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032-538-03-2204-CST-2022-095
'Wisconsin Deparhnent of Safery and Pfofessional Services ��������� P89e��� (� Division of ImiusVy Services � .�- SOIL EVALUATION REPORT � �n accordance wim SPS 385,Wis.Adm.Code �"�' S 4 W � At[ach comple[a site pian an paper not I�s tl�an 8 1@ z 11 inches i�sae.Plan must include, , but not lim'ited to:vertica!and Yror"vnntel refe1ence poirR(BM),direction aM peicent alope. Pe����• 2 �7 scale or dimensions,north anow,antl location and distance io neares[roatl. O.7aZ S O 3 v.oZd� O Pleese Print atl information. RaW by Date � Personal informafion 'de ma be used Tor sewnda ses Law.s.15 1 m . • � ob a�- .2l Ul ProPerty Owner P�erry Location ❑ �. �I�,orna.5 ,� .7;1 �D cQ e� c�•�o� H W i r�w i s 3 T 38 N R 5- e tm� w Property Owners Mailing Address Lot# Blotic# Subtl.Name a CSMtk a� E �}✓ aq � 3a '�/3y City State IIp Code Phone Number �City ❑Vflia9e �Town Nearest Road 48�15' 7�ot�a. (</� S`f(c bof�3£s�- S3S Gd�r1-� Pe�� ❑New Construedon �ge;�Residen8al/Numberof bedrooms o2 Code derived design flow 2le�GPD �ReplaCement ❑PubGc or commefcial—�escnbe:_ ParerR material 7 SO C. Lo e�S e� 5��fY q��caU iu Al Flood Plan elevabon H appikable r��ft. Gane,alcommenisandrecommenda�ions:OV2r�en�e /�°•�'�-� Ti�� ❑eoring 93?0 a Boring# �prt Giound surface alev._ft Depth ro limiting fac[or�in. Soil 'ption Rate Horizon DepM Daninant Color Redox Description Te�duia Strud�ua Consistence BourMary Roots GPD/Ft� In. Munsell �u.AL Cont Cdor Gr.Sz Sh. •EtNki •ER#2 2 0- �.s�rt3/a s;L a�s6 r�v�� cs i�a� .� a g-�y 7.srQs/�( 5;L a�sbK rn�� C In+aP 3 l�•a 7.sy2s� — 5 r — O r� r �.1 1 . �.� 3;` aK-s �,s��'9 ' ka�2 s�R� 5 L l f b K rri ' �.,J — N('.°I N P�� S S-9`I SiRs3 tfs —O �: -- 5 .c� aBoring 1F ❑Borin9 �.9 s [�IiT GrourM surface elev./R. Oepth to limding fector�6 in. Sal A katbn Rate Horimn Depth DominantColor RedoxDescription TeMure SWdure Consistence Boundary Roots GPDfFt' In. Munsell Qu.AL Cont Color Gr.Sz Sh. �EtF#1 'Ef1tl2 z o- �,s�zs ;c af�a K ��� s a .c� .� a 4-�� �.s�Qs� ;c. a��bK r�-�� w ma .� �s I6� 7,syRs3 Ca�l�.siR�s :C I�1,K rn � 1-� NP•`f MP.C� �s�e�� � `EHiuent#1=BOD,>305220 landTSS>30515 m L 'Efliuent#2=60D,>305220 LandTSS>305150 CST�a4`ease DM Si9nature . � CST Nwnber ��U�/� 6 Address Date Evaluation Contlueted Tele one Number r��- �r�a� � R� c� - �a-aa �,s ���- �a��.. D Cj I\y n� SBD-8330(ROM15) (�J� �1��!, �cJ� ry ,�J_, C �i l I NO REFUNDS AFTER ISSUE OF PEAMIT � JUN 2 0 2 0 2 2 I�J SAWYER CUUNTY ZONING ADMINiSTRATIOR� 3 Bo�ng# ❑Boring �GO.qs �� �Pit Ground surfeca elev._R DepM Eo limftlng factor_in. Sal Ikatian Rate Horizon DepN DominantColor RedoxOesWption Texhtte Structu'e Consislence 6ou�dary Roo6 GPD/Fl� In. Munsell Qu.Az Cont Cobr Gc Sz Sh. •EfFk'I •Efti{2 1 0� � s� 3 a ; c iMa .