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HomeMy WebLinkAbout010-841-15-4104-CST-2022-087 , �— .� �, ���������h���> ' V� , Wisconsin Department of Safety and Professional Services Page of 3 -� 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, �� e� � but not limited to:vertical and horizontal reference point(BM),direction and percent siope, Parcel I.D. � scale or dimensions,north arrow,and location and distance to nearest road. �t O- B H I- /5 O 4 J Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). , � 6 l7 Property Owner Property Location � � ���. � �t� � Govt.�ot /VE '/• SE 'h S 1S T �I) N R S E(or) W Property Owner' Mailing Address Site Address or CSM and Lot#: F -)w 7�l L � lC� GS r'1 1# GOS'7 vel. �t p . �GH City State Zip Code Phone Number ❑City ❑ Village � Town Nearest Road Ha� wo�C W= Sy8'!3 � � ��a wa.r� 1�r�♦ r l. � NewConstruction Use:� Residential/Numberofbedrooms 3 Code derived designflow rate S/S�O GPD ❑ Replacement ❑ Public or commercial-Describe: Flood Plan elevation if applicable n�jA ft. Parentmaterial Ldesa a.,e� s4nd� e.,;wash �� General comments and recommendations: t� no�Y on o. G N� a Boring# ❑Boring �Pit Ground surface elev.qs•��ft. Depth to limiting factor>��d in./elev. ^ ft. �- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. •Eff#1 `Eff#2 4 O- L IOYR 3f� — �„� b . a 4-15 YR �'/'a � r...��� �fw O. o.8 3 � - IOYR y/y ^ : w.Fr w 7�.F,.., o. o.8 N �6- T.5'�R y!Y e �.5'cAyl SYRs/� .•+�� c`� — — $ '!6^ IID 7.S 4R Y/ — o Sa w►1 '" 1 0.7 �• S 7 w �r �Boring � Boring# �Pit Ground surface elev.►8•�ft. Depth to limiting factor >��in./elev. — ft. � Soil Application Rate Horizon Depth Dominant Color Redox Descnption Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 "Eff#2 � O-S 1 Y R 3 --� �- v G^ . o.� c� � S-1'i o 7R s/ — S�) o.8 3 17-33 OYR y ; �� .� o. y 3 'S3 7•5 R y/ `i y SYA SII ...4 .•, r W — 5 5 - 1 c� 7.5 yR y! -~ cS � T I � n.7 l• •�ae,.. S :a ceb W/ �-oe� to `�" CST Name(Please Print) Signature CST Number R d•.�� 1 r ,l�.ff' a� c.� 8 8 Address Date Evaluation Cond cted Telephone Number �� �,,�= Sygy OG /da/3.�- �i5- 5S8-Gy '7 � *EfFluent#1 =BOD>30 s 220 mg/L and TSS>30 s 150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS 5 30 mgJL SBD-8330(R04/21) NO REFUNDS AFfER �SSUE OF PEAMIT Page � of 3 �Boring a Boring# �Pit Ground surFace elev.45.00ft. 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 *Eff#2 O' (. o`i s/ —' �•. r cv...�� �l .r� Ct• l, o.g , G-1 S — i 1 ... a•.,� o. � o. 'b 3 I(i-�S lo yR 41y —' �1 ��.-...b �.C� o.c. 0.8 y �5�4 7�SYR y/ Y��S;RS/� e,1 e�M�bK r,�� cw � ^ — s YS-I) "!.S R4)• — c-g f1� rn� "" 1� O.'7 1.1. ❑ Boring# ❑Boring �Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft. Soil Application Rate Horizon � Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/FtZ In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 "Eff#2 1 a r: tor, r c re c c�r+ rY+e C1 ed , �-o h e a r o: I s a.bo v ct, ! c!�� r a-c u F . S 1. i n N t-t : > l� S v:a a61 �) f rs. ❑ Boring# ❑ Boring ❑ Pit Ground surface elev. 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 *Eff#2 `Effluent#1 =BOD>30<_220 mg/L and TSS>30 s 150 mg/L *Effluent#2=BOD,<_30 mg/L and TSS 5 30 mg/L � ��� ;��: �. o (����\:� �::'_: � - ��:: � JUN 14 2022 ;- ______._-____--_� SAWYER �i�°.;i a� ; ZONI(`G ADMi�JiS(t-1�.TlOt1� � SCA�t = � = so e ,e ,_ � ,s ,se NE�/4� 5E��M 5ec•i5, rtiiN, RoBW Le�to C6h1 i1[p051 v•�l•ps•�GV YO�JNOF HAY�J�0.$� Sr�wv¢R �outi'ry ELE�IP�ZIONS Pea. o�o-Stii- �5 YlvY aM �oo.00 &k On:N�,� w� OM1�ro6E R,anoN ,N aa" o o.r. ¢� 9s,00 F} �3a 9s•ao ff Q3 95.oo Ft •� a 0 0 A P O n ' o- O / ���� O car�aa486 � P 04�onia� B � ■ � B� � � � � / � v / �y !/ a / / ,� � M �Y / � lt Pce�ery�a�es arc / O / >pP.-ax:.,rwFc / 4� � /�age3o�,3 � J '� �L i{ .�•'�-�. �i�,y +,r, � i °�S , . i F'�$.Y�~� \ M� 1 � F� \�.' . 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Ja.:y:_�.�' x 6117122, 11:48 AM Real Property Listing Page R2al EStat2 Sawyer County Property Listing Property Status: Current Today's Date: 6/17/2022 Created On: 2/6/2007 7:55:19 AM � �Description Updated: 4/7/2020 � Ownership Updated: 6/1/2022 TaxID: 10987 JEFPREY]&SHEILA M ITZEN HAYWARD WI PIN: 57-010-2-41-OB-15-4 01-000-000040 Legacy PIN: 010841154104 Billing pddress: Mailing Address: Map ID: .13.4 ]EFFREY J&SHEILA M I7ZEN ]EFFREY]&SHEILA M IT2EN Municipality: (O10)TOWN OF HAYWARD 9900W STATE HWY 77 9900W STATE HWY 77 STR: 515 T41N R08W HAYVJARD WI 54843 HAYWARD WI 54843 Description: PRT NESE LOT SO CSM 21/264 #6057 w Recorded Acres: 2.989 r Site Address * indicates Private Road Cakulated Acres: 2.980 N/A �� �� Lottery Claims: 0 First Dollar. No i� property Assessment Updated: 2/6/2007 Zoning: (RRl) Residential/Recreational One 2022 Assessment Detail ESN: �4 Code Acres Land Imp. G1-RESIDENTIAL 2.989 21,500 0 �� Tax Districts Updated: 2/6/2007 1 State of Wisconsin 2-Year Comparison 2021 2022 Change 57 Sawyer County Land: 21,500 21,500 0.0% O10 Town of Hayward Improved: 0 0 0.0% 572478 Hayward Community School District Total: 21,500 21,500 0.0% 001700 Technical College . Recorded Documents Updated: 6/1/2022 �Property History WARRANTY DEED � N/A Date Recorded: 5/20/2022 439257 WARRANTY DEED Date Recorded: 11/12/2002 3052D4 CERTIFIED SURVEY MAP Date Recorded: 2/22/2000 282515 https://tassawyercountygov.org/systemlframes.asp?uname=Eric+Wellauer 1/1