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HomeMy WebLinkAbout004-838-02-3409-CST-2022-222 ' �{.� O C"� � �_ W sconsin Department of Safety and Professional Services Page_of_ ;V'����, �� \,\� Division of Intlustry Services �;�,s� �)=� SOIL EVALUATION REPORT � '�"o��g�� In accordance with SPS 385,Wis.Adm.Code ty SAWYE R -� Coun Attach complete site plan on paper not less than 8 1/2 x 1�inches in size.Plan must include, but not limited to:vertiral and honzontal reference point(BM),direc6on antl percent slope, Parcel I.D. U� scale or dimensions,north artow,antl location and distance to nearest road. O O�"I- �3 8�Q Z-�3�-((�1 /� Please print all information. Review y Date 1-' Personal intortnation you provide may be used for secontlary purposes(Privacy Law,s.15.64(1)(m)). I lo�t� 1 Property Owner (� I 11 PropertyLocatlon St'�Sw [1 ❑ � p--� l�V$$�1l L LtUC1Q `�2 Gov[.Lot 5'�,J '/. Sw %5 �Z T 3v N R (�B E(of)Q � Property Owner's Mailing Address Site Address or CSM and Lot#: � i�oa� a�-ti�V+o,� 2z �..o+ Z cs� z3/Zen � ���� ��ty State Zip Codep� Phone Number ❑/City 1 ❑Vllage �.yTovm Nearest Road/ COU�er¢ I.t�� Sy$ZG � � (�O�Oer2 Ool '� ¢r"7An �� �NewConshuction Use:�Residential/Numberofbedrooms Z Codederiveddesignflowrate 30�GPD �Replacement ❑Public or commercial-Describe: Flood Plan elevation if applicable ���� Parentmatenal��.�� General comments and rerbmmendations: 1 � NO REFUNDS AFTER .�( SO�.�S � Sc�S"rev� e�e� q6�S �SSUCOFPERMlT � Boring# ❑Bonng �J �Pit Grountl surtace elev.�a.3 R. Depth to limiting factor��Z in.�e�ev.9/_3�t. '� PC'eviov5 ScZ�, p8 _Zci`7 CS,.�- �y _��8 soiinPpiicason Rate Horizon Depth DominantColor RedozDescription Texture SWcture Consistence Bountlary Roots GPD/Ft� In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 � D'l0 Z.5 r L -- S �Z.r� r- v �- �-t� 2VfKt '(� �.0 y �p,Zy , vy - S Z�+,sb nav Fr �� ���� •G l.'D x.4zo '` 4G - � C�-s �h( J� ,'1 l.b `F `to-�o �� 4 3 _ �� - ,7 !.6 � Bonng# ❑Boring J �Pit Ground surface elev. k. Depth to limiting factor in./elev. ft. Soil ApplicaGon Rate Horizon Depth Dominant Color Redox Description Te�cture Structure Consistence Boundary Roots GPD/Ft� In. Munsell Qu.Az.Cont.Color Gc Sz.Sh. 0�i- �� T CS t'�t—OZ� �( 5-3-1 [ 2 'Etrtxt 'Effu2 � � �� iS /f�� �vw o 5T l -OZ$ r.1e 5 fie -�n b ce� �-�-� (3 N � P�I 0 h.- i r 74 Fc- Tn- b r Re �� S s 2(cJ Z ``.-.3 6" c�u � K O C D CS I�f DZgj CST Name MERTON MAKI Signature 224901 �1 �y�'�' CST Number Address 10869N SMITH COURT Date Evaluation Conducted I P (715)634-8719 Tele hone Number HAYWARD,WI 54843 lb- �3 !5-ZZ Effluent#1=BOD>30 s 220 mg/L and TSS>30<_150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS 5 30 mg/L SBD-8330(R04/21) � � Page of �� ❑ 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#'I 'Eff#2 � Boring # ❑ Boring L�� ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application Rate iorizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft� in. