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002-121-06-0101-CST-2024-070
. . - (� k„�, -� ;;;'��� ��, Wisconsin Department of Safety&Professional Services Page�_of ,� :; , �`_ Division of IndustryServices � '�'���P� :; SOIL EVALUATION REPORT 7 �. �____,: c7 x%;,,,; '�� In accordance with SPS 385,Wis.Adm.Code County _�} ,�.�-�", Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, S GW C f' C'� 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. (')��' �a�- (S Q�O1 O 1` Please print all information. Reviewe D e Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). � _�fx„Z Property Owner Property Location � 1�:G � ♦ Q�'0. C �K C � �— i"� S 3� T �{(� N R � E(or i W Property Owner's Mailing Address Site Address or CSM and Lot#: �`` v l.o�� t- 4•1 30- - 1 K N+ n1i�r - City, State, Zip Phone Number ❑ City ❑ Village �Town Nearest Road ()yy �q�„�� Keno a w 53 y � ) La e ; t �NewConstruction Use:� Residential/Numberofbedrooms ,3 Code derived designflowrate�GPD ❑ Replacement ❑Public or commercial-Describe: Flood Plan elevation if applicable ft. Parent material S a��v O� �Y w a S� ' General comments and recommendations: Nvr�-l��tS Sur ized lr�-��ro�.�.c� .iskr. �b.7�l�Pd/Ff'�_ � Boring# ❑Boring �Pit Ground surface elev.9Q•��ft. Depth to limiting factor��iq in./elev. ft Soil Applicat on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/F t` In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 I o-'7 1 O`c cZ 3 — 1 ., 5 O.(. I.O "7- 10`�fiM�V $ 1 el 0.6 1.0 3 -$ 7.SYfiyly � S S �� O. ��L 4 S �.�'crt S/y � S ,h — I�' c, �. l, Boring# ❑Baring a �Pit Ground surface elev.�.G7 ft. Depth to limiting factor ��v0in./elev. ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. MunsE:ll Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2 �- c. ���tR3�� — 5� � b►c M..c.�- aFvF d.c. �.o � G-1 I U y R y/Y �' S� «.sbK �..,�r- 3Fw, a.� /.o 3 �4-so 7.5`�Ry/y - S �,t 5 �� 0•7 f.L y So-!ou 7.SY�cs/y � 5 w,i - l� o.T ►.� CST Name(Please Print) Signature CST Number ;� �,,a �,�i �� , � aa�GBs Address Dat valuation Con uct d Telephone Number �y3y �s� a� Haw�dwrs�sy �tiioziay �.s- ����- a17� *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(R03/22) S� � I '� � V� • Page a of y ❑ � Boring 3 Boring # �Pit Ground surface elev. 1�•`�ft. Depth to limiting factor �9S 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 � o - L Yrs3/o — �Fs Cr afvF o. � . b a �- o � o�tr� yl ^ s � K, �v �� aL... o . �. o 3 �o-S 1 7. R� y —' S eti.� � d •'7 1. G y ^ . 5 7. s/ '_ 5 rKt � l � v� � 1 • �v ❑ Boring # ❑ Boring � Pit Ground surfiace elev. ft. Depth to limiting factor in. / elev. ft. Soil Applicatlon 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 ❑ ❑ 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 ' Effluent #1 = BOD > 30 <_ 220 mg/L and TSS > 30 <_ 150 mg/L ` Effluent #2 = BOD, <_ 30 mg/L and TSS <_ 30 mg/L Date_ 5� I � j a�f �..� �. _ �_ o ��� � � cnk# 3S.�o _ - _- n ��� -� J RC�it�r!s a`{.,w. _. _. `�\ MAY 0 7 2024 SAW' �JNTY �p�,��C .,�i�fSTRATION . . : . SC (� LE = 1 = � 0 c �o � ao ;---0-�- ; R . � . w . l 1 �.t E ST � �� � 8M � �•ie� noa ustel pn�„sea d,s�e.,�,,..e��b�,a U W 3 80� > � 5'K � o �� aa � * � � N v_ (r d � � 63 `! � o�C t�ca cr� � f�j17= �'o P P Y . � IW41qW P�tvE ST sa�,.ice � 3 Lcts 1-8,9-10,30•3(,, 3g�YU (Y L C. E �! A � 1 O N S O1ooKG GeMrw��TY [36ncH � sac.. 30 , s yon� , �i a v� LiM 1 0 0 . � o ��- � i b�N oF [3A�S LAKE sA.,aY�R co�rvrY 4i 99 . Co7 � {� �'�i. ooa- ia�-ot� oqoo }o�o► 13� 9 �. � � �FF (�jo;�ea' br t'eatrt ct:K Ce.rc...r4� �33 49 . G7 ��- ��� csr »�6 88 oti /oa /3y . � , _... 