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% <br /> Wisconsin SOIL EVALUATION REPORT #loos <br /> Department of Commerce in accordance with Comm 85,Wis.Adm.Code Page 1 of 2 <br /> Division of Safety and Buildings Keith E.Stoner <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 dimensions,north arrow,and location and distance to nearest road. Parcel I.D. <br /> 006-2418-04000 <br /> Please print all information. Reviewed By Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 0o <br /> Property Owner Property Location U <br /> Bonnie+Harold Moline Govt.Lot W1/2 1/4, SW1/4, S18,T38N, R17W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 3914 Winchester LN <br /> City State Zip Code Phone Number City Village 7 Town Nearest Road <br /> Bowie MD 1 20715 1 Daniels 10518 State Rd. 70 <br /> L New Construction Use: Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD <br /> E Replacement Public or commercial-Describe: <br /> Parent material - Flood plain elevation,if applicable NA ft. <br /> General comments Insufficient area to site an onsite wastewater system. *Holding Tank* <br /> and recommendations: <br /> 1 IBoring# i Boring <br /> Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 <br /> *Effluent#1 =BOD 5>30<220 mg/L and TSS>30<150 mg/L *Efflu #2=BODS<30 mg/L and TSS<30 mg/L <br /> CST Name(Please Print) Signature: i J CST Number <br /> Keith E. Stoner 224059 <br /> Address Keith E.Stoner Date Evaluation Conducted Telephone Number <br /> 23220 Wood Creek Rd.Siren,WI 54872 6/13/08 715-653-2324 <br /> SBD-8330(R.07/00) <br />