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Wisconsin Department of Commerce SOIL EVALUATION REPORT <br /> Division of Safety and Buildings Page 1 of 3 <br /> in accordance with Comm 85,Wis. Adm. Code <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County Burnett <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D. 07-028-2-40-14-21-1-02-0000011000 <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)). �� <br /> Property Owner Properly Location I 17L, <br /> Mary F Scalzo Govt. Lot NW 1/4 NE 1/4 S 21 T 40 N R 14 ©0E <br /> Property Owners Mailing Address Lot# Block# Subd. Name or CSM# <br /> 28342 Co Rd H tax id# 18348 <br /> city 28342 <br /> Zip Code Phone Number L-Fity E]Vllage ETown Nearest Road <br /> Spooner Wi 1 54801 ( 7)15416-2430 Co Hwy H <br /> QNew Construction UseQ Residential/Number of bedrooms 3 Code derived design flow rate 450 <br /> GPD <br /> El Replacement Public or commercial-Describe: <br /> Parent material glacial drift Flood Plain elevation if applicable ft. <br /> comments N <br /> and recommendations: at grade system <br /> MiWA A as (-9G ; Keweo w- <br /> FTI Boring# ❑ Boring <br /> Q Pit Ground surface elev. 99.6 ft. Depth to limiting factor 42 in. <br /> Soil A lication Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tf <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 `Eff#2 <br /> 1 04 7'5yr3-2 ---- at 2mbk mfr cs 2m 0.6 LO <br /> 2 4-42 7.5 r 5-4 -- sl <br /> 2mbk mfr gµ 2m 0.6 1.0 <br /> 3 42-46 5yr4-6. c2d2.5yr5-8 cl 0m mfi 0,0 0.0 <br /> 4 - 46-60 Syr 4-6 cd2 2.5yr 5-8 <br /> sl om Mil 0.2 0.6 <br /> Boring# ❑ Boring <br /> 99.6 42 <br /> Q Pit Ground surface elev. ft. Depth to limiting factor in, <br /> Soil A lication Rate <br /> WIledt Color Redox Description Texture Structure Consistence Boundary Roots GPDttf <br /> ell Qu.Sz. Cont.Color Gr. Sz.Sh. 'Eff#1 `Eff#2 <br /> 3-2 - sl 2mbk mfr cs 2m 0.6 1.0 <br /> 5-4 --- sl 2mbk mfr gam' 2m 0.6 1.0 <br /> -6 c2d 2.5yr 5-8 sl 0m mfi 0.2 0.6 <br /> water entering at 52" <br /> 'Effluent#1 =BOD >30<220 mg/L and TSS>30< 150 mg/L `Effluent#2=BOD,:5 30 mg/L and TSS<30 mg/L <br /> CST Name (Please Print) Signa CST Number <br /> Gary Christman 248704 <br /> Address Date Evaluation Conducted Telephone Number <br /> Ti r nm c KA--, r ..L..D....d T......,. {3I: CA000 <br />