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ye�r.�ryi Wisconsin Department of Safety and Professional Services Page 1 of 3 <br /> L Division of IndustryORIGINAL <br /> Services CJ r �!l �3 <br /> SOIL EVALUATION REPORT <br /> In accordance with SPS 385,Wis.Adm.Code County BURNETT <br /> Att c rnplu -e&e Less than 8 112 x 11 inches in size.Plan must include, <br /> but not lifted to:vertical and horizontal reference point(BM),direction and percent slope, Parcel I. 83 024 2-39 14f 1-5 OS 001-011100 <br /> scale or dimensions,north arrow,and location and distance to nearest road. AX#3e�83 <br /> Land Services Dep�3 Pl6b*e print all information. Reviewed by G�D7;DIZ1 <br /> 4 <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). I / <br /> Property Owner Property Location 1w <br /> ANDY MILLER/AM SERVICES L.L.0 <br /> Govt.Lot 1 '/. '/. S 11 T 39 N R 14W E(or) W <br /> Property Owner's Mailing Address Site Address or CSM and Lot#:1 CSM 5407 V31 P23 DOC#487366 <br /> 21000 CEDAR DR NW <br /> City State Zip Code Phone Number City Li Village 4 Town Nearest Road 26505 <br /> OAK GROVE MN 55011 (763)370 4484 i <br /> I i RUSK W.LIPSETT LAKE(CABIN) <br /> ❑ NeWConstruction Use: Residential/Number of bedrooms / b4 2- Code derived designflow rate —300 GPD <br /> 91 Replacement ❑Public or commercial-Describe: Flood Plan elevation if applicable N/A ft. <br /> Parent material Mapped as Lenroot Loamy Sand 0-3%slopes partly cloudy Thunder Storms/rain through day <br /> General comments and recommendations:ABM ELEV:100.0'(nail in 21"Norway @ 58"AG POWTS CG @>=92.0'—92.9' <br /> Boring <br /> Boring# ®Pit Ground surface elev. 95.3' ft. Depth to limiting factor 7_7 in.I elev.88.88 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 .5YR3/2 NONE Is lmsbk mvfr as 2vf f .7 1.6 <br /> 2 -18" .5YR4/4 NONE is lmsbk mvfr cs 3f m .7 1.6 <br /> 3 18-77" 7.5YR414 NONE meds psg Ml as 1f m .7 1.6 <br /> a Boring# ❑B°nns®Pit Ground surface elev.95.1 ft. Depth to limiting factor 75.6 in./elev._88.88- <br /> 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 .5YR3/2 NONE Is 1msbk mvfr as 3vff 7 1.6 <br /> 2 4-20" 5YR4/4 NONE Is lmsbk MVfr cs 3f m .7 1.6 <br /> 3 20-75.6" .5YR4/4 NONE grs Osg I as 1f m .7 1.6 <br /> CST Name(Please Print) Signat re CST Number <br /> MEL FERGUSON CSTM#059-200006 <br /> Address Date Evaluat&Conduct Telephone Number <br /> N 6228 COUNTY LINE RD SPOONER WI 54801 09/21/2024 715 520 2288 <br /> 'Effluent#1 =SOD>30 s 220 mg/L and TSS>30 5150 mg/L 'Effluent#2=BOD,s 30 mg/L and TSS s 30 mg/L <br /> SBD-&330(R04/21) <br />