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026-938-08-6002-CST-2022-060
� -� ��I�INAI� � � Wisconsin Department of Safety and Professionai Services ,.,, Page � of J � D DivisionofindustryServices SPg , SOIL EVALUATION REPORT � --- � � - In accordance with SPS 385,Wis.Adm. Code Coun � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, but not limited to:verticai and horizontal reference point(BM),direction and percent slope, Parcel I . scale or dimensions,north arrow,and location and distance to nearest road. Q� Q� Please print all information. Revie d by Date a Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). � � I $�,37 .2 Pro erty Owner Prqperty Location ❑ � }•t��, I��S n 1 Govt.Lot '1K D�'S�g T Fs N R d� E(or) W P op wn Mailin Ad ess Site Address or CSM and Lot#: _ � �� ���t S�ate Zip Code Phone Number ity ❑ Village �Town Neare3f R d ►��\� �ria� ( ) ���I,i �,. �New Construction Use: esidential/Numberof bedrooms � Code derived designflow rate GPD � �Replacemey�� 4 Public or commercial—Describe: Flood Plan elevation if gpplicable ft. Parent material i 0 Li r� � > >�' ?�� c.orc�otifS �+"�J� ley�� General comments and recommendations: �J� �p� �\„� �,�,�T P,��KNc�� J}C �Boring � Boring# �p�t Ground surface elev.��;,�� Depth to limiting factor�in./elev. ft. Soi�Appiication 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 -ll .7 S �c O�C. % rn , -, �fi � �-- S a,- � J, _3 . N� 7,� � S: � ; —, �Boring ,(� � Boring# �pit Ground surface elev./D3. /L�ft. Depth to limiting factor�in./elev. ft. Soil Application 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 `E 2 - �` en , _ - � � � � �, . , , c. � � y 6 ,� ,� .�- CST Nam lease 'nt) S' atu � CST Numker �. � % �C� ress Date Evaluation nducted T ph e Nu b I � _ 'Effluent#1 =BOD>30 5 220 mg1L and TSS>30<_150�R�FUN���BOD,<_30 mg/L and TSS 5 30 mg/L SBD-8330(R04/21) ISSUE OF PERMIT Page�of� ❑ �Boring 1 � • 2 Boring# (�Pit Ground surface elevl�ft. Depth to limiting factor�in./elev. ft. �7 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsel Qu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 'Eft#2 -�- ,�" t` ._, �LC , 7 � - N 7 � _" S � l, 3 - 7 s- `'/ � � � 1 ❑ Boring# ❑Boring ❑Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft. Soil Application Rate Horizon Depth Dominant Color Redox 'ption Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu.Az.C . olor Gr.Sz.Sh. •Eff#� •Eff#2 � �•:. � �,, i . �,� ❑ Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft. Soil Application Rate Horizon Depth Oominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 'Effluent#1 =BOD>30 s 220 mg/L and TSS>30<_150 mg/L 'Effluent#2=BOD,s 30 mg/L and TSS<_30 mg/L . ���" � 5�''\` '1 O�C� . MQ� 2�' ���� SP��� M N1s�����v,� Z���,PO . . , , � -- i Site Plan � e ��v \�S Page � of� Owner: � � l. Dan Harrington CST#248357 ♦ BM: Assumed elevatio at 10 00 Date: Q5 ��-�G',�•,'� \ \ o ,��5�� � �i� 1w�e ✓' c- Scale: 1"=40' 0 40 60 80 • qt�+� 10Z Sc��e, ? *For new systems,well must be>=50-feet om absorption sys m. lm ..� �°"�- ; �b�ll� C.