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Wisconsin S Departure Icr al Services Page 1 of 2
Division of Industry
EC SOIL EVALUATION REPORT
n accordance with SPS 385, Wis. Adm. Code County
Moo COUNTYI St. Croix
Attach complete site plan ~~L~I 11 inches in size. Plan mi
but not limited to: ve;rl are erence point (BM), direction and per p , Parcel I.D.
scale or dimensions, north arrow, and location and distance to nearest ro 1. 038-1064-90-240 Ref #2495
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Revie d by Date-
Please print all information.
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Personal information you provide may be used for seconds purposes Privac Law, s. 15.04 1 m . I Z<el
Property Owner Property Location ❑
Tom Mante Govt. Lot SE % NW % S 14CSMVol...23, R 18 E (or) W
Property Owner's Mailing Address Lot # Block # e or CSM#
1041 220`h Ave. 04 na P g_ 5596
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
New Richmond WI 54017 (715) 245-1973 Star Prairie Co. Rd. CC
® New Construction Use: ® Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD 1
❑ Replacement ❑ Public or commercial - Describe:
Parent material Glacial Outwash Flood Plan elevation if applicable na ft.
General comments and recommendations: Soil evaluation completed to determine suitability of continued use of existing POWTS for addition to existing
residence. Existing dispersal cell infiltrative surface elevation = at .
'9SZ • Ll J I Boring # ❑ Boring
®pit Ground surface elev. 95.23 ft. Depth to limiting factor >78" in.
Soil Application Rate 1
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz ----I
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-12 10yr3/3 none sl 2fgr mvfr cw 2vf,f 0.6 1.0
2 12-30 5yr4/4 none Icos&gr Osg ml gw 2vf,1f, 0.7 1.6
3 30-43 7.5yr4/6 none Icos&gr Oag ml gw 0.7 1.6 1
4 43-78 10yr4/4 none gr s Osg ml 0.7 1.6
L__ ^ Q
E I I Boring # ❑ Boring y- `
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
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* Effluent #1 = BOD, > 30< 220 mg/L and TSS > 3 0 150 m /L ` Effl nt #2 = BOD, > 30 5 220 m /L and TSS > 30 5 150 m /L
Name (Please Print) ` Signature CST Number
l
Thompson 30021
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Address ate Evaluation Conducte Telephone Number
340 Paulson Lake Lane, Osceola, WI 54020-5413 December 8, 2017 (715) 248-7767
SBD-8330 (R04/15)
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