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010-171-00-0102-CST-2022-025
w�sconsin aepartrnerrt ot�ommerce SO(L EVAL.UAT(ON REPORT Page of � Division of Safety and Bu�dings � in accordance witli Comm 85,Wis. Adm. Code �) Attach comple4e site pl�on paper not less than 81/2 x�1 inches in s¢e.Plan must �� Sa w �~ � indude,bui not fimited to:vertical and t�orizonta!reference po'srt(BNq,direcrion and p� I,p. R, percent sbpe,scale or�mensiorss,norih arrow,and location and distance to nearest road. p I � — l 7( --- O 0 — � �a�— � P/ease print aU irtformatiorr, ��� y �e O Personat information}rou Provide maY be used for secondarY P��i���7'Law.s.�s.o4(�}{m)). ' 3�3� �� � Property Ovm� Property Location �\ C72 r'Yl�0. �'t v�.TG. G e� �G v OL �6'J S� GovL Lot �/4 1!4 S �3 T �{ � N R �C� E(o� Property Owne�s M ng Address Lot# Bbdc# Subd.Name a CSAhi# t3 Rah� se�-�e �k� 1- Ll�e f�a�k t'��-Lo�' CsN1 z � City State Zp Code Phone Num6er ❑C�Y ❑VUage �Town Nearest Road Wes�'uhinS�e�- Co BoZ3 ( ) �. �R� � `!►J t�e►�i s��Q.. ❑ New Constrvctior� Use:(�Residential!Number of bedrooms�._ Code derived design fiow cate ��D GPD (�j Replacement 5,T" ❑ Pubiic or Camrneraal-Describe: Parerlt materiai_��CL G�ci_.� D U�1�1 A..S h Flood Pfain elevation'rf app6cxble Q�9 � — ft ��: �, S o; I s� P(6 r -F n e��� �,�s l� s�s-f--e w� e L e�7 c�.�-E-�'o,� . � �l�r -�-o c,o��'15 i z..c Sy s'�-e.a.� s�-z...� � �'�'� C �9�'..� �c- l� d 1-'1 a.-f- M�tT�Y',Q.�S -�r : 5� (- � Z c s-r �l 1 - o�t ( �0 2�(� \� ? a �g# � � Sho�el�cL�er Ground swiace elev. 9'a. l t Pit �ft. Depth to Cur�ititlg fador �'E'Z in. Sod Rate HocQon Deryth Dominant Re�x De�tion Te�me Strucbure Consis2ence Soundary Roots GPDlt� in. MunseG Qu.Sz. Cont Coior Gr.Sz.Sh. 'Eii#t 'Efi#2 6=I ,S 3/z — .�j l- Z 1-lZ '� 3 --" .'"I �•� 3 Iz-�4 `��'+ � �5 ,� i.(� � � S� �f S�. 4 2 r5 N P.-Z N��,(� �zo c.� �.-( �� Q t' -� Q� o � �� a � �� � P�f ��,�a Su���. �q,0 5 t� t�n,�o i�c� `�� �,. so� � Rate Hori�on De{�th Dominant Coi Redox Desaiption Texhue Struchue Coruist� Bound�ary Roots GPD/f� irt. Munse@ Qu.SZ. Cortt.Color Gr.SZ.Sh. 'Etf#'1 'Elf�2 � �� 1;S r 3 z — S C� -S L� l04-� �� 1 . Z �"'� '� � � �' '� '� K (u� �, (9 3 3 b_� „ ��'f — rs �� '' �c I� �- .-1 l.G �f7,S � S y -c,s s ►-S '< <� � � n�P� ^�P .� 5 � 4 �� s3�� 'Efifuet�t#1=BOD >30_<?20 mglL and TSS>30_<150 mglL •Efttuern#2=BOD <30 mg/L and TSS<3�mglL CST Narne(Pfease Print) Si9nature CST Nurr�ber e ZZ O pate Evafuation Conduded Telephone Number I D �I�1 Sn1�� C�� � (.e,�ccr�d k'( S�-tS�f3 �o -6 z�-t - Z� -1�5- (�3�- 81 l .�nn MAATMIAIf� Nf�REFUNDS AFTER ISSUE OF PERMIT PropertyOFxner � 6 Yler TC'�S-� Parc�I1D# Page of � B�# � � SG,o�e ( , ��9er � ❑ Pit Ground surface elev. qQ's ft. Depth to IimiGng factor s� in. Sa1 cation Rate Horuon Depth Dom�aM Color Redox Desaiption Te�ue Sirudure Consistence Boundary Roots GPD1f� in. Muriseli Qu.Sz Cont Color Gr.Sz.Sh. 'Efi#1 'EfE#2 � D-8 Z,5 3�z -- I S .-1 l. �o � 3� �r `� 3 — 5 �-� , � L. � 3 3 7�S! ,( 4 y '� '!�'f' h r� l . t0 /_(� �� S y. Gz � s r s r r5 ►.�p�-� N ���a � SS`' ` � S7 �i � �# ❑ �s a Pit G�a s�rtace eierr. tt Dep�tO umitir�g tac�r in. � �e Hor�on Depth DaTtiriant Color Redox Desaiption Te�ue Struc#ure C,onsisbence Boundary Roots GPDftg in. MunseU Qu.Sz. Cont C.obr Gr.Sz.Sh. 'Efi#1 'Eff#2 w: l � exis � -o r-�w��d � � ��� o c Z/ol z �Tb�' ST vG'ii� VC� -C[Ll .� k � = 6 Oa = , so�� s G �' , ' � t- 1� c� � � � S Sc�� cc e �� i Stl�'4't t`O �O VL S �2 �� v �- v� e �2-b b Z� -�-- �' �-- a �# � � ❑ P� Ground surFace elev. R DepUt to lirtuting facxor in. Soa Rate Ho�¢on Depth DormnaM Cobr Redox Desaiptia� Te�dure Strudure Ca�sist�ce Boundary Roots GPD/ft� in. Murtsell Qu.Sz. Cont Cobr Gr.S�.Sh. 