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HomeMy WebLinkAbout010-169-00-1400-CST-2023-106 p C'`Q s J O�.�R�A/r„hy, P `7 �������� Wisconsin De artment of Safe and Professional Services z � Page of ,N�� � Division of Industry Services ��, :�sP�_ �` 1 SOIL EVALUATION REPORT � '�,� �: .�/ `"�r�o��l'�� In accordancewith SPS 385,Wis.Adm. Code County SAWYER Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, but not limited to:vertical and horizontal reference point(BM),direction and percent slope, Parcel I.D. scale or dimensions, north arrow,and location and distance to nearest road. O(Q -- �6Q -- Ob -- �4D� W Please print all information. Revi ed by Date �_ Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). s� 7 �7 e2 � Property Owner Property Location ❑ ❑ � R 0 PQr� R • �O Y`�� � , �(��� Govt. Lot '/, Y, S 3�j T �� N R��'( E(or)OW Property Owner's Mailing Address (Sq,32, W �4�0 � �f`. Si�Address or CS�and Lot#: .�► ss ne. s�6� �.o+ t�{ City State Zip Code Phone Number ❑City ❑ Village �Town Nearest Road H� �d w ( 5�E8�13 c � F}� w4.-� c�� C�ra C .I�r � NewConstruction Use:�Residential/Numberofbedrooms 3 Code derived designflowrate � GPD �Replacement ❑ Public r commerci cribe: Flood,,CPlan eievation if applicable I� A ft. l Parent material �g3 S�'Z'. ('Q'� 4Ce�t�t l.� �t��(�a.. V�ec..� Sc�S1'e� General comments and recommen�c at ons:Z , 50.�5 ❑Boring �3.� I Boring# (�Xa�t Ground surface elev9Z•2'�oft. Depth to limiting factor rOZ' in./elev. � ��,� 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 � a-(� -i.S � z — I 5 -S w� c.� �.� ."1 t.� 2 6-3 n � � S << <� �, ���� .-t �,� �j 3$ —t0 k �3 — S' c< <, _ Lv Z [,b � �Boring Boring# ��t Ground surface elevQ3•�ft. Depth to limiting factor ��l 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 I p -�Z ol � l( --. L 2-�b -t.b r 3�Z -- f s � -S ►� �J zv�- ,`( l. ��-`-E �� `� `/ --- S �t c< <� t n�E- •� I.•� � �-6 0-'L l( y �r — 5 C� K -- l v •-1 (..6 CST Name MERTON MAKI Signature ��` ��� CST Number 224901 Address 10869N SMITH COURT Date Evaluation Conducted Telephone Number (715) 634-8719 HAYWARD, WI 54843 � - Z�- � -' � --Z3 "Effluent#1 =BOD>30<—220 mg/L and TSS>30<-150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS<—30 mg/L SBD-8330(R04/21) Page of ' ❑ �Boring ' 3 Boring# �;Pit Ground surface elev.�3'gft. Depth to limiting factor�Z� in./elev.�•�. 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#� •Eff#2 l o -q �.5, r 3/L" — � 6 - s w t v F� ,`t l.�, z 9 ,3 �, 4� — S' �� �� �� !��F '� Y I•G 3 36 =i �r � y -- S' r� n �� I v .'1 (,�O `f -TZ - l p " cF 3 — S u k �-- � .�c /.lo ❑ 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 N �. g � r dGl�— O N�t�. Cb � s , � 6 to d '�P -� �. I,�� s. , �. � '�o �4 S sf � s s��e�: ��-- t l —��{ �x .�� .� co �(� s�� � � �� _ � Z o� s = (o�' r vi v�e�. �t 3 -= 2r� 4 — 3 (S = 3 3 �r�,..� s �C'��--- �-- c� c�.C�s � �. 