nt atety ssional Services Page of <br /> �� 7.. ivisi of Industry Services es-c---�y.•e1 <br /> :' ' - Burnett County SOIL EVALUATION REPORT <br /> \ __ , Land Services Department <br /> J'�;�,„ ,`n n acco nce with SPS 385,Wis.Adm.Code County <br /> leturxidi <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, <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. 07-OyC-Z-fQ19-/J Z bl row-ail ao <br /> Please print all Information. a 'awed by I�y,'�/(�Yn 1t1e012,11Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 5 <br /> Property Owner f Property Location 0 co <br /> // <br /> ' e� Kn'V/!b/-6 Govt.Lot /(f E % Nk/Y. S I I T 3G( N R I9 E(or) W <br /> Property Owner's Mailing Address Site Address or CSM and Lot#: <br /> h45 /Or"tHNE: <br /> City, State,Zip Phone Number ❑ City 0 Village To n Nearest Road ))?JkOy�7 <br /> Gedar NN 6-5otI ( ) Vest-inetiO f�xe..; ',1 <br /> 5 New Construction Use:li Residential/Number of bedrooms Z Code derived designflow rate 360 �LGPD <br /> El Replacement ❑Pub lip or mmerciai-Describe: Flood Plan elevation if applicable /''T ft. <br /> Parent material 46(6 4/ /Yr' i f <br /> General comments and recommendations: -ray._ L b 31e-14-15 <br /> I Boring <br /> Boring# [ ]Pit Ground surface elev.70/�`D ft. Depth to limiting factor 6 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 /> a- k P.)`Ye?rz — 117 1, /rh&bx /1/1-- eh 71/1 -1 /6 <br /> Z N-N/ 7..�Qy/# L,, rriG 4 l F -7 1,6 <br /> ) 1,7-/6 7SYQ6/1/ 5 65 r4L 6, /6 <br /> Boring C (� <br /> 7, Boring# ®Pit Ground surface elev. ��✓ ft. Depth to limiting factor d in./elev. ft. <br /> Soil Application Rate <br /> Horizon I 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 /> I 0-5 7 57/e3/Z G 4 /// ..Z/` , - G 5 Zen . 7 /6 <br /> Z 5 416 7' 120 5 y r'/< GS /r _7 i.� <br /> 3 h'6-Py 7c J1t ,,TL G5 — - 7 1 6 <br /> I CST Name(Pleast Print) / Signaturee_07b,4 CST Number <br /> Address Date Evaluation Conducted Telephone Number <br /> 6d8/41fiNIk-�o/kiekke WI.5"Ytl3 <br /> y ZS >/S'-S66-02'2. <br /> *Effluent#1 =BOD>30 s 220 mg/L and TSS>30<<<150 mg/L *Effluent#2=BOD,s 30 mg/L and TSS 5 30 mg/L SBD-8330(R03/22) <br />