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010-941-23-3108-CST-2024-069
� � �� ��IGIN�I. c>�; g � ARTA � N��°�—" o, Wisconsin Department of Safety and Professional Services Page of � , � Division of Industry Services ��� \=P�' SOIL EVALUATION REPORT 4� '� '�_. .�l -� �`"�•n�o�r.�S�`� In accordance with SPS 385,Wis.Adm. Code County SAWYE R � 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. � �0 — Q�{�� 23_ 3�o g l Please print all information. Review`�r � Date � Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). S— Property Owner Property Location ❑ TQ �� � �0 WlQS /'t • Z ei� � Govt.Lot E-Y. s� % S Z3 T 1"'�� N R��'C E(°r)CC� Property Owner's Mailing Address Site Address or CSM and Lot#: O �-! N a, a (o CS F'l �f l 19 �` �63 City State Zip Code Phone Number ❑City ❑ Village '� Town Nearest Road 4, (.C� � � � a Wcc O N wt a o vt G r- � NewConstruction Use:�Residential/Numberofbedrooms Z Code derived designflow rate 3D o GPD � �Replacement Public or commercial—Describe: Flood Plan elevation if applicable — ft. �`_—,'" Parent material_�����a_ l �`�.� ° � General comments and recommendations: ' � � ` .`i 50: �s �k sy s�-e� �e �. G s;1S ( rc��qe 4�.�8 - �S, S J ( Boring# ❑Boring Q ,4 V [�Pit Ground surface elev. Q �ft. Depth to limiting factor ��Z in./elev.ql•�gft. 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 � - ��S z — 5 O-S [J �J� •-7 l.L Z -t-38 , 4 — S �, �� y I u�C .'T !,� 3 3$ -ro • w � s „ „ — - �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/Fiz In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. `Eff#1 'Eff#2 (,J � � � C O L '�' G — 6 r in 5--� I l f�o0 � � hL. S • -t �� s�-�e C� �. - ` �r� ;K o c� eU- e v� ot c� � �► ""� . CST Name MERTON MAKI Signature CST Number 224901 M� � Address 10869N SMITH COURT Date Evaluation Conducted (715) 634-8719 Telephone Number HAYWARD, WI 54843 S - 13 — Z`-{� `Effluent#1 =BOD>30<_220 mg/L and TSS>30<_150 mg/L 'Effluent#2=BOD,5 30 mg/L and TSS<_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/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 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 'Effluent#1 =BOD>30<_220 mg/L and TSS>30<_150 mg/L "Effluent#2=BOD,<_30 mg/L and TSS<_30 mg/L (S�/V ��-1--� D� � NO RCFUNDB AFTE �_ ISSUE O�PERMII �� �5����`' - � �ate 5 �Is�a�f �� � _ �� �f �.� �� �� Chk# �S��' ��t�' 15 2024 Rc�}n I so� ��w�r�� couNrY �@NtN�a Al�MIN15TRATlON zX,c�►1P�r : Le a.�: ��_ ro� �4.,-�-t,��.�5 ze,91-� s�w��,� co, ��w�,.� -t-�,.� lbbay �1 �c��u.��jon �"�-- Pc N: o ►o - qc-k.l- Z3 , 3 ! 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' ' "_' ___' _�__L�_' � ' .�_ ��' ...o�... ��; �x S`�S�p�M i !_� 41 i _95,15 ��`l v -- --- --- ----;-- � t-- ^--1'---• �_�s� � � � Fs `-^ --------� ----_-- � -- --- -'� � --- --� -=- ^ '- 9�l,'1`6 _�-=- --3---- —i N _ _ ___ __�_L__. � �� -- ---- —��. � i' ' -- ---- "-_"'�� 9+ --- -------- �� 3 R3-�--- .5� --- ---- -----�� ° ' - -------- ----�--- �` -- --- -----L--- . - - ; Z�--- ----- � --- � i--- --- ---- ----;--- --- �i.�i� --- --- __�i'_" -- � --�--- � � �r��--- �oL =8.� � --- � -- ----�---- -- _ `���`�� -- --- ----� -- . _ --- �� ���... �---- --- ' . 5/7/2�4, 10:37 AM Real Property Listing Page Real EStat2 Sawyer County Property Listing PropertyStatus: Current Today's Date: 5/7/Z024 Created On: 2/6/2007 7:55:22 AM � Description Updated: 10/8/2020 � Ownership Updated: 10/8/2020 Tax ID: TM^ 12565 � TODD A ZEIGLE ` � '^ HAYVilARD WI PIN: 57-010-2-41-09-23-3 01-000-000080 THOMAS A ZEIGLE GREEN BAY WI Legacy PIN: 010941233108 Map ID: .9.8 Billing Address: Mailing Address: Municipality: (O10) TOWN OF HAYWARD TIMOTHY G & BARBARA A TIMOTHY G & BARBARA A STR: 523 T41N R09W ZEIGLE ZEIGLE Description; PRT NESW LOT 6 CSM 4/179 #763 T & B 10604N NAMEKAGON TRL 10604N NAMEKAGON TRL ZEIGLE - LE HAYWARD WI 54843 HAYWARD WI 54843 Recorded Acres: 1.540 a� Calculated Acres: 1.503 r Site Address * indicates Private Road Lottery Claims: 1 10604N NAMEKAGON TRL HAYWARD 54843 First Dollar: Yes Zoning: (R-1) Residential One t:� Property Assessment Updated: il/9/2015 ESN: � 2024 Assessment Detail � Code Acres Land Imp. � Tax Districts^ ^ � _ Updated: 2/6/2007 Gl-RESIDENTIAL 1.540 23,200 126,300 1 