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HomeMy WebLinkAbout026-939-27-5219-CST-2022-052 . . .������.:. � � Wisconsin Department of Safety and Professional Services Page of --� Division of Industry Services SOIL EVALUATION REPORT � In accordance with SPS 385,Wis. Adm. Code County � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, ��� L"� �'' � but not limited to:vertical and horizontal reference point(BM),direction and percent slope, Parcel I.D. �,� scale or dimensions,north arrow,and location and distance to nearest road. - � Please print all information. ,..,/ Reviewed b� Date y`� Personal information ou rovide ma be used for seconda u oses Priva Law s.15.04 1 m . � �/�Q oZ. Property Owner Pro e Location ❑ p� ,� � � :,� ��f� .�.� Gdvt�Lbt � p�S � 7 T?�� N R� E (or) W Property Owne�s Mailing Address Lot# Block# Subd. Name or CSM# (aca _ N 1��►r,� � 1....� � �o(� �3 I�f 9 City State Zip Code Phone Number ❑City ❑vllage �Town Nearest Road$(o I(�f1( r U'w l�e�� � Z � �(o/ 5 , . �.� . t-1, -K l t7� ❑ New Construction Use:f� Residential/Numberofbedrooms��Code derived design flow rate��GPD � Replacement ❑Public or commercial—Describe: Parent material ��U C IL�I ��:�. C.._:c:�Sh Flood Plan elevation if applicable� General comments and recommendations: ' ❑Boring �. Boring# �p� Ground surFace elev. �7 L�ft. Depth to limiting factor�in. - Soil A lication 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 1 - L/ I O 3�a, s l 2, r �5 z�' /- o � L`�'' C.� �S-�r <-(� i 5 �+j � 3 u /- � � lg- 1 7S r:- �(� n1`� ( — �� e�- /-� � Boring# ❑ Boring L �Pit Ground surtace elev c1�� ft. Depth to limiting factor�_in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� ' In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2 � � p.� � lDyr � z 5 ( z 6— MU r � S 3� � � ( U �- �- !6 �`�Sit' `���( �.S �S� � L S 2� � � �� j� 3 i 6 J II u 7sn y � �►5. �2.� � � — 1v �� /.� � ' �_.__._ � _._1� . � "Effluent#1 =BOD,>30 5 220 m /L and TSS>30 5150 n.�� "Effluent#2=BOD,>30 5 220 m /L and TSS>30 5150 m /L � csT��p�r��avating, LLC Signature � � < �'`, CST NumbeL � ��J°'�--d �-i 3. o� � ._.� ..�.—. Date Evaluation Conduct,�u � Telephone Number �� Add��one Lake, WI 54876 �r�- z 2- �'S-�`�Z-Z�t"�� SBD-8330(R04/15) � SA� a�.- � � `� Boring# ❑ Boring C, � � � Pit Ground surface elev. l�ft. Depth to limiting factor�in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 p-' `'j I O r 3`2 5 � r � � 5 n� l,c� a �- l "��S r ��� ! '�r � r� f G 5 � 3 1 z � T � � r�s � -- � ' �� ��, ❑ Boring# ❑Boring ❑Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. `Eff#1 'Eff#2 ❑ Boring# ❑Boring ❑Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2 'Effluent#1 =BOD,>30 5 220 mg/L and TSS>30 5150 mg/L *Effluent#2=BOD,>30 5 220 mg/L and TSS>30 5 150 mg/L CHECK BOX AS APPLICABLE. CHECK BOX AS APPL1CABlE. Q SOIL EVALUATION sca�e: ���=40� � SYSTEM PAGE 2 OF SITE MAP � � � � PLOT PLAN PROJECT NAME: 10, DESIGN FLOW: 3�-''C� GPD ry�S '��(,� Attach design flow calculations for cammercial plans. PRWECr a��ss: ��IC� 1`��v�— �� ��� �i'. Pipe Material/ASTM Standard(Tables 384.30,3�384.305) 1 UU L.