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026-939-12-5725-CST-2022-053
' '*������'. �� � Wisconsin Department of Safety and Professionai Services Page of � Division of Industry Services SOIL EVALUATION REPORT �� `. 1,�.- y� In accordancewith 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, s��'"� �'� � 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. C'j `� 3�� t�" �� Please print all information. RevieweG►vf' , � Date � Personal infortnation ou rovide ma be used for seconda u oses Priva La•�v s. 15.04 1 m . � s 19 o�-e� Property Owner Fr�e�ty l.ocation � � Cc`j�• ��. � �— Govt. Lot "7 !.� S � ]` T 3Q N R � E (or) W Property Owner's Mailing Address Lot# Biock# Subd. Name or CSM# 3�l/y f j t3���x I 7 '� 7 City State Zip Code Phone Number ❑City ❑Viilage �Town Nearest Road 1 yley3 �,�/ S- a L` k -_ �;� s� � .� . 4:� w k ❑ NewConstruction Use:� Residentiai/Numberofbedrooms -3 Code derived design flow rate`1S�GPD � Replacement ❑Public or commercial—Describe: N� Parent material �� ta��o�l C�v�W�S 11 Flood Plan elevation if applicable�� ft. i i General comments and recommendations: � � 1 Boring# ❑ Boring �Pit Gro;:nd surtace elev.��.$�ft. Depth to limiting factor ��� in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� In. Munsell Qu.Az.Cont.Color Gr Sz.Sh. "Eff#1 'Eff#2 � O - 11 lDyf :�/� 5' ( 2 � V�� <- - 2 6 /� .Z, 1 �2,�0 �s Y �"/ti S l 2 s bi� r ,g 2 . (, l, c� (d Q�10 7s r �-t N'1 S Os v�-� i � . �-- /- ; 1 I Boring# ❑Boring ��`� '1 I "� I �Pit Ground surface elev. ft. Depth to limiting factor U in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� In. Munsell Qu.Az.Cont.Color Gr. Sz.Sh. 'Eff#1 'Eff#2 ► d �9 �� � 3i; s � z �- � � cs 2� .� �� � 9-Z� xsi� s/� 5 � �.�,,,, . � /'� s � 2 < � i- b 2$�i6O 7S"yr `{ �, F'�S O I ' -- 1 t� a� �C� "Effluent#1 =BOD,>30<_220 m /L and TSS>30<_150 m /L `Effluent#2=BOD,>30 5 220 m /L and TSS>30 5 150 m /L CST f� ►���eavatin LLC Signature ^ �-\ CST Number � 9� C.�--��' 2 K��,�� Addr ss Date Evaluation Conducted Telephone Number �, �tone Lake, WI 54876 S-/��2 Z 7�.s-���-�-�i� � SBD-8330(R04/15) �,�N ��' � -�� NQ REfUNDS AFTER 133UE OF PERMiT � � � i , ` • 1 r�` ��� 4i _ _ ;�1, MAY �7 2022 � SAWY�R COU�ITY . ��N1NC�ADMINISTRATtOP1 ❑Boring ,� Boring# �p� Ground surface elevC�`� ft. Depth to limiting factorl�in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� in. Munseil Qu.Az.Cont.Color Gr.Sz.Sh. "Eff#1 'Eff#2 � O- i o � ,- 3j� 5 (' Z f" � /-� 5 Zcu � � !. a Z 1 O - 110 �s��f� �1 ' os r` t � �� i�6 ❑ 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. `Eif#1 *Eff#2 ❑ 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 "Effluent#1 =BOD, >30 5 220 mg/L and TSS>30 5 150 mg/L 'Effluent#2=BOD,>30 5 220 mg/L and TSS>30 5150 mg/L Ct1ECK BOX AS APPLICABLE. CHECK BOX AS APPLK'.ABLE. Q SOIL EVALUATION o sca�e: �40� � � � SYSTEM PAGE 2 OF . SITE MAP — PLOT PLAN PROJECT NAME: �0, DESIGN FLOW: y�C' GPD �f��n;�� Attach design flow caiculations Tor commercial plans. PROJECT ADDRESS: I�I C�l 3 1nJ ��-'' N�..,�y ,(. A' Pipe Materiai/ASTM Standard(Tables 384.30�&384.30�5) /L7C3• U 'V Sanitary Sewer. `/�� �-h L/L !�i.