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. 'E{{�� '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/Ft� 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 � s, , •� '� 1 S A� �v �a- 3 0 q � _ : . 10 �a �.�,��. . . � WC`=�� ` � ��� �l� r�„ � � P, � �:� �_ - r j � ., ; �' ! 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I00 ,Z5' � 2. 100.zS t�'�.e.r�n�. w. �-''ta �, 3 . t oo.ao` �.�%�t�, . a-'l,�- �X Sc��;c.�a,,.� a�`}'{e-�-9b� Cs r zZ�}c�GG ( Cec1V t�-c S �v w..�1 v'� S —3 -- t�-}' .-I Sa•1 S j oew e�eV. 9-7 ' i (�c�.�,ge 96_ a-,�s' � i l Redl Estate Sawyer County Property Listing Property Status:Current Today's Date:4/23/2014 Created On:Z!6/2007 7:55:09 Ah! - �Descri tion U Gated:5/8/2012 '�Ownership Updated:2!6/2007 ii�i TaxID: 4486 RUSSELL&LAURIE KEY COUDERAY WI PIN: 57-009-2-38-08-02-3 04-000-000010 L a PIN: 004838023401 Blllina Address: Mallina Address: Ma ID: .12.1 RUSSELL&LAURIE KEY RUSSELL&LAURIE KEY Munic�oaliry: (ooa)Towry oF couoerur 12809W ATHERTON RD 12809W ATHERTON RD STR: 502'f38N R08W COUDERAY WI54828 COUDERAY W[54828 Description: PRT SFSW&SWSW LOT 2 CSM 23;260 �6436 �Site Address `indlcates Private Road Rernrded Acres: 1.270 12609W ATHERTON RD COUOERAY 54828 Cakulated Acres: 0.000 Lottery Claims: 1 �propeKy pueuMent Updated:8/19/2013 First Dollar: Yes Waterbody: Couderay River 2014 Assessment Detail Zoninq: (A-1)Aqricultural One Code Acres Land Imp. ESN: 454 GI-RESIDENTIAI 1.270 11,700 55,300 ��Tax Districts Upda[ed:2/6/2007 z'Year Comparison 2013 2014 Change Land: 11,70� 11,70D 0.0% 1 Sta[e of Wisconsin Improved: 55 300 55,300 0.0% 57 Saxryer Counry Total: 67,000 67,000 0.0% pp4 Town ofCouderay 576615 Winter School Distric[ 001700 Technical College ��property Htstory �.� Recorded Documents Updated:5/8/2012 N/A � WARRANTY DEED Date ReCorded:4/31/2012 376104 S�c� �, �r-2`� '1 CST L4—oz4� Sawyer County Certified Survey Map No. �L1F N gI``� i CSMPendinq ' i p ._ _ "' __ _ '_ _ __. _ .. _ _ ' . DeedLDte -- - -. _.. _'._ _ ____'___._ _ ._ NO1�55'45"W 366.55' U.91' �]'� , 19�1 ' 35'S 3�A6' 4J.�6' . A / I � 1 I !-33'—' J i S � c' { ��n i � � C��� �a �� I q � ? � V le O o . � / ��M �m � i C = •L�• c ! 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S S er �o ... .r t � .