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Wisconsin Department of Safety and Professional Services Page-of <br /> Division of Industry Services 0 e-r`�7 l�7 <br /> SOIL EVALUATIO KEPORT <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. 020906001400 <br /> Please print all information. R vie ed QDate <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)), Itj- I8� /13 <br /> Property Owner Property Location ❑ <br /> Steven Fahrner rev. trust Govt.Lot '/< '/, S 2 T 40 N R 16 E(or) W <br /> Property Owner's Mailing Address Site Address or CSM and Lot#: <br /> 5230 Girard Ave S 6441 Lilly LN CSM 2119 <br /> City State Zip Code Phone Number ❑ City ❑Village NO Town Nearest Road <br /> Minneapolis �MN �55419 ( ) Oakland �6441 Lilly LN <br /> r-1 New Construction Use: Residential/Numberof bedrooms3 Code derived designflow rate450 GPD <br /> 0 Replacement ❑Public or commercial-Describe: Flood Plan elevation if applicable ft. <br /> Parent material Glacial Outwash <br /> General comments and recommendations: <br /> 17 <br /> Boring# ❑Boring 100 108 91 <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 0-6 10 YR 3/2 Is Osg mvfr cs 3m .7 1.6 <br /> 2 7-36 7.5 YR 4/6 s Osg ml cw .7 1.6 <br /> 3 37-108 7.5 YR 4/4 s Osg ml .7 1.6 <br /> 7 Boring# ❑Boring 100 108 91 <br /> spit 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 0-8 10 YR 3/2 Is Osg mvfr cs 3m .7 1.6 <br /> 2 9-32 7.5 YR 4/6 s Osg ml cw .7 1.6 <br /> 3 33-108 7.5 YR 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 8-23-23 715.416.1642 <br /> *Effluent#1 =BOD>30 5 220 mg/L and TSS>30 5150 mg/L *Effluent#2=BOD,5 30 mg/L and TSS 5 30 mg/L <br /> SBD-8330(R04/21) <br />