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024-641-22-1309-CST-2024-019
�;. WisconsinDepartmentofSafety&ProfessionalServices ORIGIHAL page � of 3 �,. , DivisionoflndustryServices ` '�s�� _' SOIL EVALUATION REPORT —� �"'--�- .��``� In accordance with SPS 385,Wis.Adm.Code County —� Attach complete site plan on paper not less than B 1/2 x 11 inches in size.Plan must include, e� —� but not limited lo vertical and horizontal reference point(BM),direction and percent slope, Parcel I.D. � scale or dimensions,north arrow,and lowtion and distance to nearest roatl. OaN- 1-� 1.3 0 Please print all information. Reviewetl b Date U� Personal infortnation you provitle may be usetl for secontlary purposes(Privacy Law,s.75.04(1)(m)). ` I�I�.1��e 7 Property Owner � Property Location � K-� M:c�. t 4 Lo r� daham � Govt.Lot ,S�p '/. rI t '/.S )a T �I I N R O(. E(or)W Property Owners Mailing Address Site Address or CSM antl Lot#: �o�� Lo9 �t .3y't 0'743N City,State,Zip Phone Number ❑City ❑Village Town Nearest Road F� � L b�8�1 ( ) nd La1Ct Covn Nw 5 '�,NewConstruction Use:�Residential/Numberofbedrooms�_ CodedemeddesignFlowrate 3UOGPD ❑Replacement ❑Public or commercial-Describe: Fiood Plan elevatfon- � ble n�/i. ft. Parentmaterial \On.w.� r�luv:o.+ e �FIU /�/� Generel comments and recommendations:N ��C``�-' Mow.e Sk.N, �� 41 a. � ___. � Boring# ❑Boring — �,Pit Ground surface elev.�•7S fl. Depth to limiting factor�in./elev. ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consislence Boundary Roots GPD/R� In. Munseli Qu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 `Eff#2 1 0.� 3f "' a6 .n.� � ]C.iE •(. �� � (i-1 U`�R'�f — 5, �. ...v�� �•L G•8 1 - � �0`t 4t`I I y SYRsh >.�. �o� «..,�.r a- — — IovR s/ 'Y0.Y �;Ar/� l...a. �..C.- w � — — y y 'Aly JYAS/� c.� 1.w ' � ` — ❑ �Boring Bonng# cj � � �Pit Ground surface elev.7•7 ft. Depth to limding factor Sr in.I elev._ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Te�cture Struc[ure Consistence Boundary Roots GPD/Ft� In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. •E(f#t `Eff#2 1 O-5 V �l � o.f. O•B a S'I� IOY0.yI � S:� .n �f' 0.6 0.� 3 -- , uia�ly F vtiy scr�h �. ., � — — �,-�a �u�a�M ay 5YRsh i �� � — — -4� -V H/ YRy sYR�l. n.e. � — C � � � CST Name(Please Print) Signature CST Number � � 3r aaa�28 Address Date valuation Conduded Telephone Number N � wr WI SNB43 o�as-� 7� -553-�47a `Effluent#1=BOD>30 5 220 mgll and TSS>30<_150 mg/L 'Effluent fl2=BOD,5 30 mg/L and TSS<-30 mglL NO REFt1NDS AFTER SBD-8330(R03/22) ( S'��f ��{- C���-O� ISSUE OF PERMIT Page � of � ❑ �Boring 3 Boring # �� Ground surface elev.9�•�v ft. Depth to limiting fador�_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 � D • `t (� ��3 — ' r �►�r � . 4 � • '� � _�, u — � � � � s a�. �. � o . a 3 I'1-�3 o�i (� � 1�1 S�Ry S�tRs � 1 w — — �l � - o�it� s/Y 'iRy 9 S � b S � _ � 9 - 3 �/ 5 y 591�51 � 1 � ' � -- a Boring # ❑Boring �Pit Ground surface elev. 'ft. Depth to limiting factor in. /elev. ft. Soif 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 � ❑ Bonng 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 5150 mg/L ' Effluent#2 = BOD, 5 30 mg/L and TSS s 30 mg/L NO REFUNDS AFTER ���^J ;?�c'��``� . ,: ' ' � ISSUE OF PERMIT 3, a_ • � �`'"!t �'—'�' �. � _��_,y. �. �-`� - � , ,. .�...�..�s,_.,. _. ._ � ; ; , ,t=��� � 3N � v, FEB 0 9 2024 � ��� ` ; .; �'�io5 ,._....__.__�_.�.--.o..•_ SAWY�R COUNTY � .'» TOt�IINC�i AUAAINISTRATI�+1 ,:.s-,�- ' � I��g,� 3 �3 � � , . . . . , SGRLE = 1 ' y0 D �o as yo so So ' i 1 O"1 Y 3 N Govn�y Hwy 5 5���`t�N� �ly, Sec.��,"f4iN�Rqt�.1 rc..�n a C Ro.s»d 4atK c Sa.wye� Goa•�+�y Lo; � csn u�oaa .,.�1 p.3�n p�1, p��r-G�i - aa �3a9 .-��°`� � 9.�� �3 '� 90 . v .r.--� : C7. S' a� � �� sn , 97. � Bh= Nw„ w� R.� (3poN 7N a��• (yhP �� 7REC �' �G���� E' l. E V A T t o N .5 ; CsT ab4l►92 Q �� /�,s 1 a 3 �3M � u a . o a 4�- p� 4 -�• �5 FE t3a q �. � s �� � 63 98. 0 � � � �� � ��� H�� � 2/12(24,1125 AM Real Properly Lisling Page R2dl EStdte Sawyer County Property Listing Propertystatus: current Today's Date:2/12/2029 Created On:2/6/2007 h55:41 AM �Description Updated:2/10/2023 '�Ownership Updated:2/10/2023 Tax ID: 24387 � MICXAEL P BATEMAN TRUST FISHER IL PIN: 57-024-2-41-06-22-1 03-000-000090 LORI A BATEMAN TRUST FISHER IL Legacy PIN: 024691221309 Map ID: .3.9 Billing Address: Mailing Address: Municipality: (024)TOWN OF ROUND LAKE MICHAEL P BATEMAN 7RUST MICHAEL P BATEMAN 7RUST STR: 522 T41N R06W 663 COUNTY RD 3350 N 663 COUNN RD 3350 N Description: PRT SWNE LOT 2 CSM 21/347#6098 FISHER IL 61843 FISHER IL 61893 Recorded Acres: 5.400 Calculated Acres: 5397 �Site Address *indicates Private Road Lottery Claims: 0 10743N COUNN HWY 5 HAYVJARD 54843 First Dollar: No Zoning: (F-1)Porestry One �property Assessment Updated:7/16/2019 ESN: 2024 Assessment Detail Code Acres Land Imp. ��Tax Districtr Updated:2/6/2007 G1-RESIDENTIAL 5.400 24,200 0 1 Sta[e of Wisconsin 57 Sawyer County 2-Year Comparison 2023 2024 Change 024 Town of Round Lake Land: 24,20D 24,200 0.0% 572478 Hayward Community School District Improved: 0 0 0.0% 001700 Technical College Total: 24,200 24,200 0.0% .�Recorded Documentr Updated:2/10/2023 � WARRANTY DEED C_Q Proper[y History Date Re�orded:l/16/2023 443025 N�q WARRANTY DEED Date Recorded:3/9R011 371717 CERTIFIED SURVEY MAP Date Remrded:6/7/200D 284461 https:l/tassawyercountygov.orglsystem/fremes.asp?uname=Eric+Wellauer ��� �,+r ' t. � �- y'r F �� �w � .�irf. 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