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012-739-06-5216-CST-2023-108
' ~`O�pnRTA/f�li'�.. �. .��������- V� � Wisconsin Department of Safety and Professional Services Page of � � r Division of Industry Services �=�`�sP= 1 SOIL EVALUATION REPORT � ��%���v�.l'�' In accordance with SPS 385,Wis.Adm. Code SAWYE R � County � 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. c� scale or dimensions,north arrow,and location and distance to nearest road. �Z—�3q— �(7—. SZ � (p 1-' Please print all information. ReviewedL%vf— r :�%`/ D�te � Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). �'v 7 �7f�3 — Property Owner � � n Property Location �� C O( 6 C��� (,(„rC Govt. Lot Z, %. '/, S (�(� r 39 N R �� E(or)� Property Owner's ailing Address Site Address or CSM and Lot#: PO �U I�fb �'`��ie c Cs s/6! �5za City State Zip Code P mber ❑City ❑ Village �Town Nearest Road �', W l � b3S'�So-r4 (-���.�er 2p c.J C.o er (Zc�. � NewConstruction Use:� Residential/Numberofbedrooms Z Code derived designflowrate 300 GPD �ReplaCement J�.rt" ❑ Public or commercial—Describe: Flood Plan elevation if applicable�� ft. Parent material��ccGt�� OcT�W 4S v� General comments and recommendations: —7 / 1 . C .���S . �2C I S"t� �S .SH S lewi e�. ± 9�.$Ff �C'c.r— ��� � Boring# ❑Boring �Pit Ground surface elev.�0�8 ft. Depth to limiting factor ��in./elev.�Ze�E�. � Soil Application I 47,�- So• � l es� �O r� �,4C,� S:1. �(ltS o - Sc�n S� _ Obs 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 D —� —[S r3Z — �S O —s v-� l• G � �j_Z� �, 4 y — �s �< << ,� �� �. Z� - '` �3 — S �� �i �c --- •'1 I. �{ SC� _� 4 ,5' 3 . 5 ,. ti ..� — .� t ❑ 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 — so� P' e r�.e.� rti � s.T -�--�- — � k is ,.� ('��-� � f" Z 3S ' r — � — L 6 Cc< <�t �i►,, Su e t�S t►'l � Q. l l�l : �.�►1.. t e 4 n1 3`f P�'n l-�v � vw a. e � C �3 sS csT rvame MERTON MAKI signature 224901 �� �yQ�� CST Number Address 10869N SMITH COURT Date Evaluation Conducted Telephone Number (715) 634-8719 HAYWARD, WI 54843 "�7 — u ?.Z —z-.3 `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 ' • ❑ Boring# ❑P�t 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 v ❑ 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 ❑ 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/Ft2 In. Munsell Qu.Az.Cont.Color Gr. Sz.Sh. `Eff#1 'Eff#2 'Effluent#1 =BOD>30<_220 mg/L and TSS>30<_150 mg/L 'Effluent#2=BOD,s 30 mg/L and TSS_<30 mg/L �._ ,� ,-:F•__ ..... y,_.� i ;!�v U 'n'`; ;"` ';�" � � �� }!_,`'.�V{i-)����',�; !.1'I ER �ate � 't - _,_=--:,___J�� NO REFt1N4� t f i( �, `hk# $`ry� r ISS�JE OF PEFM�T r-�,F � ,���L � � ZOZ� �-�-.� , Rcpt# �-383 `:�.�»,��^,��, ;�:��a�,.