�b � 'G O�' •e�a us��o>30<zza�and rss>so<�so mgn. •ernu�t an a eoo <sa - ,_ �n-a�dTss<aom9n. 7'he Deparaarnt of f,ommuce is an equal oppommiry service provida and rmploycr. If you need assistance m ace�ss services or eeed material in an altetaate fom�a;Please contact the depacC:eent at 60&266�3I51 or 1TY 608-264-8�97. , � '`"'" PRIVATE ONSITE WASTE TREATMENT counry ; . <�T�"" ����T•'- ?i� ��'�.5.. ~f`. I : ��, _ sYSTEnns Sawyer � ��:,_�,�s;;�: ( ROWTS) - � `'""x"' INSPECTION REPORT Sanitary Permit No: � Safety and Buildings Division (AITACH TO PERMIT) � j GENERAL INFORMATION � y _ O7 g � I Pcrsonal infortnation vou rovidc ma be uscd for x�condary urTx�s�.� ( Privac � Law, �. I>.()4 ( 1 N m) I 'ertnit Holder's Name: City Village Town of: State Plan Transaction ID#: � ss�1 ( �- C.��,,�;�, �K �� nsp BM Elev: BM Qescription: Parcel Tax No: Gd� b� T -c� w� � � O°�( - �� '6� - 3 Y� / TANK INFORM TION ELEVATION QATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV , - --� 3eptic %s� „ �O � I Benchmark j 3 .3 ' I i o3 .3 � � � IGU.a ` i �osing �,,r ; 7Sb { ; i � �era6on � Bldg. Sewer j I I iolding � k St / Ht Inlef j � f TANK SETBACK INFORMATION St � ht outlet � � y f q �, ( ' TANK TO P/L WELL BLDG �R;NT�t ROAD 1 Dt Inlet � • Ss` � 4 5�7S � >ep6c NA D� Bottom � ( , � ' 9 � ,3 r )osing ,�.� ��` +�' ,�ZS� Nq Installation Contaur �eratian NA Header/ Man. �� � c� � � ' �olding Dist. Pipe PUMP 1 SIPHON INFORMATION Surfacte e i � �S ` � 7,2S ' Aanufacturer �t�,�-, Oemand Finaf Grade Aodei Number �� GPM � � � �DH 7` Lift Fric6on Loss � Sys Head TOH Ft � ; I Forcemain i L 6� � Dia � �� � Dist. To Well � I ; DISPERSAL CELL INFORMATION DIMENSIONS � 'N 3 � � So� � # of Celis � �ype cf Sy;tem i Distnhution Media Manufacturer: SETBACK OHWM nf Nav � Conv ❑ Aggregate INFORMATION P 1 L Bidg We11 Waters ❑ IGP o Chamber Mode! Number: c AG ;?� EZFIow CELL TO � �� ` -1-� � S3 � -�- t Oa ' I ❑ Mound � Other --------__ - — _ ._ )ISTRIBUTION SYSTEM �X Pressure Systems Oniy — ---_ _. - _ - _ __ ____._--- - . _ ____ __ -- - leader! Manifold � Distribution Pipe(s) X Hole Size X Hole Observation Pipes ength Dia _ Length D�a ___ __._ Spac __ Spacing � Yes ❑ No _ - _ ___ _ _ _ __. __ ._ _ �OIL COVER �epth Over -_ ( Depth Over _--- _ _ _ . _ Depth of -------- Seeded ! Sodded � Muiched � :ell Center Cell Edqes To soil ' ❑ Yes ❑ No � � _P _ _ � I ❑ Yes ❑ No� ;OMMENTS: (include cade discrepancies. persons present, etc.) � �,s�, �,�� ���� ��y lan revision required?� Yes 0 No � �7 '�.2 ' 1 � ; l� c%`"'- �.__.. _ __ _--- ; �j�� C� �b � se other side for additionai information Date PQNJTS Inspec�or's Signature Certification Number �A�-R7tn rR :�;(�, � ;�;h i ('t� �+°_, � ;��, �� �c-? !�;_ . M . _ . , ,E . _ _ . , -: • :: l y- 078 �� C �er�,,� � J.---__` `-=_,_'' -�nY----_L_. ��_ �, ���� � 3 ��- - - - - - - - � � 5 I '�� � Q�,�. � �� ��� I � aa` Q�,. �� 3°� � ��''� S3 � 61 �� � � �-- ,��° _`--� 0�'1 C�� � � � ���� . .� � ` �p� o s Q � ��� �1�S�qu''� f�-��'a�, � • ., �,-V--_