State of Wisconsin 57 Sawyer County 2-Year Comparison 2023 2024 Change O10 Town of Hayward Land: Z3,200 23,200 0.0% 572478 Hayward Community School District Improved: 126,800 126,800 0.0% 001700 Technical College Total: 150,000 150,000 0.0% y� Recorded Documents Updated: 10/8/2020 QUIT CLAIM DEED � Property History Date Recorded: 9/Zl/2020 426590 N/A � TRANSFER ON DEATH DEED Date Recorded: ll/19/2013 388335 WARRANTY DEED Date Recorded: 4/15/1982 182420 338/292 CERTIFIED SURVEY MAP Date Recorded: 5/il/1976 155121 https://tas.sawyercountygov.orglsystem/frames.asp?uname=Eric+Wellauer ��� 4 '�� 9��� , Q O h p � ;� v o � ►� 4 � o o � ` � b � .5� 8'�. 9� "'a. 2 5. 89 o.S . 3 92,0�' 3 o - h • . 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''-�''r ' � � i�.. :..��t' �,,�,.,., �. .""'-:.,_ .,�-�„�-: ;� `y� ,,�... { #,. . { 4c� ,� � ��j},� _.� y� . �� � �` .* •1+.� "~����• �1����� �1!If}�" �� .- _ � A� !7 CJ , � J� _ ��,i`-?�. . . - . . . -/�"r��� C•7 ['_ �I `�4"= y.^ ��� �, � J i �, � �.„�"`� s���� �� : � ��i�: ''!�f _ -�1f :. r � � �L B 6 7 5�are a�a Co��ry 5,a�e Pe,mi�� 1�875 ! Permit Avvlicatian Coun[y Per�jj# 7�1 7�. forPrivateDomesticSewageSystems Co ty�2�wyc.�r- - CST 7-011 0 DamNOATES STATE APPROVAL RE�UIRED p�p 9y�Z 3 3/0£S p0�oval Received from State ii Repuired State Plan ID. # A. OWNER OF PROPERTV ppaham H/.�Thoreaen Mailing Address: T�� �r�n h � �/I O r S e n , !�o�"fY 3 /�4� 1a�-�Q �u i Y&'v 3 B. LOCA ON: ;riF ti�'/., Section ��,T�[N, R� W Lot# Ciry Subdivision Name, nearest raad, lake or landmark Blk# Vtllage C•q-S� TownshiP 4 4 TYPE OF�OCCUPANCY: °Commercial °Industrial 'Other (speciry) 'Variance Singie family_�G Duplex No. of Bedrooms � No. of Persans t/Nt(.Ue W n/ D. TYPE OF APPUANCES: Dishwasher YES�NO Food Weste Grinder_YES✓FO # of Bathrooms Autometic Wesher ✓VES_NO Othar (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks 'Holding tank capaciry Total gallons No. of tanks New Installation ✓ Addition Revlacement Pretab Concrete 'Poured in Place Steel t� Other �speciry) F. EFFW"E�NT DISPOSAL SYSTEM: Percolation Rate 11_Q�21tL3)a�.Total Absor6 Area sq. h. New� rddition Replacement 'Fill System Seapage TrenM: No, Lin. Fcet Width Depth_Tile Depth No. of Trenches Seepege Bed: Lenglh�Width�Depth�Tile Depthav„ No. of Lines� .. Seepage Pit: Insida diameter Liquid Depth Tile Size `/ Percant slo0e of land S����G Distance from critical slope��' I, the undersigned, do hereby certiry that the informetion I have reported is in eccord with Section H62.20, Wiuonsin Administrative Code, and lhat 1 have sized tM1e eHluent disposal system from the EH-115 prepared by the Certifj'�d Soil Tester, NAME L�Qwvt > GO o%��ro- C.S.T. # ,SS—Y69end other In�ormetion obteined irom G^o' � lownedbuilder. Plumher's SiBneture /MPRSW# l0 75/ Phone #�3Y—�/2Sf Plumher's Address � �� PLAN VIEW: Provide sketch below of rysiem (include direttion of slope and all distances in accord with H62.20, including well). � po� / �� � � � . YL i i /l� � /gS o�-y rc � � ! I✓tT �S�. ����e�¢ 170 � Ei��-ir� L�-�' u�v��l Do Not Write in Spece Below - FOR DEPARTMENT USE ONLV Date of Application 8-05�7% Fees Peid: Steta 10.00 County 15•00 Dete �rJ AUgUBt 197f Permit Issued/14d�dEl�E$ (dete) '��-dCdG. Issuinp Agent Name LoTi Cnrry] Inspection Yes f/fh_ 8—�3��7 Valid# Dete Rec'd 1. counry (white copy)�5-773. owner �green capy) DIVISION OF HEAITH,P.O.BOX 309,MADISON,WI 53701 Department of Zoning and Sanitation Sawyer County � Inspection Report ` Route 3 Owner Graham B. Thoresen Address Hayward Wisconsin 54843 Deacription Lot 6 NE-SW S 23� T 41N. R 9W .9.$ Name of busineas N/A Builder p�er Address Rou e Box 3 Plwnber I,e,yrrence Lamphear Address Ha,.vward Wisconsin 54843 Inspection (�Private ( ) Public Property Sanitary installation Dwelling Privy Violation Mobile home 3etback - lake Garage etback - road ( ) Sanitary ( ) Zonin� Setback - lot line �24` �5' • "�.+v� CS T -1� —o !{ ' ` Z ��,�s�.S Z�!- � .� \' m'� S� qao � � ts �O t ��'� � ¢� �\. v�,FpE�D gZ� � ��7 � � W � 0 (�RoPcs�A Tov.�nl t2�(i-�O Diacussed with owner yes no Discusaed with builder yes no Discuased with plwnber yes no Date 0 A at 1977 2:30 pm Signature of Officer Rnhvn Pl'1hA . - D�/.A