� cS� � GCt'f_�c�c � ���\o������ � ��'�'C, �,�� �,�c� . \ � � ��\�.�'� ► � ��� r � 3�0 � `�,"�` , ' � � S'v / ` / �9 i f � �o , S �&�� t 1 � ���� 1 � / / � I � �r�f l � � r il l 1 � ]o�{.'a ��3.N 1 p�',o ��� �� ���G. �C�`M� rQ.. � p O/ 1 � ,' l �� j �i � (;. � / -� ' ' �� l �y f _i �— �n3.� / ' � / .. 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Complete Iine 13 If applicable) A. ❑New Systcm � Replacemcnt Systcm ❑Tteatmcnt/Holding Tank Replacement Only ❑Other Modifiuuon to Existing System B• ❑ Pcrmit Rcneual ❑ Permit Revision �Chonge of ❑Pemiit Transfer to Naw List Prcvious Pertnit t`umbcr and Dste(ssued f3cforc Cxpirnt�on Plumbcr Owncr IV.'1'� �e of PON''I'S S�•slcm: Check all that a>>Iv ❑Non f'ressunuii In•Ground ❑ Atound_24 in uf surtnble soil ❑ htound<:a in.of surtable soil ❑At-Grodc ❑ Smglc i'ass SanJ fllter ❑ Consw�tcd Wc�lanJ ❑ P�cssurizcd In•Ground �Holding Tenk ❑Pca1 Filter ❑Aerobic Trcatmrnt Unit ❑Recirculating Sand F�Itcr ❑ Rccirculating Sy�nthetic h1edia Filtcr ❑Lenchin Chnmbcr ❑D�ip Linc ❑Grevd-less Pipc ❑Other(ex Iain) 1'.Uis�crs�l/Trcatment Arca InformHtiun: Dcsign Fluw(g�xi) Design Soil Applicntion Rate(gpdsQ Dispersal Area ReyuircJ(sQ Dispersel Area Proposed(sQ System Elevntion � �l :� ��:¢ JL!�- Jl��-- >��� Vl.Tank[nfo Cnpxiry in Tolnl Numbcr Munufacturcr Prcfab Si�e Stccl Fiber pjaslic Galloos Cinllons uf Unus Concrck Conslrucicd Glass 3046 New F.xnany 7�nk� Txnk� Septic or Holding Tank �,�. 3�,��� � f/U !c-'Yt' ONc"/C�J x . AetobiC�Iltalmrnl Und lkising CFumber VI1.Rcsponsibilllv Sl:itement- 1,thc unAcnlgned,s�aumc rcaponelblUt (or(n�lellatlan of Ihe POW'I'S�hown on thc attnchcd plani. Plumbcr's Namc(Prim Plumbcr's Signnturc MI'1MPRS Numbcr 13usinc:s Phone Numbcr �"r rt��r J��,-��� L -�- r"}�._-<�� d�i����, �a, -7�s r�s - ��c�%� Plumbcr's Address(Strcet,City.State,Zip Ccx1e) �� ;��,� c t r �� ,� s;z^-v�_ 1. �:��, c�z- �� ��F �� YIIi.Couniti•/De�arlment Use Onl� ��rr�����i ❑ Dis,pprovcd Sanitary Permit Fee(includes Groundwakr pote I�sucd Iss n Agcn Si6nat mps) ❑ O��ncr Grvcn Reason for pcninl s°"�„`b`F"> $190.00 08/24/0 I\.Con � ions of ApprovaURcasons for Disapproval A�uch complete plam(�o�hr CouMr mily)for Ihe t��tem oa pipar no�lef�th�n i1/2 i 11 Intha In tlu � S�3D-6398 (R. 01I03) PRIVATE ONSITE WASTE TREATMENT SYSTEMS ca,��y ��SCO/�SIIp { POWTS) oePartmenc or commerce 1NSPECTION REPORT �w �� ' serety aod suuaings�i,�s�on (ATTACH TO PERMIT} � Sanitary Permit No: GENERAL INFORMATION Qt� r, 3ZZ Personal information u rovide�ruy be used for sceonda u ses Privacy Law,s. I5.04(1 xm) ' Pertnit Holders Name: O City ❑Villaga �own of: State Plan Transaction I : L�J�� �4 ev�e � Sc� r D Z�S6 / CST BM Elev: Insp BM Elev: BM Descrlptlon: Parcel Tax No: l00! go�ow► o-� a ,e S�d.�� ozb —�i3Fs—o8-6a� TANK INFORMATION EL VATI N DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic Benchmark p !00 �OO Dosing Aeralion Bldg.Sewer 2.3 3 �'7. Holding �u O d� S Ht Inle Z.SS 9 ,y S' TANK SETBACK INFORMATION st�Ht ou�et TANK TO P!L WELL BLDG '�"rro ROAD Ot Inlet AIR INTAKE SepBc NA Ot Bottom Dosing � Installa6on Contour AeraSon NA Heade�I Man. Ftolding SD .