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, Wisconsin Department of Safety and Professional Services SOIL EVALUATION REPORT Page 1 of 3 <br /> Division of Industry Services in accordance with SPS 385,Wis.Adm.Code <br /> Attach complete site plan on paper not less than 81/z x 11"in size.Plan must County DANE <br /> include,but not limited to:vertical and horizontal reference point(BM),direction <br /> and%slope,scale or dimensions,north arrow,location&distance to nearest road. Parcel I.D. 0908-213-2001-4 <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)). <br /> Property Owner Property Location <br /> THOMAS& KIM POLLOCK NW 1/4, SW 1/4, S 21 , T 9 N, R 8 E <br /> Property Owner's Mailing Address Lot# Subd.Name or CSM# <br /> 7041 DANE WOODS TRAIL 1 DANE WOODS <br /> City State Zip Code Phone Number ❑ City ® Town Nearest Road <br /> LODI, WI 53555 1608 770-4088 DANE I DANE WOODS TRAIL <br /> ❑ New Construction UsefJ Residential/No.bedrooms 3 Code derived design flow rate: 450 GPD <br /> Replacement ❑ Public or commercial-Describe: <br /> Parent Material: LOESS, GLACIAL TILL Flood Plain elevation if applicable ft. <br /> General comments <br /> and recommendations: BORING TO VERIFY SOILS FOR EXISTING DRAINFIELD <br /> 0.4 GPD/SQ.FT. LOADING RATE SYSTEM ELEV: 89.96 FT. <br /> Boring ❑Boring <br /> 1 # ©Pit Ground surface elev. 93.35 Depth to limiting factor N/A Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Roots Boundary GPD/ft2 <br /> inches Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. (Moist) *Eff#1 *Eff#2 <br /> A 0-6 10YR3/2 sil 2mgr fr 2fco as 0.6 0.8 <br /> 2Bt 6-27 10YR4/4 scl 2fsbk fr 2fm cs 0.4 0.6 <br /> 2C 27-86 7.5YR5/6 sl lfsbk vfr 1fm 0.4 0.7 <br /> Boring ❑Boring <br /> # ©Pit Ground surface elev. Depth to limiting factor Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Roots Boundary GPD/ft2 <br /> inches Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. (Moist) *Eff#1 *Eff#2 <br /> *Effluent#1=BOD5>30<_220 mg/L and TSS>30 5 150 mg/L *E ent#2=BOD5 5 30 mg/L and TSS<_30 mg/L <br /> CST Name JEFFREY L. HAMMES Signatu —` CST Number 223300 <br /> Address 820 WILLIAMSON ST.,#401 �...—, " --T"""----.-----.__._____ Telephone No.(608)233-9200 <br /> MADISON,WI 53703 Date Evaluation Conducted:8/25/16 <br /> �� _ 2-0 lb _ j; 7 4 71 SBD-8330(R07/13) <br />