4 .�.._.--.. __�..�_ � �' ��e : `�: ,''�� ~�}�afl� .....1 � ��4� �� . 1A' ' i � _�._�____� __ g _.._._ � �a�,.��=F� .;t;.,�._ �Q e 3 y ;�,;�',�,.,,.�. � .+��'�.ti _ � . . . SOIL PROFILE SHEET OWNER: ��t�e� � Na�a.sha Fu/Ke��� SOIL TESTER: {�w�.a.l d A $(� �C1415 T� SYSTEM ELEVATION: LOAD RATE: 0.7 1'1� to SYSTEM RANGE: 95. a15� to °�7. I _ I C� I �3� t3� �3 3 -- --- -- -- -- -- ) �� _- -- -- - ----- q 9 . c.--i ------ 9 9. C�� - � g . �� - ----- ----- 4g — - ----- -- 9 $ — -- 9 � _---- � �. 11 ------ -- -- -- -- sv �� EI-�.r -- -- -- �i (o — -- �� � - - 9 � ------ 95.aS 5 �y =---- F � -- -- ------ ----- ��, s , T� ---- --- ------ s�� � ---- ---- 93 — �� - ----- �� as -- -- -- - -- -- ----- 9 i .� S - - -- ---- qI .33 ----- 9i — -- �� - - --- -- --- -- �� _ -- ------ $ e -- --- � ? -- --- ---- Page �{ of� 5113/24.7:53 AM Real Property Lis�ing Page R2dl EState Sawyer County Property Listing PropertyStatus: Current Todays Date:5/13/2024 Created On:6/4/2019 9:13:09 AM �'Description Updated:6/4/2019 �Ownership Updated:8/10/2023 Tax ID: 43559 DANIEL J&NATASCHA A FULKERTH KENOSHA WI PIN: 57-002-2-40-08-30-5 15-153-060101 Legacy PIN: 002121060101 Billing Address: Mailing Address: Map ID: DANIEL)&NATASCHA A DANIEL]&NATASCHA A Municipalfty: (002)TOWN OF BA55 LAKE FULKERTH FULKERTH STR: 53D T40N ROBW 6318 60TH AVE 6318 60TH AVE KENOSHA WI53142 KENOSHA WI53142 Description: COMMUNIN BEACH LOTS 1-6,Nl/2 35, 36,39-40 BLK 6 LOT 2 CSM 36/29#8370 Recorded Acres: OJ90 w Site Address *indicates Private Road Calculated Acres: 0.000 14419W PINE ST HAYWARD 54843 Lottery Claims: 0 First Dollar: No '..�proper[y Assessment Updated:5/13/2020 Zoning: (RR2)Residential/Recreational Two Z024 Assessment Detail ESN: 445 Code Acres Land Imp. G1-RESIDENTIAL 0.790 11,100 0 ��Tax Districts Updated:6/4/2019 1 State of Wisconsin 2-Year Comparison 2023 2024 Change 57 Sawyer County Land: 11,100 11,100 0.0% 002 Town of Bass Lake Improved: 0 0 0.0% SR478 Hayward Community School District TotaL• ll,100 11,100 0.0% O01100 Technical College + Rewrded Documents Updated:10/6/2023 '�property History WARRANTY DEED Parent Properties Tax ID Date Recorded:7/28/2023 445627 57-002-2-40-OB-30-5 15-153-060300 760 COVENANTS 57-002-b40-08-30-5 15d53-060600 761 Date Recorded:9/25/2023 446540 57-002-2-40-OB-30-5 15-153-060700 762 CERTIFIED SURVEY MAP 57-002-2-40-OB-30-5 15-153-D63502 770 Date Recorded:5/29/2019 417961 57-002-2-40-08-30-5 15-353-063900 772 WARRANTY DEED Date Remrded:3/14/2018 411452 QUIT CLAIM DEED Da[e Remrded:8/14/2015 397174 QUIT CLAIM DEED Date Recorded:1/14/2015 393980 GERSONALREPRESENTATIVES DEED Date Recorded:12/30/2014 393774 WARRANTY DEED Date Recorded:8R2/2012 380295 WARRANTY DEED Date Recorded:4/24/2012 378332 PERSONALREPRESENTATIVES DEED Date Remrded:2/1/2000 282185 QUIT CLAIM DEED Date Remrded:12/1/1999 281176 692/460 Child History Record Count;5-___.___.._____.. _-_— __-- HISTORY O�Expand�All History White=Current Parcels Pink=Retired Parcels O Tax ID:772 Pin:57-002-2-40-08-30-5 15-153-063900 Leg.Pin:002121063900 Map ID:-7.6.39&40 �Tax ID:770 Pin:57-002-2-40-08-30-5 15d53-063502 Leg.Pin:002121063502 Map ID:-7.635.2&36 �Tax ID:762 Pin:57-002-2-40-08-30-5 15-153-060700 Leg.Pin:002121060700 Map ID:-7.6J&8 O Tax ID:761 Pin:57-002-2-40-08-30-5 15-153-060600 Leg.Pin:002121060600 Map ID:-7.6.6 O Tax ID:760 Pin:57-002-2-40-08-30-5 IS-153-060100 Leg.Pin:D02121060100 Map ID:-7.6.1-5 43559 This Parcel Parents Children https:lltassawyercountygov.orglsystem/frames.asp?uname=Eric+Wellauer 1/i