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Wisconsin Department of Safety and Professional Services <br />Division of Industry Services SOIL EVALUATION REPORT <br />in accordance with SPS 384, Wis. Adm. Code <br />#3304 <br />Page 1 of 2 <br />Keith Stoner CST <br />Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must <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. <br />County <br />Burnett <br />Parcel I.D. <br />Please print all information. <br />Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). <br />07-000--R,-38-17- -2 01-000-011000 <br />Reviewed B Date <br />t .. <br />Property Owner <br />Property Location <br />Stoner's Heritage Acres <br />Govt. Lot NEI/4, NW1/4, S26, T38N, R17W <br />Property Owner's Mailing Address <br />Lot # <br />Block # <br />Subd. Name or CSM# <br />967 353rd Ave <br />7.5YR3/2 <br />- <br />sl <br />City State Zip Code Phone Number <br />❑ City E] Village ;LX Town Nearest Road <br />Frederic 1, Wi 54837 715-663-2245 <br />Daniels 1, 23112 WoW Creek Rd <br />JE New Construction Use: E Residential / Number of bedrooms Code derived design flow rate GPD <br />r Replacement ❑ Public or commercial - Describe: <br />Parent material Glacial Drift Flood plain elevation, if applicable NA ft. <br />General comments *Privy boring <br />and recommendations: <br />Boring <br />F -11 Boring # <br />�] Pit Ground surface elev. 99.59 ft. Depth to limiting factor >83 in. Soil Application Rate <br />Horizon <br />Depth <br />in. <br />Dominant Color <br />Munsell <br />Redox Description <br />Qu. Sz. Cont. Color <br />Texture <br />Structure <br />Gr. Sz. Sh. <br />Consistence <br />Boundary <br />Roots <br />GPD/ft2 <br />'Eff#1 <br />I *Eff#2 <br />1 <br />0-4 <br />7.5YR3/2 <br />- <br />sl <br />2mgr <br />mvfr <br />cs <br />3f -co <br />0.6 <br />1.0 <br />2 <br />4-18 <br />7.5YR4/4 <br />- <br />sl <br />2msbk <br />mvfr <br />gs <br />3f -co <br />0.6 <br />1.0 <br />3 <br />18-39 <br />5YR4/4 <br />- <br />Is <br />Osg <br />ml <br />gs <br />2f -co <br />0.7 <br />1.6 <br />4 <br />39-83 <br />5YR4/4 <br />- <br />sr s <br />Osg <br />ml <br />- <br />2f -m <br />0.7 <br />1.6 <br />- t_muent v1 = t uo 5> 30 < 220 mg/L and T55 >30 < 150 mg/L = Effluent #2 = BODs S30 mg/L and TSS S30 mg/L <br />CST Name (Please Print) Signature: , CST Number <br />Keith Stoner 224059 <br />16 <br />Address Keith Stoner CST Date Evaluation Conducted Telephone Number <br />23220 Wood Creek Rd Siren, WI 54872 r 5/12/2018 715-566-0900 <br />sari -8330 (-07/13) <br />D EE VE <br />i MAY 3 0 2018 <br />BURNETT COUNTY <br />ZONING <br />