4- -� e s =. z o� �o K ❑ Boring# ❑ Boring ❑ Pit Ground surtace 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 3 b� 5 T. L o�0 4 -E-- '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 NO R�FJtv{�AFTE� �ate�1� .�3 _ � ����� E OF PERMiT � ISSU �.��� �nk� � ��� 0 6 2023 R�pt#.,._,_:�3_.a�( �.___ ---vs �WYER COUNTY Zpl+i1NG ADMINiSTRATION o c.:� e�'�. L�: Ro�r�- �, �o���ty �''1. fZ u'�1 Sqw�e�-�°o� l�yw4.�1 Tw� �Sq3Z w C�.�ol i�r. P�ti ; Oi0 - 164_ob - i4Do i-�a��rd�t�C s�i�a�l3 � 33 T �li� �or� 1S Q.t55/l er S��c L o"� �� Tehc� � 1D0� u � � Sc��� l =3� 9� / -sol r—�� � f � y ° o �e ao 30' , .FK U�K�- . 3 q3 / � BMIoO Be�pkn V���I COrKer NE , E,�S.Y C.or.1¢r O�' �'Lo�'1tC Z V�, '�1Z•2"a� 6Mioo Z q3.zP�' 3. 93. 8�I �i� _ �—1 5 0'.6S Rew Sc��'ew��eV. 88.5 Ek�s�.:.g sc�s��w� aleo.�sq� �.ws��Ks 5,l �n� t 43.z-S� dec.lt Q- _ � �, 0 �� ���ko��ak;.. ,���� •M �l�. �-ta.K:, �n C s Nt z z�E 4 o I � -1-- �-Z-3' ' C�,ro l dr, � � ( (� M 1 ` . �D�CDT� � 1�._C.�� r ���' 1 , ,, �' .'�'_ Ci �. v4:'3:: CC/ �� �D i. SvS'• :.LC'r � �YSi. .�.%��C ; - t �� �::. R:. � / v ,�,. � �t,, ._ � � S' ''L' Ci(j '`t �. � ;`., - � �i� �-f ? . ., ...,✓; y _�� — i �"_ ��'_" "' . . j . _____L___ �. f < i) S P � t � C '� - -- --- � --- f -- �. '_ _�� /r "F— , ' - ___T_"' "'__�"_ . .-- �-? ,�:'y., : '7 . r �"__ '__'.._' I '____L___ �ce;, � i i ��� ei"� ;� , .mm;"" .. �"� � � I I � �� i ��� ��� r �� . ._� � � i. �� � < ,_�� �������� ' ���r��� �,. i__� ___ ���_ ' _�������� i � q�_� �.. . ����_ ,. ��� .,. ._. .___1____ _____i__. --- '' ---`---- ' --'--�--- ��"' �. .....�e���' II �w r�a� me_" . . "'" �I .. i ���� ,.. "_ . "_'�"' "'_1_��I�I "' .. �.'�,,. .�veoe��, II '_'�L'�' - - �� ---- ---- = �� il ; �- - - � X 5`��-��' � �---- C� t , � ; � i �� � � � , � �--- � ---�--- �R � -- �� s _ _ . ., --- -- -- - ---�- '--- -=- � : _ ; _ ; . i ` ' - ��---- �-� -- ;� __ , r�-�- -- -- ---- �---�». --- -------- -----�--- ;- - ��� ---�---- _ --------- �-, �-- 4'6 � � ---�- '-F-l--- �,_ - -+- � ----= - �G,�' "� ; _ _ ,,. :=. _ � � --- I -------- `�� -----�---- � / �i _ �---- � -----; --- I ii �- , � '' I ; , j � 7 i � --^--" i' ��-��--� � __ 7 y _e_'ee��.. t3 ( .. �m ���" _. '__ ,,. .�"" �� '_" � '� � __"___' I '____��_ __. , "__"_' . '_____;__' I - < ; . �.�._ _ ___ �. il �..a � - c, _ I . I -_ , ., i� �� .. - . . . IGZ '� _ `' , -- $31Ff . ------- __ - —. �ib s� -� � State of Wisconsin and County . Uniform Permit Apptication Date �p �. �„9 - 'j' .t� for,Private Domestic Sewage Systems i� County��W�t I(�, State Permit �` . Number �Q � t Permit Number -� Z$ � A. OWNER OF PROPERTY Name: � Mailing Address: �QVT� ���' JOI�i'. . !'t�, IZ?.Y+rr�I'�, id1:.7GUIvSiIv. S�f8�+� � ! B. LOCATION OF PREMISE WHERf SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXTENDED LEG/�L DESCFiIPTION: Name One: (Sec., Lot, Block, etc.) f� � -- N�,, CITY VILLAGE � - I�:Y'whP..t1 TOWNSHIP '' 1 ' �: :�c. 3; i . �+� I�. �. 