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ORIGINAL 1064 <br /> Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 <br /> Division of Safety and Buildings in accordance with Comm 85,Wis.Adm.Code <br /> Attach complete site plan on paper not less Sian 8#x 11 inches in tee. Plan must County <br /> Burnettinclude,but not limited to:vertical and horizontal reference point(Blvd,direction and <br /> Percent slope,scale or dimemmons,north arrow,and location and distence to nearest mad. Paroel I.D. <br /> 006-2410-01 900 <br /> Pleaseprintall lnfonnevon. ReviewedDate <br /> srw <br /> PaW it bmabon you provide prey be used far sacadary purposes(privacy Lax,a 15.04(1)(m)). -1 <br /> Property Owner Property Location <br /> Dawn Jewell Govt Lot SE 1/4 NW 1/4 S 10 T 38 N R 17 W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 24104 Co. Road N <br /> City State Zip Code Phone Number J City J Village a Town Nearest Road <br /> Webster WI 1 54893 1 715-349-2775 Daniels I Co. Road N <br /> J New Construction Use: a Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD <br /> t6 Replacement Public or commercial-Describe: <br /> Parent material Glacial Drift Flood plain elevation,if applicable NA <br /> General comments <br /> and recommendations: Recommend 22 leaching chambers using 3 cells. Proposed system elev. Cell 1 =98.57' Cell 2=99.25' <br /> Cell 3=99.95' Possible Wisconsin Fund Applicant <br /> ❑Boring# J Boring <br /> Ki PS Ground Surface elev. 99.82 ft. Depth to limiting factor >75„ in. Soil Application Rab <br /> Horizon Depth Dominant Color Redox Description Texture structure Consisbnce Boundary Roots GPD/@ <br /> •Eff#1 `Eff#2 <br /> 1 0-3 10YR3/3 - Is lmsbk mvfr cs 3f-co .7 1.2 <br /> 2 3-16 7.5YR4/4 - Is 1msbk mvfr gs 3f-co .7 1.2 <br /> 3 16-58 7.5YR4/4 - med.s Osg ml gs 3f-co .7 1.2 <br /> 4 58-65 7.5YR4/4 - med.s Osg ml gs 2f-m .7 1.2 <br /> 5 65-75 7.5YR4/6 - med.s Osg ml 1f .7 1.2 <br /> #4-Bands of Is <br /> Boring# J Boring <br /> Pit Ground Surface elev. 100.22 ft. Depth to limiting factor >75' in. Soil Application Rab <br /> Horizon Depth Dominant Color Redox Description Texture Structide Consistence Boundary Roots GPD/fP <br /> `Eft#1 I -Eff#2 <br /> 1 0-3 10YR3/3 - Is 1 msbk mvfr cs 3f-co .7 1.2 <br /> 2 3-26 7.5YR4/4 - Is lmsbk mvfr gs 3f-co .7 1.2 <br /> 3 26-75 7.5YR4/4 - med.s Osg ml 3f-co .7 1.2 <br /> Effluent#1 =BOD 5>30<220 mg/L and TSS>30<150 mg/L `Effluent#2=BOD5 130 m9/L and TSS<30 mg/L <br /> CST Name(Please Print) Signature: CST Number <br /> Debbie E.Stoner 247856 <br /> Address Date Evaluation Conducted Telephone Number <br /> 23220 Wood Creek Rd.,Siren,W154872 7/19/01 715.653-2324 <br />