�_ ;!.?P�::s.i(�rt�r�1{I`i�d1�!-r;�';' , ow l�er: �4(; Co�b� �ab�"� LLC. �2r �.� T6'�h��e.rTw�. (�� X �4(Q k�1�J: 012---13q-06-S211p IV�o r<<sor�v�l�e�W I 5357( Lo-� iz CsE-i s/6j �qzo 5:��. I2b80 W Cov�er �-c� "t'�ie�r �u..�2-''� � � SGa�e ���=�0 {�1 � o te �e dp yd ^� ��D�� \ I ( / � � � �B�l�oo wood 'PIaT�o�n,�K,t'.nn-�-o{-cn'�v�don� 3 i. i o0,8 �� �Zc Sys�cw� e.l. �i6.8$� dc�i"47 d.�ef d a�- 1-f �X 5'{cc� Co�4�5�� we�� ^�� •z 6d £x s-r �'W_ --O _—� — � r��4c� ST -�� ��� �'N • r 1 �° gr(rco � .[ u�e�l --. Bt �'1�.��0.� hak;. i zoeo� ►�"�` '�'A` 6Z d c?.st- yz4 40� C�� ��— � -�_�_z3' ga v � +roo � � �16y �b��, _ � :- �>, _ ,- � � ,: �. S 5 y.t'r ,�X , �ot i .rC:�!'I�;t _ c, ',% $y5:. �,��-: � p � ' .l' .i.:. � .�.i J� ��l� �: � `(,: {�i �L � ti ��. i �"_' "' �"'_ ��� � �, ± � "'_ � "_c_"' ""_�'__ %_�� ��_�__�� _�_��L.��� 1 1 -- - - - i � lGG �--- ��---- --- � �--- ---�---- -----�--- � r --- ---�---- --------- e UN � '--- ---=---- ----�--- n_ �� � ; _ - < ; �--- �---- �--- � ; : -� � ;--- ---?---- ----=-- � �- _ � �, --- --- ---- ---- --- ` � �- �--- -------- -- ---- -�, � ---- ----- --�- M � --- ---- ---- -----i--- �` \� -- -- --- -----�--- � _,. ���"' .'�� ». ��e����e � \ � � �`'_ .- � ��� � �f "'_ _" '_--i_` � \i '�ee��'�' �_�L"' _'" � : < N �..; ''"' "'_"'_' ""L"' � �� c � �"' �---- � „ : , ^ � - ; i 1 X I--- ---;-- ---L—_ � �. �--� c�S ,�I� �� ---`. -- ---t�. � ���� �����Y�� �` ��� --- 1 i � m ; �' �--- �---- —�---- �� � � � � -s-, �--- � -- ---- .__ �-�. �1 1 --- � -------- _ � � c. ' I ` ----�--- ,� �; � m--- I � -- m --- ----�-— --- +3 - � -� -------- -----�--- � . i j � � �--- j -�---- --- �, i � ;, _ i ---=---- --------- � -�� : I : � "-'---' "-'_3_� � '�- Cf 2.�1-] ! '__--�---- .. -- _e..l..__.. ; --�; `7:.. .� �-_" �s_�� � ,. ::%7 rm"' C I - . : � `i- r "'c'_'_ ��'�_" - _ _. "' "" « " S _'" "__'_" F � � . ! '___'_;��_ .♦ ;"" "'__'_' " __.i " • � _'� c.., , , �.�>"" �i) Z,L�� ,�. ' - - 19975 P L B 6 7 State and County State Perm�t tt _ -,. � : * Permit AppliCation County Perm�t = ` for Private Domestic Sewage Systems County SSW��er� �`" o, a. �39� a�- 5a�� 'DENOTES STATE APPROVAL REQUIRED CST 9 - J83 Date Approval Received from State ii Required State Pian I.D. tt /�. C� `ti�� �,v C'c•:�r� r-- A. OWN�R OF PROPERTY Maitiny Address P � � . $OX 146 �� �1 I� . �.._ .7 --- i�. � .