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01GI " � AL 191 <br /> Wisconsin Department of Commerce SOIL EVALUATION REP Page 1 of 3 <br /> Division of Safely and Buildings in accordance with Comm 85,Wis.Adm.Code Daniels Plumbing&Heating Inc. <br /> Attach complete site plan on paper not less than 8%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 dimemsions,north arrow,and location and distance to nearest road. Parcel I.D. <br /> 0124207-09 500 <br /> Please print all information. <br /> Reviewed By Date <br /> Personal information you pmvide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). A) <br /> Property Owner Property Location <br /> Hanson,Charles&Gail M Govt.Lot 9 1/4 19S 7 T 40 N R 15 W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSW <br /> 1099 Lawnview Ave 2 na CSM Vol 17 Pg 116&117 <br /> City State Zip Code Phone Number jj City 22 Village d Town Nearest Road <br /> Saint Paul MN 1 55126 1 Jackson I Ham Ridge Trail <br /> A New Construction Use: JM Residential/Number of bedrooms 3 Code derived design flow rate GPD <br /> �y, Replacement 2j Public or commercial-Describe: <br /> Parent material glacial drift Flood plain elevation,if applicable na <br /> General comments <br /> and recommendations: distribution cells using Bio Diffuser, 11 ea cell System elevation 96.50 <br /> Boring# '" Boring <br /> IN Pit Ground Surface elev. 99.10 ft. Depth to limiting factor >76 in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' <br /> `Eff#1 'Eff#2 <br /> 1 0-4 7.5YR 32 none s 0 sg di a s 3 of .7 1.2 <br /> 2 4-10 7.5YR 42 none s 0 sg d 1 g i 3 of .7 1.2 <br /> 3 10-39 7.5YR 5/6 none s 0 sg dl g i 3 coif .7 1.2 <br /> 4 39-76 7.5YR 4/6 none s 0 sg dl — — .7 1.2 <br /> Har#3 w/few rocks <br /> Boring# Boring <br /> Pit Ground Surface elev. 99.30 It. Depth to limiting factor >76 in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF <br /> 'Eff#1 `Eff#2 <br /> 1 04 7.5YR 32 none s 0 sg d I a s 3 of .7 1.2 <br /> 2 4-28 7.5YR 3/4 none s 0 sg d I g i 3vf/co .7 1.2 <br /> 3 28-32 7.5YR3/4 none s 0 sg d I g i — .7 1.2 <br /> 4 32-76 7.5YR 4/4 none s 0 sg d 1 — — .7 1.2 <br /> S� <br /> L ' <br /> Effluent#1 =BOD?30<220 mg/L and TSS>30<150 mgn_ 'Effluent#2=BODS<30 mg/L and TSS<_�10 mg/L <br /> CST Name(Please Print) Signatur 1. ` ^ CST Number <br /> Joan E Daniels oe Ir " 223463 <br /> Address Daniels Plumbing&Heating Inc. Date Evaluation Conducted Telephone Number <br /> PO Box 316,Siren,WI 54872 111 10/6/00 715-349-5533 <br />