� o- �,S es 7. Qo 7L a� � .1 . 7stiec,s� — � Bwing# ❑eoring 9q.tCS �Pd Cxound surfeca elev. R Depth to limiting factor �0 in. Soil I�atian Rete Horizon DeP� Dominant Cdw Redox�escTiption Te�ture Strudufe Corsistenw Bouraiary Roofs GPD/Fi� tn. Munsell Qu./1t.Cont Color Gr.Sz Sh. ��� _E� �- - �, � 3 s; � afisb mv�- CS l�a� . (, , o� lo 01� �.5 s ��2 �,s�2�e 5;L L �b K r��r — o2f' ` ly �.rrab/,� � B�� ❑Borirg . ❑Pit Ground sur(ace e1ev._R Depih to limiting facror_in. Shc A ication Rata Horaon DepM DaninantCobr RedoxDescription 7eztu2 SWdura Corwsislence Boundary Roots GPD/FP In. Munsell Qu.Az Cont Cobr Gr.Sz.Sh. •Eft/t� . 'EfH}2 'ETfluent#I=BOD,>30 5 Z20 mglL and TSS>30 5 150 m�glL 'Eiflu�t#2=BOD,>30 5 220 mg/L and TSS>30�5150 mglL l� P' c:�:� �D mQ�11 / /it�J�lcis cr- � i �� lOD t�t,�cXL'1) N- �l�� l C� f'� 4,� a �lg3a ��siisti �� e t,Jin�er, (.v.� sllf�`i� T�mu.l, � Cv.� s�-r��o l��.� �(c�J 5 3 �T-3�-l� I�-5-�J ��7' � aaD�lO �� � � A �.�,�;� W:r.�e-r �_ f,— �— .,._ �,.__ �_ ,�— ,---- ---- �-- � _—� , _ c�� + _ �----i �,� W � O ��yg.r z y�h �s jC.A C � �`� pi ,;e.,t�e ❑ t3� ❑ 0 EL.��� �� on5 oa� � � �13.70 ��`'° �3 a ��o.�s 5��� � � �33 ��. �s 2,� �� ``�� 13 `{ ��. �"_ � �1 lc�p �� lJo��m O� Ex�St�;� SySfe�l s��te ��.y3'± HE3'f 5- P�E�t 12<G �3�m, �j�� a-� Q��re�- I� �x I s ? 3� �F.� �07. 3� __ Q�a�,e 3 1='^32'�^':e'i~. . . I�?!! ' !_i" 3.':C �a.!: _ '_c�,.:� �_J:: ^,�..rtrE'I' (!_1=: . . -.r � O i :.ST)Cr'' ' : �'_'t':)P` I i` ��t•��:cr I�arl Af . Strom � w - , � ,'1!%GI'�:':' 1' . O . I;O� 93 11' IItYCI_� 11'I 54R9G _�__^ � ~ !i2!'..Q �1 .. .... :!F'.`��.C4 _' I :/7 ri B'�.i.l.d c� i- _ o �{C�?'�:i:� �__ '__.�_ ----_.____.— I �L�rn`ser ponald "I'hompso�i__ � llddre-�:; _ Routc 2 Box ] 0-'--- --- tt' intcr, l;i _-5d89(�------- i I Tn���ec t,.'•.�n � �i ,� o c� (X) i'ri_vate O Publ �-_ Properl.v X .^;anit;:zr;r ii��i:a1 •� -� X � 'y7�l.'P1�. :_r:�- Jet.118('k 7.c l:(: �rialat. ion I�lob � le ::�:� ;����-`,a,�k_ rn�.d o - M �ii21'L?.!rn .�?� �'Lt!'i�: -1...)1. � .�.Ff tJ ` " i \ / JG,�1.. rV.r�� � ) 7�i: '_'i�^ 1 Y' �-� ;� i I �_ _ _ _._..____ .__"__ _. _"_ _____ _ _._ ._.. ._ '"__. .'"_ _ .__._" "_ __` -_'_.- ""'. . .___ ' .. _ _ _. ."'"" '__..