� N Sanitary Sewer. / BM Symbd:� BM Eleva�ion: �T Force Main: / BM Description: Q �"�r�o'+� �c f_� l rJ 4 � Indicats north by IMPORTANT; Slope Gredi�t(%j yy��gy��ffappllceble): Q drawing an arrow Show ground elevation contours at suitabte intervals. O1 T88tBd Af88: on the appropriffi line. � � �\ � \ �� r ( - 2 �«1 �oc� __ __ ,.— . �-1�,p__:,Z-_____ ` �t J 0 +�--- _--_-----.— `��C_____ =,3 ____ _--- . ___— �. _____ tu��---_ � /�--- - -_.__ __ �..__ _ � _ _ . � _, _ _ �-� ;� �--�-�. ��. --- --_ _ ____ �. i-- �S z.s i �i7. �( Z � 7, �� 3 ��� `�l Sys;e,,,� q5��� - � << Z Jerry Ruid Excavating, LLC �-�-�� �s�Z� W208 County HWY A �c�u s�. �3 � Stone Lake, WI 54876 ��v j�,� �C _ �� � Gs�' _ 2��...�� 2 �yl�'/�5 ��.�,� B(�V. ��;. (o <,�� RP.�'.P.t PAOP.� Soil �ro�ile Sheet �1N�1tC: f'c7{`S'y-h�. �0 i 1 Tl.SClt: �u.d `Z`a 2<<C:��- Srsbem fitevation: ��i�� l.o�d Rate. � � �' System Rangt.�ts v to��l�' � Z � /d U j� .... .... .... .... .... .... ............ ...... ...... ...... ...... �� .... .... :... .... .... .... .......:.... ...... ...... ...... ...... . �1� ::: ::.. `-�( 7. �--� :::: .�'---�� � �� :::: :::: .... .... � .... ... 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' .... .... ..., ..� C ... .... � � _� .... .... . ..: .,. � .. .... ..� _� �� i��-( �� ... .... . .... .... :::: :::: Real Estate Sawyer County Property Property Status: Current Listing Today's Date: 5/9/2022 Created On: 2/6/2007 7:55:49 AM �' Description Updated: 12/26/2019 '� Ownership Updated: 12/26/2019 T�x ID: 29061 � ���� ������ ROBERT F & KATHY L FORSYTH GREEN VALLEY AZ 57-02b-2-39-09-27-5 05-002- PIN: 00019Q Billing Address: Mailina Address: Legacy PIN: 025939275219 ROBERT F& KATHY L ROBERT F & KATHY L Map ID: :Z.19 FORSYTH FORSYTH Municipality: (026) TOWN OF SAND LAKE 603 N RAMOS LN 603 N RAMOS LN STR: S27 T39N R09W GREEN VALLEY AZ 85614 GREEN VALLEY AZ 85614 Description: PRT GOVT LOT 2 LOT 1 CSM 13/106 #3149 � Site Address 'K indicates Private Road Recorded Acres: 0.690 5610N HAM-HOLLY DR ����� STONE LAKE 54876 Lottery Claims: 0 First Dollar: Yes Waterbody: Ham Lake �Property Assessment���� � Updated 9/28/2017 Zoning: (RR1) Residential/Recreational One 2022 Assessment Detail ESN: 423 Code Acres Land Imp. GS-RESIDENTIAL 0.690 64,500 65,400 `� Tax Districts Updated: 2/6/2007 _ww • 2-Year Comparison 2021 2022 Change 1 State of Wisconsin Land: 64,500 64,500 0.0% 57 Sawyer County Improved: 65,400 65,400 0.0% 026 Town of Sand Lake Total: 129,900 129,900 0.0% 572478 Hayward Community School District 001700 Technical College � Property History =� Recorded Documents Updated: 3/21/2019 ---------------- ------------- 0 WARRANTY DEED �� �� ��� N/A Date Recorded: 4/4/1991 222678 0 TRANSFER ON DEATH DEED Date Recorded: 3/19/2019 416942 0 CERTIFIED SURVEY MAP Date Recorded: 5/9/1990 218375 htT.� '/,it� .':iN,V•-r .:,.t�yCJ 1 .��...;`i .,5;�?. ..<35(; ,�.1, �i:'.,r�'�;E �3�i� � Gf":