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Waconsin Department of Safety and Professional Services es_ 2::, /941
<br /> of lndusty Services 7_ _
<br /> SOIL EVALUATION REPORT Page o:
<br /> in accordance with SPS 383,Wis. Adm. Code i
<br /> County BURNETT
<br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must
<br /> incli.,cle,but not limited to:vertical and horizontal reference point(BM),direction and Pancel LD. er)7. C'" .'? 35i 75' l'P4
<br /> Percent slope,scale or dimensions,north arrow,and location and distance to nearest road. / c.V c, cii-r../:2C)c__)t;
<br /> Please print all information. Reviewed by Date
<br /> Persona!information you provide may be used(or secondary purposes(Privacy Law,s.15.04(1)(m)).
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<br /> Property Owner ( Property Location ,C.1
<br /> .,.., iW--
<br /> 5e.A.)/4- C ,,^/57iajal)erser,-...,) Govt.Lot 5E-: 1/4Ait--1/4 S/,2 T 33 N R /::.5- E(or)W
<br /> Property Owner's Mailing Ac1tiress Lot# Block# Subd.Name or CSM#
<br /> , .32 e./ 2.2"--37- ti ./ /-;,•e Z /./z---,::' ic c( _ _
<br /> ;_.'ity 1- State A• ••e Phone Number ii- ity flVillag? ip74 own Nearest Road /6 ,-'`.... .ir
<br /> : Gis,4/45 4t/ '1 i'-'1-! -,,-yey‘) H )zsy .. 37.5- 4.,)i .)
<br /> aNew Construction Use'.., -. Residential/Number of bedrooms --- Code derived design flow rate _270 C.) GPD
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<br /> ti Replacement . Public or commercial-Describe:
<br /> Parent material G- / c.,
<br /> 9 ,4- / cle/-/•K-7` Flood Plain elevation if applicable . - A it.
<br /> General comments
<br /> il and necomrnendations:
<br /> --—
<br /> Dorino
<br /> r / 'Cohng# 6 -
<br /> 11 pit Ground surface elev. 757 ft. Depth to limiting factor --'1-"Z In.
<br /> I Soil Apohcatior Rate
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<br /> ' •-lori Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD,
<br /> ; In. lvlunseil Cu.Sz. Cont.Color Gr.Sz.Sh. "Elf#1 ' 'Efftr!2
<br /> _ _4
<br /> / ( —7 I 7.57e 4.- ,
<br /> /=.5' /1.,251t /2 (17— e---5
<br /> , • Irc //.°7E,t ii4--
<br /> .....
<br /> 4/,.. 5e4 .,,, „‘,-- -____ --T/4(4) - '-5---
<br /> -
<br /> -"--- -1
<br /> -7 Boring# n Borirg
<br /> Pit Ground surface elev. 7,5>' ft. >37 •
<br /> Depth to limiting factor - in.
<br /> Soil Application Rate
<br /> i-lorizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GRDiff
<br /> in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh.
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<br /> 7
<br /> , 0-7 7,_.5.-,40F:, _ A5- ,,,,,„s-i,e ,,,,,,,,,;-:- c 5- ,..... , , 7 • /,
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<br /> 7-37 757e'577 .---
<br /> ..5 .,54. /- ••,//-• — -;4•CC) z
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<br /> Effluent#1 =BOO,>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODs<30 mg/L and TSS<30 mg/L
<br /> ,
<br /> DST Name (Please Print) Signature „.3_,-„.4 ..„..- __,..., CST Number ,
<br /> Wace Rufsholm (--z:/6:-./.....re.2.---A---e. .--..--'-----.0'..--.---- 227691
<br /> Address Date Evaluation Conducted Telephone Number
<br /> PO Box 514,Siren,WI 548722- /7 (715)349-7286
<br /> --,72 C-5
<br /> SBD-13 30(R07/13)
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