9 *� . . C. SEPTIC TANK CAPACITY�_Gallons NEW INSTALLATION REPLACEMENT ADDITION_— MATERIALS: Prefab Concrete Poured in Place Steel _�— Other ;No. of Tanks —L— D.TYPE OF OCCUPANCY . . ";. One or Two Fami ly Residen�e �.A HO't� �No. of Bedrooms 3 — .. ._...,�. , Commercial �' ��'� � alr�°t�""u's'�1 ' Other No. of Persons to be Accommodated 1,� — $ .' (specify) E. APPUANCES, ETC.:�Food Vltaste Grinder YES --X— NO Automatic Clothes Washer � YES NO _, , : .., .. ,. _ �___..,,. ..., . , .... ;,-f�..,,Dishwa.sher .. YES �_ NO Other (Specify) — ; : � ; �. F. EFFLUENT �ISPOSAL SYSTEM �-I�IEV(I.� � EXTENSION ADDITION REPLACEMENT Seepage Trenches: No. Lin. Feet� - Trench Width ' Depth • Number of Lin.es �A ., . Seepage Bed: Length 3�j '` �+dtfi �-a� Depth 4 �" Tile Size �'� No. Lines z Seepage Pit: Inside diameter '`' Liquid Depth � ' - - � , -- �.� • ' i ., � G. Percent of slope of land R % � w - - - di-rection H. Indicate Slope of Land & direction of slope on sketch I. Tile Depth 28" PERCOLATION TEST Indicate Soil map number And Soil Type Hours Water Test Time Drop in Water Level lnches Minutes Test Depth Character of Soil Since Hole in Hole Interval Second to Next to Last To Fall N�mber Inches Thickness in Inches 1st Wetted Overnight in Minutes Last Period Last Period Period One Inch u n � � c� jyp 1 � < 11�, K ; 2 2 4Q" 6�,-� ,so 3y.`� s . � �0 lo E 5 � � 2 � L.Qn 5nt s . '�" s . 16 �� . 10 J 1l�' : .�i��' i i 2 e' J RECORD DATA FROM MINIMUM OF 3 TEST HOLES IN THE ARE� IN WHICH THE SYSTEM IS TO BE INSTALLED SOIL BORINGS — Minimum 36" Below Proposed Absorption S stem Boring Total Depth De th to Ground Water De th to Bedrock Nunber Inches Observed Estir�ated Observed Estimated Character of Soil with Thickness in Inches �, d�� n�p �t 6" to�sc�.i �" s�r_�a �. ' 8{}" I�a i2t 6" topsoil 74" s2nd 3�° �'G 2t 6" ta�soi� 7r��� s�nc'� RECORD DATA FROM MINIMUM OF 3 BORE HOLES IN THE AREA IN WHICH THE SYSTEM IS TO BE INSTALLED (COMPLETE OTHER SIDE) Name of Owner �Utllti ;'�. QL'.C. County Syr��J'-t State Permit No. �0�� PERCOLATION TESTS I,the undersigned, hereby certify that the Percolation Tests reported on this form were made by me or under my supervision in- accord with the procedures and method specified in Section N 62.20 (3),Wisconsin Administrative Code,and that the data recorded and location of test holes are correct to the best of my knowledge and belief. NAME C7� R�'Tv .F NTF+'1"`A ,F TITLE CO�1R�C�'0'rZ. (Type or Print) REGISTRATION NO. or MASTER PLUMBER LICENSE No.14�8 ADDRESS R.OII`�'E # ��'I'C_=I.� t�.01�D �+4Y�4d�R� v��C�`�S '1ti [ � DATE OF TEST QCT z�� Ze�7ir.J,� - SIGNATURE , � � �6 .— ,� PERSON MAKING APPLICATIO(W�-�"�� I'��ChLi� & S�Ivj I.IVC. RCLT� ADDRESS # b 1"'�'Tl._ RD SIGNATURE �iAY�71�Ri�, WIS�OI�SIN MASTER PLUMBER M IN�S L ON �����"� 'V-�`�1'i;HI�E , � LICENSE NO. MP —�98 _ SIGNATURE =. _� a _.. ._ ___ � MPRSW Provide sketch beiow of system (Include direction and percent of slope and al! applicable distances including well location and lot lines) �, L t�� PLAN VIEW (Locate Percolation Test& Soii Sore Hofes} �� f � I � a L � _ . ; . __ ,> � , f i I �" I Q � y i � � i � I Note: The application cannot be considered for filing until all of the above questions are answered and the fee paid. --------------------------------------------------------------------------------------------------------------------------------------------------------- Do not write in space below— FOR DEPARTMENT USE ONLY Date of Application Fees Paid State �� �J County ��..