�T � ` G-� , � B. OCATION: " '-. '• `_ , Sect�on � , z 7y� N, R E--tor1 vv �ocA c�iv ' Tr Subdivision Name, nearesi road, lake or laridmaric BIk = V��{�ge _ TU�vnsh�z� r Part of Govt Lot 2 C. TYPE OF OCCUPANCY: 'Commercial ' Industrial 'Other (spec�fyi 'Varianc� Sinqle family Oup�ex No. of Bedrooms � No. of Persons __`J T- �• SEPTIC TANK CAPACITY Total galtons No. of tanks HOLDING TANK CAPACITY Total gal!ons h1o. of tanks Prefab conerete Poured•in�Place Steel __ � Fiberglass Other (spec�fyl _�- fVew Instailation Rep�acement Lift Pump Tank or Siphon Chamber Total gallon� Prefah concrete Poured•in•Pface Other lSpec�fy) __ . _. _._. _ _ E , EFFLUENT QISPOSAL SYSTEM� Percolation Rate - '�-Total Absorb Area sq. ft. New�Replacement Alter�ate (Specify) Seepag Trench: No. oi Line.al�Ft. VYidth epth Tile dept-h (top) No. of Tr�•r�ches Seepage Bed:_�Length ?� Width � � Depth�Tile depih (top1.-�ts�--No. of Lines %L"" Seepage Pit: Insicie diameter Liquid Depth No. of Seepage Pits Percentslope of land Distance from critical stope ,-. . 4VATER SUPPLY: Private � Jo�nt '�._...' C�mmunity '.-'' Municipat ./,�.c %�r` �,f`/ ��� , ' � • ��roners name as listed on EH 115 i# other than present owner. t, the �ndersigned, do hereby certify that the informat�or, I have re�orted �s �n accord w�th Sect,on H62.20. ~ tNisconsin Administrative Code, and that I tiave sized the effluent disposal system from ihe EH-115 prepared by the Certif�e Soi! Tester, / NAME � � t C.S.T. » S,S - y` '� and other mformat�on T obtained from� J (o.arter�builder). Plumber 's Signature ' hqP'�{�� "� Phone �T � ,�?s'"2 Plumber's �:ddress � /• � I PLAN VtEN� Provide sketch helo�v of sysiem linclude direciion o` slope and all distanr.os in acro�d �vith H62.20. �y'e!I Inca- tion shall be inctuded on the sketch. Indicate or dimension location of all �vells on thc property or neiqhbnrs 1 property. If v✓eIl has not been drilled please indicate. 1 . ^ . I � � ; / (i �=> � : . � _ _._. _ i.�+ i �_ �---- _ -_ _- ' � � � ------ I � �_.._.__ __ �r ��� _ ,-_ ___-� .__ _ _�._ ___... . . .____ _ _.___.__ � �D � � � t � � , � �� �C ``� i , � • !� ! � - ��" .,�,��` � ����� , '� ���t i � ,, i ! i� , � � � ..� � .� ------- . �7 ,�. ' ,- ` _ _ �- ( t ' �, � , � � � -� _ � � , � � t �• ► �, ' i ------._,_._. � ^ � / , � � � , � � r �. � � ; I ,. � ' ,` . .j Department of Zoning and Sanitation Sawyer County � � Inspection Report y Owner ponna M. F Charles L. Colby Address P.O. Box 146 Morrisonville, WI 53571 � Name of business � N Builder r Address � 0 Plumber Robert Vitcenda 'j Address Exeland, Wisconsin 54$35 Inspection y 0 (X) Private ( ) Ptablic Property x Sanitary-instal � � �( Dwelling Setback - l�.ke o Violation Mobile ffi�I Setback - road M Garage Setback lot li.ne � � Sa.nitary ( � Zanin� Privy .�_ e+ � � x eNr�F L�k� _____---_ - _- ____ -� t� -�-_-:_ � i b , � 50' 7 ?o �� � � o c��LcPE �0'± ' ��•.r ► eCt ��1 �� CAR�N �'� 'T 50 � a BY i e��+ �"t oTt#ERS ' TM G � N �WNd 9'c.t. i io'sa- i � � �5` ' � 51� � � � S'�• 3�'I W�U,. tn tn 8�1 a� � 2� i �: �1 N. o, � o �� RccE 9s Ro. � � � ��y� � - `� � ^ ��' `. .,e 4 ,� a �ry�-�� � _ - .. ( �F� �- �t+r .;� �,�I) 'N,�� r' ��-V� !