�-'" I i� � � ;{ kE {.IiINTER- I ( �------ - - - _ --- -- ( i T � I�z�' �-� � , �� � � , � �., I , � wKu N�r �N I I I�.. (j(u&l1 ��.a � � � I_ - I��G.i. 5/�_Y•"1� i TMc �=' c�. :, /- 3c'c �. � I :, rn � �� 0 .� I k` y 49' VcNf Q ' I � i t � (�CLE 5S �a `� � � rt ' _� .}•: �t .• � ) !-:•.: 1 . . ( � ,.., I J. '.,• � r� � ;11 h' ;ic,_ 1 � ,'s . : , � � sc�;s:;ea �-r �i�r. pl�.�::�� �c ., � � r -e n . � s�u�-:,��d w�i �t;h � � �,e� n� � i).:+;c __�.� _ Q C� 1� --- ----�-- � i�r�/�/ y�, � // ; ,.,,;i' ,� r� , f ;.? f.' � � cr _✓'r �.G�LC2rtv ✓!/i�t�(int'� — - - — � PLB 67 � � " �_,�»g__ r. Stat��and Counry Sta�c Permn ��..T9 u �'a; Permit APPlication County Permit st ��,r�;� ,� for Priv:+te Domestic Se�va9e Systems County^ S�tJ�'@T .. �:2,�_ �F -^ ._ � '�� 'DENOTES STATE APPROVAL REC]UIRED �"S� � `��� Date Approval Received from State it Required State Plan I.D. � 74;Y`�IV ;�'r't�t !�'.1 A. OWNER OF PROPERTY Mailiny Address. ��C�4 � �_'_�1 �� ti 1 c-, �� 'ti �/ _ v' —� C(, y,c.,�� B. LOCAiION: �.ltt:' ', n��_( '�, Siclion �,�T�_NL R_ [`Irnl �V Liittt :� Gty Subdivision Name, nea�est road, lake o� landmark BIk- Villaqc Tucdn}hip !/;. � �-- ,l- r ,,,� C. TYPE OF OCCUPANCY: 'Commercial �Industnal 'Other (spenfy� 'Van,ince S�nglc iam�ly �_ Duplex Nn. of Bedrooms ..� No ot P�vsons_ � SEPTIC TANK CAPACITY /'c:.�� Total gallons No. of tanks � HOLDING TANK CAPACITY Tot,d y.illon; No. nf t,inks Pre(ab concre[e Poured-imPlace Stecl ,Y Fiberglas5 Othei I,pec�fy) Ne�v Install;t�on 7( Replacement Lift Pump Tank or Siphon Chambe� Total gallont Prefab r.oncrete Poured�in-Place Olhei {S��er.ify� E. EFFLUENT DISPOSAL SYSTEh1 Percolation Rate >�•� Total Absorb Area 1 �`� sy.it. New x Replacement Altematr. (Specify) Seepaqe Tir.nct�: No.ot Lincal Ft. _Wi�lth_._—Depth__Tile depih(top)__No.of Tiench��ti _ Seepaye Bed: ` Length ��-�' Width % ^" Depth !"' Tilc depth(topl '�,"� No.of Lines � Seepage Pir. Inside diameter Liquid Depth No.of Seepagr,Pits Pcrr,ent>lo(�e uf It�nd } % Distancc hnm criti�::d;lopr -J''. �� tJATER SUPPLY:Private.�` Joint- Communny�_,' Municipal' .' Owners name as Ifsted on EH 115 i(other than{xesent o��men I. the unders�yned, Jo hereby cert�ly Ihe[ the intormetror. I h.�ve repoited �s in aecord �rnth S�•ction HG9.2D. --- 4Visconsin Admm�str�trve Code. and that I have sized the effluent disposal system from the EH-115 prepared by [he C�trti(�ed Soil Tester, NAME ,'�1 - � I . C.i.l = .�� � 'r'C f dntl ulhci infurmd:n.in obtamed from V". . .� lu::ner'bwlde��. Plumhc�'s Signatui.. 