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Soil Pro�'ile Sheet � Owner. �1Oi'�� �v�L�1`^s`l Soil Tester. � . �� Y`; � . � �System Flsvation: Lo�d Rate: � •� Syst;em Range:��-2Stro 1 � � lo" .... .... � �--- .... .... .... _ �`l',� � .:..:: ::.... ....:_ ::.... _q9 oS� .. .. �� .... .... _ ot g �O ' .... .... - .... .... .... .... � --.. _... ,�J _... .... _ q$ .2S^ .. .. � ,��� .2 S�- .... .... -q g.2S �t$ .... .... 12�c33 -.._ .._. �2`'�33 _... . .. ��"cs3 .... .. .. .. .,.. .... .... / � .._... ...... � .. .. ......._.... ..... -a-�.�s � . _....: ...... -�7. l �- ....._ ...... -q'7 13 �--- ...... . �l� •• ' � t� � S N � 5 N � . ` � . .... 5 .... .... ._.._ _._. S ... �r .... .... �Y�� ..._ �_... �.Y " ._.. .... �Y � �� .... .... � ---. .... � .... .... � , .... .... � ---. ..-. , .... .... .--- .. _. .. .. _ ........ ..:... _q'S,� l --��-- ---�-- _� S, 1 3 ....._ ...... - �S•�S as � � ...... ...... .._... ...... ...... ...._. ...... ...... ...... .._... ...... ...... �Y .... .... .... .... .... .... �3 .... .... .... .... ..._ .... �2 .... .... .... .... . �� � .... .... . ...... ...... ...... .._... ...... ...... � I .... ...: - ._.. .... `"( � � ,�� .... .... . � . :::: :::: :::: :::: ,M i�'"� �. :::: :::: �° :... .._. _ _... .... � .�� .... .... .::: :::: :::: :::: ,�-^ :::: :::: � . ._ . . . .. ��.5 � �✓� .. .. :::: :::: � :::: :::: ��� :�: :::: ...... ...... ...... ...._. ._.... ...... ...... ...... ...... ...._. . ..... ...... ...... ...._. ..._.. ._.... ll .... ...: -••• ••••• � �� .... ..... . � �� � n n�l, 1 �1" v �2� r�ea� csLate 5awyer C:ounty Nroperty Property Status: Current R_isting i oday's Date: y/lb/1U11 Created On: 2/6/2007 7:55:18 AM Description Updated: 2/16/2015 Ownership Updated: 2/16/2015 __.__. . _ ._ _ _ _ _ . __ . _ __ _ __ __ __-----_ _----_ ___ ____-------------___--_____ Tax ID: 9951 HERMAN & ANITA WESTMINSTER CO P�N: 57-010-2-41-08-23-5 15-112- EBNER REVOC 000102 TRUST Legacy PIN: 010171000102 Map ID: -4.1.2 Bilting Address: Mailing Address: Municipality: (O10) TOWN OF HAYWARD HERMAN & ANITA HERMAN & ANITA STR: S23 T41N R08W EBNER REVOC EBNER REVOC TRUST TRUST Description: ROUND LAKE PARK PRT LOT 11357 RANCH 11357 RANCH 1 PCL A CSM 3/278 #612 RESERVE PKWY RESERVE PKWY Recorded 0.830 WESTMINSTER CO WESTMINSTER CO Acres: 80234 80234 Lottery 0 Claims: Site Address * indicates Private Road F i rst D o I I a r: Yes ___-- --___ ._____ ___.-- ---._— _----- __. 10567N PENINSULA RD HAYWARD 54843 Waterbody: Round Lake Zoning: (RRl) Residential/Recreational property One Assessment Updated: 11/9/2015 ESN: 444 - ----- - -- _---- _ _ - --- __ _ _ _ __ _--- 2021 Assessment Detail Tax Distritts Updated: 2/6/Z007 Code Acres Land Imp. _ _--- ---__ ____. __ _.. _ --------- -- _ _ G l- 1 State of Wisconsin RESIDENTIAL 0.830 146,500 67,600 57 Sawyer County O10 Town of Hayward 2_Year 2020 2021 Change 572478 Hayward Community Comparison School District Land: 146,500 146,500 0.0% 001700 Technical College �mproved: 67,600 67,600 0.0% Total: 214,100 214,100 0.0% Recorded Documents Updated: 6/17/2011 _ _--------_____ ___--------___---- ._._._-- _____._ QUIT CLAIM DEED Property History Date _---- ______ __ _-- -----_ . ___ -_ __ _ ______ __ Recorded: 6/7/2004 322180 N/� QUIT CLAIM DEED Date 269600 641/152 Recorded: 7/30/1998 /� �. a o°j� N�NSil�A '� e� P � ( 9- Q` A�'\ .q �Q. 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