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HomeMy WebLinkAbout024-641-24-4101-CST-2022-209 ;� Wisconsin Department of Safety&Professional Services ��������_ Page � of `r �/Y DivisionoflndustryServices ' ^ '.�0 � �" '�SPs � SOIL EVALUATION REPORT � ,,�;,z� �,��r- — � ,,,„,�.,- Count ��� In accordance with SPS 385,Wis.Adm. Code Y Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, -S�w Y��� � but not limited to vertical and horizontai reference point(BM),direction and percent slope, Parcel I.D. � scale or dimensions,north arrow,and location and distance to nearest road. O Z�(�`�� Z`� `{� �' � _ ( Please print ali information. Reviewed y Date � \ Personal information ou rovide ma be used for seconda � 1 � y p y ry purposes(Privacy Law,s. 15.04(1)(m)). p Property Owner Property Loc�tion ❑ �� Tt�2{NC� �-- ���rJ•'4 ST�=f`�L+� at�,��lt Y< �t Y< S Z`{ T �1 N R O�a E(or) W Property Owners Mailing Address Site Address or CSM and Lot#: �-►zL'�' d�wk,s�iZ7 �, ,zc,c-C 7 �sK w l3Z�E J'A`( Lr�� \� ►��'�v9-rc.J , N� City, State,Zip Phone Number ❑ City ❑ Village �Town Nearest Road �/�(��.,.J� ;M.� SS/2.3 � 5� ) L�L( - �o�`)'� �Z c.v a� �,pi�.L^ (��v�jYi`I LN , � NewConstruction Use:�Residential/Numberofbedrooms y Code derived designflowrate �a� GPD � Replacement ❑Public or comm rcial-Describe: Flood Plan elevation if applicabie ' ft. Parentmaterial Lo�q/�^`� ��Z�w�v�-- � General comments and recommendations: 5'—,-t PGt� S`'�S �M �tS ,�.� ,-� o :�- 6�0 � ❑ Borin # ❑Boring � 9 �Pit Ground surface elev.b9•`� ft. Depth to limiting factor �P� in./elev.d� 5✓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 � o .. �I 7.5 Y2-f� - S�- Zn,s3 i� ,�„�/�.s CG U � �L�� 6. � /. o L 1 ) �3G 7�! �'/1- 3/� - -�L S �S C. r� I ('j LJ �..,��- C�• S 1� O 3 3(� -t�`'i .S �',L N/3 — S N osG µ1 — — 0• 7 /� � ��j b Z �Boring Boring# �Pit Ground surface elev. �I• rSft. Depth to limiting factor��'lb in./elev.8��35 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 0- (o 'j.S 7�c._2'.r�� __ 5 L Z r.t� 'L M V-C� (�U �-t2�� , 6 /� G Z- 6� 3(0 ?-S `r'�- ��y � �S'..�/�,b +L o SC� M f C�1�' /r�Z� c� �7 / C� � ��o r 90 �/•S �.G y�� — S W G v� 6,S C� i�hl � - O� 7 /. 6 ��i� CST Name(Please Print) Signature CST Number r,�•• L�-�1�— =- �_ %y�L'�S� Address Date Evaluation Conducted Telephone Number �o ��ox 66 c�3�-�=', wt /o �� zc z� >�S - 75��; �3�s S 'Effluent#1 =BOD>30<_220 mg/L and TSS> 30<_150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS<_30 mg/L CS�N o2� — ��`-f) NO R�FJNDS AFTEP SBD-8330(R03/22) IS3UE OF PEFMI7 • Page Z of � �Boring � goring# �Pit Ground surface elev. ��•�ft. Depth to limiting factor �`�� in./elev.��'�'i 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. *Ef(#1 'Eff#2 i 6 -/� 7.S't� S/� ^ 5 i ZM s�� �,,v -�r' i� I�z��- p . lo I , � � i � -3� �.1 y�- s/� — �c.s o.r� ,�, l G� � o . s 1 , v 3 43-�/ ��.S Y,c "/3 — S Y � o S G �y, l — - d . � l, �a p b h ❑ 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 ❑ 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. Munseil Qu.Az.Cont. 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ESN: 402 GI-RESIDENTIAL 6.420 177,500 145,300 �-� Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change 1 � � � � � State of Wismnsin Land: 177,500 177,500 0.0% 57 Sawyer County Improved: 145,300 145,300 0.0% 024 Town of Round Lake Total: 322,800 322,800 0.0% SR478 Hayward Community School District 001700 Technical College �Property History .. .._.. ._ . . ... ..... . . . ... _. . ... .__... . Recorded Documents Updated: 8/11/2014 N/A .. .._.. --_.__ .. _._.__ . .__... WARRANTV DEED Date Recorded: 11/19/1998 2R558 653/489 https:lltas.sawyercountygov.orglsystem/frames.asp?uname=Enc+Wellauer ���