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Wisconsin Department of Safety and Professional Services C S�J1 <br /> Division of Industry Services <br /> SOIL EVALUATION REPORT Page I of 4 <br /> in accordance with SPS 383,Wis. Adm. Code <br /> County BURNETT <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 07-020-2-40-16-36-5 05-002-011400 <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Please print all information. Ray <br /> iewed by Da <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). <br /> Property Owner Property Location <br /> RONALD DORIOTT Govt.Lot 2---- 1/4 1/4 S 36 T 40 N R 16 E(r))WW <br /> Property Owner's Mailing Address Lot# Block# Subd. Name or CSM# <br /> 1938 111th Ave NE 4 -- V 26,P 143 <br /> City State Zip Code Phone Number oCity ❑Village Town Nearest Road <br /> Blaine, MN 1 55449 ( 651 ) 253-8765 E.Conner's Lake Road <br /> New Construction LlseE] Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD <br /> Replacement E] Public or commercial-Describe: <br /> Parent material sandy lacustrine deposits over clayey deposits Flood Plain elevation if applicable ft. <br /> General comments Mound System -- 1.17 ft.sand fill--GeoMat System--2.0 loading rate <br /> and recommendations: <br /> 1❑ Boring# 11 Boring <br /> Pit Ground surface elev. 96.19 ft. Depth to limiting factor 22 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 `Eff#2 <br /> 1 0-4 7.5YR2.5/1 sl 2fsbk&gr ds cs 3vf-co 0.6 1.0 <br /> 2 4-22 7.5YR4/4 Ifs lm-csbk ds cs 2vf-co 0.4 0.6 <br /> 3 22_30 j 10YR3/6 m I d 7.5YR4/6 ifs lm-csbk mvfr -- -- 0.4 0.6 <br /> E Boring# Boring 101.54 24 <br /> ■ Pit Ground surface elev. ft. Depth to limiting factor in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2 <br /> 1 0-7 7.5YR2.5/1 sl 2fsbk&gr ds CS 3vf-co 0.6 1.0 <br /> 2 7-24 7.5YR4/4 ifs Im-csbk mvfr as 2vf-co 0.4 0.6 <br /> 3 24-30 10YR3/6 mId7.5YR4/6 Ifs Im-csbk mvfr -- __ 0.4 0.6 <br /> 30- massive c. <br /> Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODS<30 mg/L and TSS<30 mg/L <br /> CST Name(Please Print) Signp CST Number <br /> MARY JO HUPPERT Hollister's Soil Testin &Desi n 224832 <br /> Address e, Da a Evatuati onducled Telephone Number <br /> 28497 King Arthur's Court,Danbury,WI 54830 06- 18,2019 715-426-1775 <br /> SBD-8330(R07/13) <br />