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010-841-36-5407-CST-2022-038
� ��IC�NA�. � � Wis.Dept.of Safety and Professional Services SOiL EVALUATfON REPORT Page � of� ' � Division of Safety and 6uildings � in accordance with SPS 385,Wis Adm. Code � County �a� � ` Attach complete site plan on paper not less than 8111 x 11 inches in size.Plan must �v indude,but not limited to:vertical and horizontal reference point(BM),direUion and Parcel I.D. i percent sbpe,scale or dimensions,north arrow,and location and distance to neares[road. p/p yy�� o� � P/ease print al/information. Reviewed by Date r '1 v' Personal information you provide may he used for secondary purposes(Privacy Law,s.15.04(1)(m)). ` 0� �� a � Property Owner Property Location �f � �¢j,�y�� /(pm o Govt.Lot �/ 1/4 1/4 S�6 T y/ N R E(or) Property Owner's Ma�7ing Address Lot#f 81ock# Subd.Name or CSN!# Qb f! City State Zip Code Phone Number ❑City ❑Udlage QQ Town Nearest Road y WS ,f � ) /t w /' �ic�R/'/ o.✓ t ❑ New ConstruUion Use:� Residential/Number of bedrooms�_ Code derived design flow rate 6oa GPD [}�Replacement ❑ Public or commercial-Describe: Parent material bv7'w��i4 Rood Plain eleva6on if applirable .�/ General comments � G';`� 1� and recommendations: 6-� HO��to�✓ l ����� d/ive w4r [J� D S��N Z2 �os� a�s� APR 2 1 2022 L Kc lu. 7 . ' � eoring S�IAIYEF� COUNTY ❑ Boring# " Z�}MJCi qpMtNISTRATION / Q p�t Graund surface elev. �' 7,f� ft. Depth to limiting factor ��� in.� Soil A lication Rate Hotizon Depth Dominani Color Redox Description Texture Structure onsistence oundary Roots GPD/ft ' in. Munsel) Qu.Sz. Cont.Color Gr_Sz.Sh. ` ff#t ' ff#2 l o-/0 7.,�r �i — s� .��M-s k w - . � /.o /o- r f� — .fL .t• K /'.,+ � . o 3 � ).,t ''�` — s[ .t- f «, �-f •! �. o y y�•iio . s r�c f�6 ` �n c - -�� . � i.< ❑ Boring# � Boring ' � � � p�t Ground surtace elev. 93•� ft. Depth to litniting fador 8f' in.� Soil A fication Rate Hor¢on Depth Dominant Color Redox Descxiption Texture Structure onsistence oundary Roots GPD/ft ' in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. * ff#1 ' ift�2 �r�.�u � O-,f 7.6iit 1�,� -�' �„�� ... -- � _ ._ .� �f f' 7 7.S�if �t f .SG L - �f� w f'f • < / � 3 �- y ��szc f�c �' �, e- s ,�,< - - . � �.� 'Effluent#1 =BOD >3�<220 mg/L and TSS>30 <150 mg/L 'EfAuent#2=BOD <3�mglL and TSS <30 mg1L CST Name(Please Prin[) Signature CST Number ��(UCC ✓/fCE.do .�.1D Address Date Evaluation Gonducted Telephone Number �y�vti r�wy yo � .v�e c�.� �s y-�1-�z NO RCFUND�AFTER ssn-s3so�tzl i,i i� ISSUE OF PERMIT Property Owner JCif�/Y/�Ji�rol QDsrtoJ ParcellD# O/o�y/,�(fya7 Page � of_� ❑ Boring Bonng# , r, 3 Q pit Ground surface elev. 96•7S ft. Depth to limiting fador /00 ��•� Soil A lication Rate Horizon Depth Dominant Color Redox Description Tex[ure Strudure onsistence oundary Roots GPDlft ' in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. * ff#1 ' ff#2 � d-/0 7.S y 3�x _' 6.f �'M'f y ni Uj�t w .t'� . 7 /. � ro-3 7. y fi -� �'� - -s � vf w l•� . 6 /.o 3 •yy �-.f:,( '�� — [ . n f� v� a-� . ` /.o N `1�•leo 7�s�R �/6 - f o•s � ' �-✓f • 7 /. 