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2019/04/24 - SANITARY - CST - Soil Test - CST-19-23
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2019/04/24 - SANITARY - CST - Soil Test - CST-19-23
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Last modified
3/5/2020 6:41:38 PM
Creation date
4/24/2019 11:46:22 AM
Metadata
Fields
Template:
Property Files v2
Document Date
4/24/2019
Document Type 1
SANITARY
Document Type 2
CST
Document Type 3
Soil Test
County Permit Number
CST-19-23
Tax ID
2643
Pin Number
07-006-2-38-17-28-5 05-004-012000
Legacy Pin
006242801800
Municipality
TOWN OF DANIELS
Owner Name
RICHARD M GOIFFON REV TRUST THERESA A GOIFFON REV TRUST
Property Address
23190 DUNHAM LAKE RD
City
SIREN
State
WI
Zip
54872
Previous Owners
RICHARD M GOIFFON REV TRUST THERESA A GOIFFON REV TRUST
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Wisconsin Department of Safety and Professional Services 4�, X - !,1 -Q3 <br />Division of Industry Services SOIL EVALUATION REPORT <br />in accordance with SPS 385, Wis. Adm. Code <br />#3391 <br />Page 1 of 3 <br />Keith Stoner CST <br />County <br />Attach complete site plan on paper not less than 8%2 x 11 inches in size. Plan must <br />Burnett <br />include, but not limited to: vertical and horizontal reference point (BM), direction and <br />Parcel I.D. <br />percent slope, scale or dimensions, north arrow, and location and distance to nearest road. <br />07-006-2-38-17-20-4 04-000-011000 <br />Please print all information. <br />Reviewed By Date <br />Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). <br />Property Owner <br />Property Location a t i v,% <br />Lucas Hetfeld <br />Govt. Lot SE1/4, SE1/4, S20, T38N, R17W <br />Property Owner's Mailing Address <br />Lot # <br />Block 4 <br />. Name or CSM# <br />23190 Dunham Lake Rd <br />JSu <br />City State Zip Code Phone Number <br />❑ City ❑ Village ® Town Nearest Road <br />Siren I WI 1 548721 <br />Daniels I Shuttleworth Rd <br />® New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD <br />Replacement ❑ Public or commercial - Describe: <br />Parent material Sandy Outwash over sl till Flood plain elevation, if applicable NA ft. <br />General comments Propose 2 dispersal cells 3 x 90' constructed with EZ Flow media using a .5 SAR. Center upslope cell over the 95.75' contour w/SE <br />and recommendations: = 93.25'. Center downslope cell over the 94.75' contour w/SE = 92.25'. Centerlines of cells staked onsite. <br />M❑ <br />Boring <br />Boring # Pit Ground surface elev. 93.20 ft. Depth to limiting factor >83 in. <br />® P 9 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 />Consistenc <br />Boundary <br />Roots <br />GPD/ftz <br />`Eff#1 <br />-Eff#2 <br />1 <br />0-4 <br />7.5YR3/2 <br />- <br />sl <br />2msbk <br />mvfr <br />cs <br />3f-m <br />0.6 <br />1.0 <br />2 <br />4-18 <br />7.5YR3/4 <br />- <br />Is <br />Osg <br />ml <br />gs - <br />3f-co <br />0.7 <br />1.6 <br />3 <br />18-45 <br />7.5YR4/3 <br />- <br />Is <br />Osg <br />ml <br />gs <br />2f-co <br />0.7 <br />1.6 <br />4 <br />45-55 <br />7.5YR4/3 <br />- <br />srs <br />Osg <br />ml <br />gs <br />2f-co <br />0.7 <br />1.6 <br />5 <br />55-68 <br />5YR4/4 <br />- <br />gr Is <br />Osg <br />ml <br />gs <br />if -co <br />0.7 <br />1.6 <br />6 <br />68-83 <br />7.5YR4/3 <br />- <br />cos <br />Osg <br />ml <br />- <br />if <br />0.7 <br />1.6 <br />2 <br />❑ Boring <br />Boring # <br />® Pit Ground surface elev. 95.75 ft. Depth to limiting factor >90 in. 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 />Consistence <br />Boundary <br />Roots <br />GPD/ftz <br />'Eff#1 <br />'Eff#2 <br />1 <br />0-6 <br />7.5YR3/2 <br />- <br />sl <br />2msbk <br />mvfr <br />a <br />3f-m <br />0.6 <br />1.0 <br />2 <br />6-24 <br />7.5YR3/4 <br />- <br />Is <br />Osg <br />mI <br />gs <br />3f-co <br />0.7 <br />1.6 <br />3 <br />24-84 <br />7.5YR4/3 <br />- <br />Is <br />Osg <br />ml <br />gs <br />2f-co <br />0.7 <br />1.6 <br />4 <br />84-90 <br />5YR3/4 <br />- <br />sl <br />imsbk <br />mfr <br />- <br />if-m <br />0.4 <br />0.7 <br />Some sl till at 85" <br />* Effluent #1 = BOD 5> 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) Signature: CST Number <br />Keith Stoner 224059 <br />Address Keith Stoner CST Date Evaluation Conducted Telephone Number <br />23220 Wood Creek Rd Siren, WI 54872 4/16/2019' 715-566-0900 <br />SBD-8330(R.07l13) <br />
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