1! ,'���.' (.( (,•�:..i r�)c• _ _� MPRSW= � ` Phunc = �f ''� .; Plumbcr's Address �. . I. , �,_ � Y� `�;. I PLAN V�EW Provide sketch beloev of system(include direction oi siope and all distancr.s in accord Lvith HG2.20.Well loca- tion shall he included on the sketch.Indicate o�dimensron locatio��of all wells on ihc propei ry or nciqhbois iproperty. If�vell has not been driiled please indicate. II l � r'�'•� /__�! �\ r_ i. . .�( ' � 1� � � , �``1 � � j � �I '� ; ;. ; � �__ ,� ,� t::,,� : 1 �L � ; .,� � `�',,1�r - I •-�.�'--- � - ,� I I '' I '` , !s ._--_ � _��-`-_��� '-��.<< : I '� , C i I � '� I y � f � ( :> � � � � : � � ' �( s . , ,. . � ' . .__..--�--_�.__..__ . / � .���----- :c - ' �I Do Not Wnte ui Sparc Below FpR COUfJTY AVD$TATE DEPARTMENT UiE ONI.Y Date of Apptication 1�-�•�' �Fecs Pa�d: St�te I 5.(1(1 Counry 1 5_(1(1 Da�c Z; tl�-tnhrt• 1�)'�) Permit Iswed��pEIX@q {datel j�-?j-i 9 Issu�ng Agent Name�jgllle ���12'1 i n�T Inspection Yes No St.te Validz Date Rr.c'd 1. county �wNite copyj s. owne� �green copyl OIVISIO�'OF HEALTH, P.p. BOX 309, MADISON,bb�l 53701 7.. state (pink copyl Q, plumbrr (canary copy) Revis�ad Date 7'1�78 �� �— �. •, � �S ,� �e== � � �i, z e .�-{�`��'��,� � �� � �� �fi `� �. � .3 . ,,, y3i _ , '� � , '�i * �, +�[,�,'' �^ K £ � }`�� �Ti� � l� 2. �il�y � ��n� �¢R� ����� ��� 'T'i''�k _ . l �� i., � �4� ' ��i1 4,�:� 7�. r ��•' •Y3� � ^ �C� . R � ...5\ A}�� 7�t � .Ji ". .ti5[ �:��;���^�°^. . V j '�` ���a� � �`'�.� y� L.1 =tf+�'�-..%'�'�` �YN�,�1;�y 4,L . . '� . ��;t'. . .. , �� _.'�n„A.s� . F+ .. Z,�S � ♦ 1 � 4::�. .I I Fi ~~���1\� � �.`+ ,�. ` . ✓r `�y�`i ��� � �� . :� .. ' x Y i; s�`�1.,���+��ro�ri,'2.�y�� _ �'K *F �t- �� � 4�� ���� �. �� 'k �I� "� \�"41�''�p.' 1 �I � . v �. �� t�,<<``�y �::��*�.�ki� � �' ti ? ` - �' �� �`�'��.; � `� - �:. �� �'`�-` � . .: -c. .'� t� ':3 � � ` � �� `��� `s 1 . � .'����� <� ��� ; .��� ' 'I� � . . �,�, � (� _ � a :��\�\t%.��:��`qr"'7' �^ .�� 4 �� � t _ C��"l�"i. � y,� �a .,� �kip'.��`3� �a' �,'R��� v;�� ���`• ,.� �• �ii �\e -��•'�""� ..';. � ,•_hi� a �,l '�'"k 1 ?_ . .�-- . qe. - , � �iu �+1'�`'. ..: 1` �: _ '± .,,� �j! , . �\ i� l ���'� � :4R� � �s `T���. . '� +i�!Y�,� �V ��� � i �� �3c '�-t � `'� ',:� � i. . '�t:• i Z j� � � r .� . � _ �� ,.�+y���V t. -. . w � . �� C`l� -: x.. S���( ' � `�(4� �y{ � � � � � V� � ',{'�� ��� �y� .D���( 1 �� Y R�`- ���,�/L,'.Y./ !1 \� '�t��� �r SIT� �^ �` c*°w�. 