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Generated by PDFKit.NET Evaluation <br /> Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 2 <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 8 1/2 x 11 inches in size. Plan must <br /> include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. 012 9675 04900 <br /> percent slope, scale or dimensions, north arrow, and location and distance to nearest <br /> ted. Please print all information. Reviewed by Date <br /> Personal information you Provide may be used for samnaary purposes(Privacy Law,a.15.04(f)(m)). _TV i/67 <br /> Properly Owner Properly Location -�+"'� (o <br /> Eugene Montandon Govt.Lot 1/4 1/4 S 11 F 40 N R 15 E(or)W <br /> Property Owners Mailing Address Lot# Block# Subd.Name or CSM# <br /> 28995 Tallmoon trail <br /> City State Zip Code Phone Number C City (�Village (Town Nearest Road <br /> Danbury WI 54830 (715)259-3654 Jackson Tall moon trail <br /> (- New Construction Use: (i Residential/Number of bedrooms 3 Code derived design flow rate 450.00 GPD <br /> Replacement Public or commercial-Describe: <br /> Parent material glacial drift Flood Plain elevation if applicable N/A fit. <br /> General comments and recommendations: SE . tii 9K 95 -";e- <br /> WPM 14S 0'5—rVA1*A �v�r <br /> Boring# (' Boring 97.50 88 <br /> (e Pit Ground surface elev. it Depth to limiting factor tt. <br /> Sal Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/its <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 -Eff#2 <br /> 1 0-3 7.5YR3/2 Is lmsbk ml cs 2m 0.7 1.6 <br /> 2 3-46 7.5YR4/4 s Osg ml gs if 0.7 1.6 <br /> 3 46-88 7.5YR5/4 s Osg ml gs 1v 0.7 1.6 <br /> Comments: <br /> 2 1 Boring# Boring <br /> q Pit Ground surface elev.97.50 ff. Depth to limiting factm90 in. <br /> Soi Application Rate <br /> Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPDRb <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. `Efl#1 'Eff#2 <br /> 1 0-3 7.5YR3/2 Is lmsbk ml rs 2m 0.7 1.6 <br /> 2 3-43 7.5YR4/4 s Osg ml gs 1t 0.7 1.6 <br /> 3 43-90 7.5YR5/4 s 05g ml gs lvf 0.7 1.6 <br /> Comments: <br /> Effluent#1 =BOD,>30<220 mg/L and TSS>30< 150 mg/L `Effluent#2=BOD,<30 mg/L and TSS< 30 mg/L <br /> CST Name(Please Print) Sign CST Number <br /> Ross Tollander 851954 <br /> Address Date Evaluation Conduced Telephone Number <br /> 27220 Jamison Rd.,Webster,WI 54893 7/30/2007 (715)866-8070 <br /> Clic -9330 07 00 <br />