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ORIGINAL 1328 <br /> Wisconsin Department of Commerce SOIL EVALUATION REPORT <br /> Division of Safety and Buildings Page 1 of 2 <br /> in accordance with Comm 85,Wis.Adm.Code - Keith Stoner <br /> Apach complete site plan on paper not less pian 8%x 11 inches in size. Plan must County <br /> rd ude,but nc Ikoited to:ver"and horizontal FalMerlce point(BM),direction and Burrett <br /> Percent slope,scale or dimawsions,north arrow,and location and distance to nearest mad. Parcel I.D. <br /> P/ease print a//information. 006-2422-02 800 <br /> Personal infarnaaon You Provide may be used for qday P-Poeae(Privay taw.S.15.04(1)(m)). Reviewed By Date <br /> Properly Owner tW O 7 <br /> Property Location <br /> Jack And Lucille Korich Govt Lot 3 1/4 1/4 S 22 T 38 N R 17 W <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or GSM# <br /> 1313 68th St. West <br /> city State Zip Code Phone Number J City J Village JrI Town Nearest Road <br /> b)-0.d211-6/J iFLI. 342091 941-7942951 Daniels 1 23267 Old Hwy. 35 <br /> J New Construction Use: t/ Residential/Number of bedrooms 2 Code derived design mow rate 300 GPD <br /> 1eReplacement J Public or commercial-Describe: <br /> Parent material Glacial Drift <br /> General comments Flood plain elevation,if applicable NA <br /> and recommendations: Insufficient area to site a sanitary system due to the proximity to the lake, proposed well and property <br /> lines. Holding Tank Site <br /> ❑Boring# —1 Boring <br /> J Pp Ground Surface elev. it. Depth to limiting factor in. Soli A kation Rate <br /> Horizon Depth Dominant Color Redox Description TacWre Structure nPl <br /> in. Munsell Qu.Sz.Cont Color Gr.Sz.Sh. Corss[ence Boundary Roots GPDAI' <br /> 'EfNF1 •E <br /> No borings were conduced due to lack of area. <br /> Effluent#1=%D 30<_220 mglL and TSS>30<150 mg/L •Effluent#2=BOD < <br /> 30 mg/L and TSS<30 mg/L <br /> Nam CST Na (Please Print) Signature: i CST Number <br /> Keith E.Stoner /( CST Nu <br /> 59 <br /> Address Keith32 Stoner ate Evaluation Conducted Telephone Number <br /> 23220 Wood Creek Rd.,Siren,WI 54872 10/30/06 715-653-2324 <br />