6 ❑ Boring# � Boring ❑ Pit Ground surface siev, ft. Depth to GmAing factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture SVudure nsistence oundary Roots GPD/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh_ ; ff#1 ' ff#2 � Boring Boring# � P�� Ground surtace etev. ft. Depth to limiting factor in. Soit A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots GPD/ft ' in. Munsell Qu_Sz_ Cont.Color Gr.Sz.Sh. ' ff#1 ' if#2 'Effluent#1 =BOD 5>30<220 mglL and TSS>3D <150 mgiL *Effhient#2=60D 5<30 mg/L and TSS <30 mg/L The llept uT Safet}'and Professional Sen�ices is an equal oQportunit}r seivice provider and emplo}'er. If you need assistance to access,er��ice�or need matenal in an altemate fonnat,contact the depaitment at 608-266-3151 or TTY through Relay. SBD-5330(Rl l/I1) Jo�1+es/cr . Ow�/er � Jc f iuyd J�;m t Aontof BAUcI�t1Cc,✓/0 �ortq _ ly�ywt�N�vyo • Harwv�,Ws S4fry j ii��i�,f,..fSrr3.f Q�'�3� s7,��o9�j �.��� {�OorJ 6�kt z �rf Go�I[ofy f� 3� Hhdr �' t w tor,✓M4yw�vl ��Kc� �o►o4Nl;(3Yo7 , �,n loo.o' To�f�t�frlc fP,�rlfiiMU' 6oX 6� ' 93.7f� �!A ` �7�f� �3'9�.�f, Ga��r� ' �� —__ C L 9S 7f� c+- 9S 7S � � �+' • gl � . g3 c� qc.�r� 9M.f� cc. ��.7f ��re� �1iSrJ L � ��f- fCqIC I":40' HWY 30�; ,r�.:: � � �— � �i _ . � . . _._. . _ 'I _ � ..... ... _.( ..... —�' _�. . . � �._. .. . 1 1� _ _�___. � �S'9� _.. .._ ,9'f$ ----� ... _ , ..... .. .. �. ... ; - —�— C� , . ' _._.I.. _ _ 4` �1— 3d �h $� � ." 1 _. _. ..... �_ _ y � 68 , _. � S.dQ ,��b8 _ � _ o� �.��� , f w . y•���. fw ,___. Ih h�ln --; � 1�'ib '. _ I . ,S�'!6 f��/cfW -�-- a'�/9. �s _. t6 .... .. � _... ._.. , __ . . 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Today's Date: 4�20l2022 Created On: 2/6/2007 7:55:21 AM Description Updated: 5ll3/2016 Ownership Updated: 5/13/2016 _ _. _ _ - ----- _ _ �_ ._ — Tax ID: 11890 JEFFERY A & JAIME HAYWARD WI P�N. 57-010-2-41-08-36-5 05-0�4- L ROM505 000070 Legacy PIN: 010841365407 Billing Address: Mailing Address: Map ID: :4.7 JEFFERY A & JEFFERY A & Municipality: (O10) TOWN OF HAYWARD 1AIME L ROMSOS JAIME L ROMSOS STR: S36 T41N R08W PO BOX 89 PO BOX 89 Descript'ron: PRT GOVT LOT 4 & PRT HAYWARD WI HAYWARD WI VACATED RD 54843-0089 54843-0089 Recorded 1,200 Site Address * indicates Private Road Acres: � ____ _ __--_ ___.__._ __.__ ____ _ _ Lottery 9925N RICHARDSON HAYWARD 54843 Claims: 1 BAY RD First Dollar: Yes Waterbody: Round Lake PrOPe�y Updated: 4/16/2021 Zoning: (RR1) Residential/Recreational Assessment _ ___�.�..__----------.--_ ..___.___.___ _ _ _ __ _ One 2022 Assessment Detail ESN: 444 Code Acres Land Imp. G1- 1.200 346,800 339,300 Tax Districts Updated: 2/6/2007 RESIDENTIAL _ ____.. _._�_._._._ ---.--- _____._____�_-----._ __ _ 1 State of Wisconsin 57 Sawyer County 2"Year ZO21 2022 Change O10 Town of Hayward Comparison o Land: 346,800 346,800 0.0/o 572478 Hayward Community �mproved: 339,300 339,300 0.0% School District 001700 Technical College Total: 686,100 686,100 0.0% Recorded Documents U dated: 2/10l2009 Property History p ___.___ _..__..--- -.___ .__ ._ _ ___.. __ ._______---_� _ _.__._____.�---__----______________ N/A TRUSTEES DEED Date 3 9� Recorded: 8/27/2014 VACATION Date 329813 Recorded: 4/20/2005 WARRANTY DEED Date Recorded: 285388 WD711/155 � a �� o. �t� ��y, . _ _;��t�. �j ._�� rl.�� f � ���.•���:i W`�sl� -n. h ��+'� ����� �fi,� � � �,�`� � � ` `r�s , *� " ,'a`��+�� Jr � ��' ..iM�1-�. �t�r���w ~C.*ti ! ���,�,.�. +�`K#'� + �,r i ; ��f.��14 �' �� r_�}'r:,.. ''l�i `���4T ,.Vl� �_�(�y�`\ . _ j ��Y ,ty t, L' . - Y ' iF' i�'F� �1tiT�ti.\ �1" ri •� � JY TTV�' '�r � �'��• � - � . 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