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ORIGINAL <br />Wis. Dept. of Safety and Professional Services SOIL EVALUATION REPO T Page I of 3 <br />Division of Safety and Buildings —/�— <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 County Burnett <br />include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 07-036-2-40-17-26-5 05-001-012000 <br />percent slope, scale or dimensions, north arrow, and location and distance to nearest road. <br />Please print all information, a ewed Date <br />Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 30 _ <br />Property Owner Property Location <br />Jon & Luke Schmitz Govt. Lot I 1/4 1/4 S 26T 40N R 17E (or) <br />Property Owner's Mailing Address Lot # Block # Subd. Name or CSW <br />23796 County Rd H <br />City State Zip Code Phone Number OCity FIVillage Erown Nearest Road <br />Shell Lake I WI 1 54871 1 ( 715468-2434 FF <br />New Construction LlseE] Residential / Number of bedrooms 3 Code derived design flow rate <br />Replacement Public or commercial - Describe: <br />Parent material Sandy outwash Flood Plain elevation if applicable <br />General comments Mapped as439D—Graycalm-Menahga complex, 12 to 30 percent slopes <br />and recommendations: <br />450 GPD] <br />ft. <br />FBoring # 11 Boring <br />Q pit Ground surface elev. 93 ft. Depth to limiting factor 70 in. <br />Cnil Annlir�}inn R�}o <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 />onsistence <br />Boundary <br />Roots <br />GPD/ft 2 <br />ff#1 * <br />ff#2 <br />1 <br />0-6 <br />1 Oyr2/1 <br />Is <br />Is <br />2mbk <br />mvfr <br />cs <br />l fl m <br />.7 <br />1.6 <br />2 <br />6-31 <br />7.5 r4/4 <br />2msbk <br />Is <br />2msbk <br />mvfr <br />dw <br />2f2m <br />.7 <br />1.6 <br />3 <br />31-70 <br />7.5yr4/6 <br />ml <br />s <br />Osg <br />ml <br />cs <br />if <br />.7 <br />1.6 <br />4 <br />70-50 <br />7.5yr4/6 <br />5yr5/8flf <br />s <br />Osg <br />ml <br />2 Boring # ® Boring 92 58 <br />R Pit Ground surface elev. ft. Depth to limiting factor in. <br />Snil Annliratinn Rata <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 />onsistence <br />Boundary <br />Roots <br />* <br />GPD/ft z <br />ff#1 '$ff#2 <br />1 <br />0-7 <br />1Oyr2/1 <br />Is <br />2mbk <br />mvfr <br />cs <br />3f2m <br />.7 1.6 <br />2 <br />7-26 <br />7.5 r4/4 <br />is <br />2msbk <br />mvfr <br />dw <br />2f2mll <br />.7 1.6 <br />3 <br />26-58 <br />7.5yr4/6 <br />s <br />Osg <br />ml <br />cs <br />If <br />.7 1.6 <br />4 <br />58-70 <br />7.5yr4/6 <br />5yr5/8c2d <br />s <br />Osg <br />ml <br />tMuent #1 = t3UU 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L <br />CST Name (Please Print) S' nature CST Number <br />Jon Schmitz 247338 <br />AddressDate Evaluation Conducted Telephone Number <br />PO Box 160 Shell Lake WI 54871 5-22-17 715-468-2434 <br />SBD -8330 (RI 1/11) <br />