� , Permit Issued/Reje�ted (date)�T �.� l�� Inspection Yes �No Date _�� — �� " 7�- Issuing Agent Name 'C��?1�1 ���faQ�C— � �17� Vafid Na. ' Date Rec'd. Department of Zonin� and Sanitation Sawyer County Inspection Report Name of property �C�t7/ �C'�tG F Description �f�- ///�� �- �.�G �3 � 5�� /i/ 9ul Owner ����� /%���p_ Address ¢��yJ� ,qy�/ Suilder Address Ma&ter Plutnber �;, �yf��/!�. Address �,/�yi���-�/ � Inspection (� Private ( ) Public Property Sanitary Installation ,Y Dwelling Privy Violation Mobile home Setback - Lake Garage Setback - Road ( ) Sanitary ( ) Zoning ,� Setback - Lot line � ,-a��- R_ ' � w�. �-�J GrJe-�� UN hfraW F✓ 19-7� /iJS/�e��iO4. /r .., C � 3 ReA �o,..¢,. �o` F' 9q��,.� ; � v N ? /o "'" V 3��r � i n' e y f 0 ieJ`- L+�wt� • . v ��a �� �� �.�� o�,e.. biscussed with Builder (_ ) Yes �� No Discussed with Plumber ( ) Yes No Date o£ Inspection //��i/y/ Signature of Officer ���.t�- .,/ � ��' + • �� � ti,� :� d:; - � j J A' �: + v'h ,`l'+3 � . rt` . -�..y �4 �'� �?' . 'r �J� �.� � �p � - ��,�� ,��`� P b� �`�� .�f� _I� G, .�. 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' I ,. ��. .' ;t ` ,a.� r^'� �¢� `i h 7/27/23,8�39 AM Real Property Listing Page R2al EStdte Sawyer County Property Listing Property5tatus: Current Today's Date:7/27/2023 Created On:2/6/2007 7:55:18 AM �Description Updated:6/17/2011 �Ownership Updated:2/6/2007 .._.._.. . .__. __..__ . . .. .._— ---__ _—._ . ._---- _._-_ Tax ID: 9940 ROBER7 A&�DOROTHY M RUID HAYWARD WI PIN: 57-010-2-41-09-33-5 15-189-001400 Legacy PIN: 010169001400 Billing Address: Mailing Address: Map ID: -3.14 ROBER7 A&DOROTHY M ROBERT A&DORO7HY M Municipality: (OSO)TOWN OF HAYWARD RUID RUID STR: 533 T41N R09W 15932W CAROL DR 15932W CAROL DR HAYN/ARD WI 54843 HAYWARD WI 54843 Description: REISSNER SUBD LOT 14 Retorded Acres: 0350 w Calculated Acres: 0.356 r Site Address *indicates Private Road Lottery Claims: 1 15932W CAROL DR � HAYVJARD 54843 First Dollar: Yes Zoning: (R-1)Residential One �J property Ilssessment Upda[ed:11/9/2015 ESN: 444 .. ....._.__...... 2023 Assessment Detail Code Acres Land Imp. �7ax Districts Updated:2/6/2007 Gl-RESIDENTIAL 0.350 11,500 83,500 1 � � �� � �� State of Wisconsin 57 Sawyer County Z-Year Comparison 2022 2023 Change O10 Town of Hayward land: 51,500 11,500 0.0% SR476 Hayward Community School Distrid Improved: 83,500 83,500 0.0% 001700 Technical College Totai: 95,000 95,000 0.0% •�Recorded Documents Updated:6/17/2011 ..-- � -� --- - - -- WARRANTY DEED Property History ._ _.._ .. . .. . . . . ... .._. _. Date Recorded:2/1/1995 246372 547/484 N/A https:/Itas.sawyercountygov.orglsystem/frames.asp?uname=Enc+Wellauer ���