�c` BM 9ymbd: � BM Elevation: FT Force Main: �l14 / BM Descriptfon: ��G'i%O/y v� �CC�G Indleate north by IMPORTANT: Slope Gradient(%) yy��eyrt�d�tf applice6le): � drawinp an artow Show ground elevation conbours at suitable intsrvals. O1 T88EBd A188: on the approprite line. � N �� �i � � ���.�p i 3 ��°� � � y s,�-,-,-, ��,o � �i�a �s `--�oc;J� — /G�.�,: � � �Q�L S.r� �5 ��c3� ( �� hc7u,-..` �, • � t r z Sh�� Jerry Ruid Excavating, LLC W208 County HWY A Stone Lake, WI 54876 C S�i' Z �i Z"�<c-.� Z /�7¢',(�S � � RP.s`.p}PAOP. � S�il Pro�iie Sheet � QWnCr. �G�('N�',� SOiiTe,SCet: Rv-C� 2�cz"l(�.� ' . Syst�m Elcvatton: �a�� Load Rate; m �' System Range:�ifiv ta`�i?,�� -� Z � . 1 C�v � . � ... .... .... ... • .... ...:-���`�� ... .�.:—J^ �`��-� .... ..:;—_^----� C:��,,�� ..� . . � � :::. ' � � .... ":: �3 3 ..� '�: 2•� 33 . ... ... �zr 33 .... .. `� ' ' � �7 ... �. .... ,... � � . :::: ... �(�s 7 �h .... � �C�..► ? ' .._ ...: ��(�0� 7. .... :.,. � �,. .. .... �. .... �'`� .... . ,.. ... . � .... c 3 .... :::: :�: .". , . .�. :.�. �,zv-7�. C .. . Lt�z 3�{ - . �`-c 2 b �'{'t .... .... � ,� .... ... .... �., � � .... »+ � � � l � ... •». ' �1 ,. Y.. �� .... ».. GE� .... .. � . _.. � • ... .. r - ::: ::. �:���3�-( :,. �.. -- �?�t��-i�-( ::. .::: `� � .�`f �f , , - � ._. .... .. .... ... .... � . �.� ._. .... .. .. ,.. .... `�3 ... ..._ ..., . . . .... • R 1 Real Estate Sawyer County Property Property Status: Current Listing Today's Date: 5/9/2022 Created On: 10/12/2012 8:22:04 AM �Description Updated: 10/12/2012 � Ownership Updated: 10/12/2012 w �... . � �_ � d. e._ _ . . .�.m., �em.�� ��. .�...�.� .�..��._..�......�.��,.�.�..._.�..e,d.. _�..�.� Tax ID: 41412 CASEY A WARNER STONE LAKE WI 57-02b-2-39-09-12-5 05-007- PIN" OQ0250 Billing Address: Mailin Address: �egacy PIN: 026939125725 CASEY A WARNER CASEY A WARNER Map ID: :7.25 PO BOX 2 PO BOX 2 Municipality: (026) TOWN OF SAND LAKE STONE LAKE WI 54876-0002 STONE LAKE WI 54876-0002 STR: S12 T39N R09W Description: PRT GOVT LOT 7 LOT 1 CSM 32/148 Site Address * indicates Private Road #7857 14693W COUNTY HWY E ��STONE LAKE 54876 Recorded Acres: 0.660 Lottery Claims: 1 First Dollar. Yes �Property Assessmentm�� .��WV Updatedv 3/15/2018 Zoning: (RR1) Residential/Recreational One 2022 Assessment Detail ESN: 423 Code Acres Land Imp. G1-RESIDENTIAL 0.660 3,300 71,600 '�� Tax Districts Updated: 10/12/2012 2-Year Comparison 2021 2022 Change 1 State of Wisconsin Land: 3,300 3,300 0.0% 57 Sawyer County Improved: 71,600 71,600 0.0% 026 Town of Sand Lake Total: 74,900 74,900 0.0% 572478 Hayward Community School District 001700 Technical College �� Recorded Documents Updated: 10/12/2012 __..Property History�� M1 � � � TRUSTEES DEED �� �� Parent Properties Tax ID Date Recorded: 10/19/2012 381176 57-026-2-39-09-12-5 05-007- 2g318 000160 0 CERTIFIED SURVEY MAP Date Recorded: 9/13/2012 380664 � TRUSTEES DEED Date Recorded: 5/12/2010 366464 � EASEMENT Date Recorded: 4/22/2010 366131 � TERMINATION OF EASEMENT RIGHTS Date Recorded: 4/22/2010 366130 HISTORY E�Expand All History_ White=Current Parcels Pink=Retired Parcels �Tax i�: 28318 Pin: 57-026-2-39-09-12-5 05=007-0t7416Q'Leq. 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