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%�- ---':,. Wisconsin Department of Safety and Professional Services Page I of <br /> i` Division of Industry Services CST ORIGINAL <br /> 1,1 `y=P= 1;". SOIL EVALUATION REPORT <br /> ,tiyy.-_,, County BURNETT <br /> ,,),,,,<<„� In accordance with SPS 385,Wis.Adm. Code <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. 07-020-2-40-16-04-5-15-435-019000 <br /> Please print all information. Reviewed by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). Jk/taii. 7 <br /> ( � ".) //1 ZOZ`J <br /> Property Owner Property Location El I' <br /> EPHRAIM EUSEBIO <br /> Govt. Lot IA Y< S 04 T 40 N R 16 E(or) W* <br /> Property Owner's Mailing Address Site Address or CSM and Lot#: <br /> 1521 E 35TH ST <br /> City State Zip Code Phone Number ❑City ❑ Village 0 Town Nearest Road <br /> MINNEAPOLIS MN 55407 (612)382-9477 OAKLAND HAYDEN LAKE RD <br /> In NEW CONSTRUSTION ❑ 3 5 3vd 6 PJ" <br /> 0 Replacement 0 Public or commercial-Describe: Flood Plan elevation if applicable ft. <br /> Parent material A4-( Q a t CL4 . l!&;+-S <br /> General comments and recommendations: <br /> -ax lD Ili IyN <br /> ❑Boring rr__ <br /> I Boring# IMPit Ground surface elev.��Qo eft. Depth to limiting factor>77 in./elev. 90.18_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 7.5YR 3/2 NONE LS 1MSBK ML CS 2M .7 1.6 <br /> 2 6-31 7.5 YR 4/4 NONE LS 1MSBK ML GS 1M .7 1.6 <br /> 3 31-77 7.5 YR 4/6 NONE S OSG ML IF .7 1.6 <br /> ❑Boring � '/ <br /> 2 Boring# ®Pit Ground surface elev.q///O.C ft. Depth to limiting factor>84 in./elev._89.4 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 7.5 YR 3/2 NONE LS 1MSBK ML CS 2M .7 1.6 <br /> 2 6-33 7.5 YR 4/4 NONE LS 1MSBK ML GS IM .7 1.6 <br /> 3 33-84 7.5 YR 4/6 NONE S OSG ML -- 1 VF .7 1.6 <br /> OW P Na a Please Pri Si re CST�I umbe , <br /> P7hP 3c *stfrz <br /> ate Evaluation o ucted Tilephoarumber 16 7 <br /> *yuent#1 =BOD>30<-220 mg/L and TSS>30<_150 mg/L *Effluent#2=BOD,<_30 mg/L and TSS 5 30 mg/L <br /> SBD-8330(R04/21) <br />