� .�-t'S" S Disl.Pipe PUMP 1 SIPHON INFORMATION Infiltrative SurfacE Manufacturer Demand Final Grade Model Number GPM TDH Llft Friction Loss System Head TDH Ft Forcemain Length Dia DisG To Well DISPERSAL CELL INFORMATION DIMENSIONS W�ih Lenglh �a«e� Type of System Manufacturer: SETBACK OHWM of Nav �CHING INFORMATION P�L Bldg weu wa� CHAMBER �.� Malel Number. CELL TO DISTRIBUTION SYSTEM X Pressure Systems Oniy Fleader!Manffold DisUibutian Pipe(s} X Hole Size X Hole ObservaBon Pipes Length Dia Length Dia Spac Spacing ❑Yes O No SOIL COVER Depth Over Depth Over Depth of Seeded/Sodded Mulched Cell Center Cefl Ed es To soil ❑Yes ❑No 0 Yes O No COMMENTS; {Indude code�saepandes,persons present,etc.) I�old�Ny Ta�k v.��� � b4�1 so: �S � I��g �. 5 ro�ti� wd��e�c- � bac� s �n �cs �no �o�-, ��- w�o��d . Plan revision required?O Yes!�No C� (Q�O VJ A,,,t � }...f� � Z tt p � � / ` I ' l ' � T l Use other slde for additional informaGon Oate POWTS Inspectar's Signature Cert No Bareau of Field Operations,PO Box 7302,Madison,WI 53701-7302 SBD-8710(R.3J01) • ADDITIONAL COMMENTS AND SKETCH • SANITARY PERMIT NUMBER: ��'—' 3 Z Z � � ,� ; -.- —, • ; . � - �__ ; ---I ` . .. . . . i . I , -- 'Y_ � _ ;__._i_----- �� _�__. . . ,——.�.. . . ' ---- ——�-- -- }--- —1 � — �.__—: .� 7_ --'--� !— —' --- � — ' _ ' _j---i r---� ` --- ;- - . . . - - i r - -._. .. t _ : ' ' _,. 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'••-•-�- -_�_. _c_..�. _.�._._._; .__ ..� , ,` �. - 1 - '_ - ', i i i i 1 ; , i .i � i i 5/25/22, 12:28 PM Real Property Listing Page R2al EState Sawyer County Property Listing Property5tatus: Current Today's Date: 5/25/2022 Created On: 2/6/2007 7:55:47 AM .i �Description Updated: 8/26/2020 � Ownership Updated: 2/3/2022 _ Tax ID: 27783 GBS GROUP LLC NORTHFIELD MN PIN: 57-026-2-38-09-08-5 05-010-000020 Legacy PIN: 026938086002 Billing Address: Mailing Address: Map ID: :10.2 GBS GROUP LLC GBS GROUP LLC Municipality: (026)TOWN OF SAND LAKE 617 TURNBERRY CT 617 TURNBERRY CT STR: S08 T38N R09W NORTHFIELD MN 55057 NORTHFIELD MN 55057 Description: PRT GOVT LOT 10 Recorded Acres: 1.000 � Site Address * indicates Private Road Calculated Acres: 1.279 16211W CONNERS LN STONE LAKE 54876 Lottery Claims: 0 First Dollar: Yes `�) property Assessment Updated: 4/2/2020 Waterbody: Sissabagama Lake 2022 Assessment Detail Zoning: (RR1) Residential/Recreational One Code Acres Land Imp. ESN: 423 G1-RESIDENTIAL 1.000 248,000 75,800 � Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change 1 State of Wisconsin Land: Z48,000 248,000 0.0% 57 Sawyer County Improved: 75,800 75,800 0.0% 026 Town of Sand Lake Total: 323,800 323,800 0.0% 572478 Hayward Community School District 001700 Technical College '�Property History • Recorded Documents Updated: 2/3/2022 N/A QUIT CLAIM DEED Date Recorded: 1/13/2022 437102 TRUSTEES DEED Date Recorded: 12/22/2021 436669 QUIT CLAIM DEED Date Recorded: 8/27/2018 414066 WARRANTY DEED Date Recorded: 12/14/2011 376117 https://tas.sawyercountygov.org//system/frames.asp?uname=Eric+Wellauer ���