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Wisconsin Department of Safety and Professional Services <br />Y Division of Industry Services 1438 <br />SOIL EVALUATION REPORT Page 1 of 2 <br />in accordance with SPS 383, Wis. Adm. Code Ken Strabel <br />Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County <br />include, but not limited to: vertical and horizontal reference point (BM), direction and Burnett <br />percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 41 <br />Please print all information. Reviewed By <br />07-012-2-40-15-34-4 04-000-011000 <br />Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Date �te <br />Property Owner Property Location <br />Nelson, Bruce & Tonia Govt. Lot SE 1/4 SE 1/4 S 34 T 40 N R 15 W <br />Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# <br />11749 JONQUIL ST NW <br />City State Zip Code Phone Number City Village AnTown Nearest Road <br />Minneapolis MN 1 55433 1 (612) 240-1699 Jackson 4239 MALLARD LAKE RD <br />New Construction Use: yResidential / Number of bedrooms Code derived design flow rate GPD <br />✓ Replacement Public or commercial - Describe: <br />Parent material Sai-idy outwash Flood plain elevation, if applicable n/a <br />General comments <br />and recommendations: Soil boring for existing privy (System Elevation Appropx 97.0') Mapped as Graycalm-Menahga complex, <br />0 to 6 percent slopes <br />FqBoring # Boring <br />Pit Ground Surface elev. 100.0 ft. Depth to limiting factor >72 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 />Consistenundary <br />ce <br />o <br />Roots <br />GPD/ftl <br />_ <br />"Eff#1 <br />*Eff#2 <br />1 <br />2 <br />0-6 <br />6-66 <br />7.5YR 3/2 <br />10YR 5/4 <br />None <br />None <br />sl <br />Is <br />3 <br />66-72 <br />10YR 4/4 <br />None <br />Is <br />BM: BOTTOM OF PRIVY SIDING (EL = 100.9) B-1 5' NORTH OF EXISTING PRIVY (EL = 100.0') WITH A 2% SLOPE TO THE EAST <br />uuucm rr i - 0vu51 Du 4 «v mgiL ana i as >su < you mg/L ` Effluent #2,-F BODS < 30 mg/L and TSS < 30 mg/L <br />SST Name (Please Print) Signature: CST Number <br /><en Stiabei 224181 <br />4ddress Ken Strabel Date Evaluation Conducted Telephone Number <br />7735 Airport Rd., Webster, WI 54893 4/27/2019 715-349-2990 <br />