`z�,y � v /;� :8. � ,/�d h��� ��$`�`�; � � �s - �..' .�j�� � J ,� �%� s. ,r'` ��</`q ,��,- .F� - ,��.�_ , -b •� ,�� — _ � � �� � -- �.. , : � , ., t '�;� ��� �,� .���� �' � + y - ���� �� � � �� � �:- ��.. .�,� -� ��'.� - ,,�,'��'.,� �'.7^� .,'� "��g ,.r; , 1. y�/ � � '} f ��`����� �� .� �".�����f1 ' � ��� � �;.�. � � ;���� .f v�� ' T.� � v� r, _ �, � 9¢� _ �' ..r# � � — , ,�':; ;,� _ :.� � = f��������: �4 _ :�� � � �. �,,�� ., �. .��� �`y ��:� '�: 4.. .i��r��r*�� �,�`r�h+��R� ,�`,t,,a, `""�G��� 1 !, P � ' �. •;. 'yi '•� �. G t,'ir� ��'`r,E. §� i } �S` ��• — r ���,� � }' ,° - �,�� � �, .�� ,,1�e,� � ;�'�� � ���y ",! �,�t�� -� �••i � ��+ ���. �� � �h.:,/.`, �Gs���' �,^: � a� �dh- �r'i� ^��n- �� i ' ,., �������' 8FS ���.�.� .+ t �� ��* ��, �Yp � ,��t� Y = _ �,�',,' �-tAs,i���-.���ij ,�,� _ ���� ��`� �� i`!1'`!�fl's�{ _ �4 :� �., .•, � s�a� �� � .�� ,, , � .. ,1��Y "�T� Y • \ �'7. � A ,..:�� �`�+.�' a` � '. � y� . ��� � ... � a• 1��}_.-_/�' ,k�n'.!'"°� ��.. _ � �� l'., r�.�,. � - 11�` °� � nr n�. v�� �`�, � ,. �s. " ^ Zy� ,Y:x y „ti.t,� ar�,�A '� .�t% ,' �'�;�,-t �r��-�.�+�y=� :l. - Real EStdte Sawyer County Property Listing PropertyStatus: Current Today's Date: 7/28/2023 Created On: 2/6/2007 7:5525 AM �Description Updated: 7/27/2023 �� Ownership Updated: 7/U/2023 TaxID: �14692 COLBY CABIN LLC � POYNETTE WI PIN: 57-012-2-39-07-06-5 OS-002-000160 Legacy PIN: 012739065216 Billing Address: Mailing Address: Map ID: 2.16 COLBY CABIN LLC WLBY CABIN LLC Municipality: (012)TOWN OF HUNTER ATTN CONNIE& LAYNE QUAMME ATTN CONNIE& LAYNE QUAMME STR: 506 T39N R07W N2334 PINE HOLLOW RD N2334 PINE HOLLOW RD POYNETTE WI53955 POYNETI'E WI53955 Description: PRT GOVT LOT 2 LOT 12 CSM 5/61 #920 Remrded Acres: 0.500 Calculated Acres: 0.546 �;� Site Address * indicates Prfvate Road Lottery Claims: 0 12080W CONGER RD COUDERAY 54828 First Dollar: Yes Waterbody: Chippewa Flowage �—� property Assessment Updated: 9/26/2016 Zoning: (RRl) Residential/Recreational One 2023 Assessment Detail � ESN: 412 Code Acres Land Imp. Gl-RESIDENTIAL 0.500 � 159,500 14,000 ��� Tax Districts Updated: 2/6/2007 1 State of Wisconsin Z-Year Comparison 2022 2023 Change 57 Sawyer County Land: 159,500 159,500 0.0% 012 Town of Hunter Improved: 14,000 14,000 0.0°% 572478 Hayward Community S�hool District Total: ll3,500 173,500 0.0°io O01100 Technical College . Remrded Documents Updated: 7/27/2023 �Property History QUIT CLAIM DEED � N/A � Date Recorded: 1/25/2010 364905 . CERTIFIED SURVEY MAP Date Recorded: 6/14/1977 159777