1 ��� ���.:itf � � �'. r � � �R •yfr �- ��f�� �I���•~ t ����' �FW�6i" �"� �� �� `f 'S� �� � ��� t+� � r��� r j: RI'.0'I� ' 4L ht"'� . Sli ' � � -=n. � , . �'"� . . } T vr �.. n �. +: r C .E '+��i��'iL,�� � �`� � 1 j� r rp, �.����' � � �.'���'^ia*r.� - , ! ��� �_ �� � � / 1 .��' � � � � ,, ��. $y -'� , '.� � �9it �G � � T� �,j' '3j� - �a . � ���-: y�.� ° . t� r� 'a ',n , .�� �..� ����``��� ,� � �t � � .. '� -i ._ a y i i �' �� g/,+{) A ��� �>�A�'� ��'�r��~f� t , � 3T , r �i.' `� � ' 1� .. @ t �' f � \ �� 9 ic... ;T� : \ . �'h.� . ��/P � * �'. 1 r "� ^G�`�� �,��y. .. ��� s�t'._ ���. .'_ �``.t� A _ A'Ni i. � .. +S �.�tiip Y�� � �1�1i"�3R lNlw� $'� ' ��7 � a"9�o . 'S Et -,.��( 3ht�`} + ��`�- j � � � � `�7 .0 7�... ������{�, ; � �`"-S 1 � � � *� y��J � � aa'�.`a'"'_ Y. -�-. ij� �aic +� �. `��; � - � y -��r-��`�o' �4 rdy� � �����1 r � �,. ��� � _�S"4'^'�^, �� _ .Vh-}��i�6 "�F-. «°' v�� l 1 MYf. T � Real Estate Sawyer County Property Listing Property Status: Current Today's Date: 5/2/2022 Created On: 2/6/2007 7:55:56 AM ` Description Updated: 2/26/2020 ��� Ownership Upda[ed: 9/29/2020 Tax ID: 33722 THOMAS E&JILL E BOULDEN TOMAH WI PIN: 57-032-2-38-OS-03-2 02-000-000040 - Legacy P[N: 032536032269 Billing Address: Mailing Address: Map ID: .6.4 THOMAS E@]ILL E BOULDEN 7HOMA5 E&]ILL E BOULDEN Municipality: (032)TOWN OF WINTER 24832 ENGLISH AVE 24832 ENGLISH AVE STR: 503 T38N ROSW TOMAH WI 54660 TOMAH WI 54660 Description: PRT FRAC NWNW LOT 2A CSM 7/32 #1344 �' Site Address * indicates Private Road Recorded Acres: 1.100 4845N PET1T RD * WINTER 54896 Lottery Claims: 0 First Dollar: Yes Waterbody: Winter lake - ' Property Assessment Updated: SO/SO/2016 Zoning: (R-1) Residential One 2022 Assessment Detail ESN: 428 Code Acret Land Imp. Gl-RESIDENTiAL 1.100 72,500 77,300 ? Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change 1 State of Wixonsin ��d: 72,500 72,500 0.0% 57 Sawyer County Improved: 77,300 77,300 0.0°k 032 Town of Winter Total: 149,800 149,800 0.0% 576615 Win[er School Dis4rct 001700 Txhnical College � Recorded Documents Updated: 3/31/2022 '` Property History O WARRANTY DEED N�A C Da[eRecorded: 9/11/2020 Q � 2U�� 7�53`-� O DESIGNATION OF TOD BENEFICIARY [:��i, •1 0 Date Recorded: 3/24/2022 -_ O TERMINAIION OF DECEDENTS INTEREST k Date Recorded: 9/24/2014 S�'P�� �' �� � WARRANTY DEED n�L�/. � �\ Date Recorded: 10/5/1993 �- �L O CERTIFIED SURVEY MAP Date Recorded: 10/23/1979 . �n ` I J� 5� V � Chc��a�PJon ,,J �� ��G„� 1 �oe55 or 5i�-1-/ al�v.viuM � ,;,, � 7 � � ` ���'e, , . . <�r- , . � , �� � �O �¢�� STu-T j -(P - � a � bd� I `tn �5od1