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HomeMy WebLinkAbout024-741-13-3402-CST-2022-235 :;,,. v,,.. Wisconsin artrnent of Sa ��������� � � Dep fety and Protessional Services ` Page 1 of 3 � �, Division of Industry Services � "` '�s�� �,�"� SOiL EVALUATION REPORT ° � '-. ._ :�;, � `t-� ``°%:,;,�::j�=`�' In accordance with SPS 385,Wis.Adm.Code Coun Saw�er � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plart must include, parcel I.D. but not limited to:vertical and horizontal reference point(BM},direction and percent slope, � scale or dimensions,north arrow,and loca6on and distance to nearest road. da 4 ^7 � �- �3-3 vo a _ � Please print all infortnation. Reviewed Date Personal information you provide may be used for secondary purposes(Pmracy Law,s_15.04(1)(m)). � ( �I � � � roperry Owner Property Location � � � ,. �. 6e*k�e1+^ St � � ) %. S 13 T �1! N R ��7 E(or) W Property Owners Mailing Address Site Address or CSM and Lot#: ��_ ----- � M 9 S�I �. a Ciry State Zip Code Phone Number ❑City ❑ �Ilage �Town Nearest Road��(�(�(�(� G�,�ne�rG.. __ IL. b� `� � � i�o��. L.aK M�ose l.�.KQ 2d �New Construction Use:�Residential/Numberofbedrooms �� Code derived designflow rate �aC�GPD ❑ ReplaCement ❑Public or commercial-Describe: Flood Plan elevation'rf applicable N/A ft. Parent material� ea�.� f���e�'1�v:e�t e rrr o�}w�.4►► General comments and recommendations: � ❑ Boring# ❑Boring � � e Pit Ground surtace elev.�• ft. Deptfi to limfing fador in./etev. ft. Soit Application Rate Horizon Depth Dominant Cobr Redox Description Texture Strudure Consistence Boundary Roots GPDlFt� In. Munsell Qu.Az.Cont.Co1or Gr.Sz.Sh. •Eff#1 "Eff#2 ► v -c. �t(231 — � � n.'7 ►. 4 , (r- IS `S(ZM � 1 b.'7 1• 3 `+� — ls � M�� � 0.�7 �. yU- y vRy/ SYcis/ Irr.abK �r 1� ^ -^ � 'I 7.5'if�S I —' S R� M I — — c�."'T 1 - l. c,z 1 �F i n c 1�S%o�r+5 � � a Boring# �Boring (�Pit Ground surface elevg�•V�ft. Depth to limiting factor in./elev. ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlFt� In. Munsell 4u.Az_Cont Cobr Gr.Sz.Sh. •E�� •Eff#2 1 0- �. 3 — � � O. 1 � (i- Yfiy — U J �r� �• 3 , . y — s �' o. � 4 i u�r a y c a�.SaRy bSKRs �c 1 �,,,� — — S S� s . — S _ - ---�1-- � - o .-r 1. r:z.an 1�a f + f v F r n c! �v�n s o c,K 1 s CST Name(Please Print) Signature CST Number � �a c T .�/� �a�� S B � Address Date Eva uation Conducted Telephone Number oad 7 s y 1 /b aa ' g`G4�� ---- 'Effluent#1 =BOD>30 5 220 mg/L and TSS>30 5150 mg/L 'Effluent#2=BOD,5 30 mglL and TSS 5 30 mg/L SBD-8330(R04/21) NO R�FJNDS AFTEw ISSUE OF f�EFMIT Page of ❑ �Boring 3 Boring# �Pit Ground surface elev.9�•9aft. Depth to limiting factor in./elev. ft. � � Soil Appiication 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 1 �'2 10`7 3/ — 1 r.. � U.'7 )� � l -Ito `i� —' S v4Y' �'1 )• -4 � rc y I — M.,�-r- o•� t. � 4 -5 1 o�tR y/ 9R`► � ;cl 1 r.abK r�.�� — — 5�-137 �.s Ya s� _ s ,.�.� - - n•� � . D�C Lo � � • �c� v» h ❑ Boring# ❑BOri� �Pit Ground surFace elev. ft. Depth to limiting fador 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 : all / /;s rn " �+ " �• ende t- •� �o ! h � o�' S c. �. ❑ Boring# ❑ Boring ❑ PR Ground surface elev_ ft. Depth to limiting fadw 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 'Effiuent#1 =BOD>30 5 220 mg/L and TSS>30 s 150 mg1L 'Effluent#2=BOD,5 30 mg/L and TSS 5 30 mg/L iLji3t�: �� _� �'a'�„�,._.._ � �� �'�1��,1' �� ` I rn,�' ��� �� { -� '� a��� — � '�:; Chk#..�.__ _._ ..__ Rcpt� c �" �I I�.-o NOV 0 7 2Q22� � N SAV�IY�R G�°�";:'.;_. 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Today's Date: 11/8/2022 Created On: 2/6/2007 7:55:42 AM �Description Updated: 1/7/2006 '� Ownership Updated: 5/18/2022 ' Tax ID: 25212 KEVIN M FOREST GENEVA IL PIN: 57-024-2-41-07-13-3 04-000-000020 Legacy PIN: 024741133402 Biiling Address: Mailing Address: Map ID: .12.2 KEVIN M FOREST KEVIN M FOREST Municipality: (024)TOWN OF ROUND LAKE 124 S PINE ST 124 S PINE ST STR: S13 T41N R07W GENEVA IL 60134 GENEVA IL 60134 Description: PRT SESW LOT 2 CSM 26/278 #6954 Recorded Acres: 9.910 � Site Address * indicates Private Road __. Calculated Acres: 9.669 10066W MOOSE LAKE RD HAYWARD 54843 Lottery Claims: 0 First Dollar: No :-� Property Assessment Updated: 7/16/2019 Waterbody: Hay Creek 2022 Assessment Detail Zoning: (F-1) Forestry One Code Acres Land Imp. ESN: 404 G1-RESIDENTIAL 9.910 24,400 0 � Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change 1 State of Wisconsin Land: 24,400 24,400 0.0% 57 Sawyer County Improved: 0 0 0.0% 024 Town of Round Lake Total: 24,400 24,400 0.0% 572478 Hayward Community School District 001700 Technical College C3P Property History + Recorded Documents Updated: 5/18/2022 N/A WARRANTY DEED Date Recorded: 5/2/2022 438874 WARRANTY DEED Date Recorded: 9/2/2005 333108 CERTIFIED SURVEY MAP Date Recorded: 2/1/2005 328300 https:l/tas.sawyercountygov.org/system/frames.asp?uname=Eric+Wellauer ���