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026-939-27-5521-CST-2024-081
t���z,'� , p tY �����N��- g � Wisconsin De artment of Safe &Professional Services Pa e of � • �� �� Division of Industry Services � ,�P� +: SOIL EVALUATION REPORT � ,.:-� -� �^�F,��,,,�r� 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, ��c�� � U 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,',j�c�3� SS � l' Please print all information. Revie y Date Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). ,Z Property Owner PrDop y Location � C, � � i, Gb�otS Q� q(S a'� T 3� N R � E(or) W � Property Owner's ailing A dress Site Address or CSM and Lot#: I 7 - �-1�b ��.,- ,4�e i� 4 r ��3; City, State,Zip Phone Number ❑ City ❑Village �Town Nearest Road �(�`-/ 1t! S i �.�, \ M� 55l0�( ( ) S�.w� L�lie. K��.,-,� }-(oc�y � NewConstruction Use:� Residential/Numberofbedrooms oZ Code derived designflowrate -3oc GPD � ReplaCement . ❑Public or commercial—Describe: /I,�i�1 Flood Plan elevation if applicable �5 t ft. Parent material �- �a.C.�.c�1 (��.rC L—'C�..S G1 General comments and recommendations: �� �k t�� �J�GU��ei�.�. Borin # ❑Boring q�.� � 9 �Pit Ground surtace elev9�•7 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 ) � " `� 7 5 Y�' �i s � Z ' r� ;�-,,� r �-S 3,.� ' � � /< C� 2., cl �.Z.Z �s yf' S��! i 5•-�jF �s� r.-` 1 �S -r. ' � i• E, � 2,�"�' 7-5yr •-f�(� M 5 C�� , ►„^ l — J .� /. ❑ 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/F�Z In. Munsell Qu.Az.Cont. Color Gr.Sz.Sh. *Eff#1 "Eff#2 CST�c������avating, LLC Signature /� CST Number � ��� �iL� Add e Date Evaluation Conducted Telephone Number Stone Lake, WI 54876 5� �L - �-- -7/S_ y! �- Z`( o cj "Effluent#1 =BOD>30 s 220 mg/L and TSS>30 s 150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS s 30 mg/L SBD-8330(R03/22) �5� a�-��a� 1 � Page of ❑ �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. 'Effi#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 ❑ 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 'Effluent#1 =BOD>30<_220 mg/L and TSS>30 s 150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS s 30 mg/L '�."���`f�;*-'�- ----,; D � ��:,��'��� ����`�� �, Date 5 a� a . _ - �� �� , Chk# � �� ° 1 ��a� � ? 2024 RC� � ���0 �1Nq+�DMINI�ST ON CMECK BO%AS MPLICA6LE. CHECK BOX AS APPLICABLE. Q SOIL EVALUATION o s�ie:�aa � � � SYSTEM PAGE 2 OF SITE MAP P�OT PLAN PROJECT NAME:, .'�CC? cvo �Ox DESIGN FLOW: C C f��P�:�i^"� t-h� Attach design flow calwlations for commercial plans. PROJECTADDRESS: _S^y C'7 I y }'��vv.'^�{D�(�� �f, Pipe Matenal/ASTM Standard(Tables 38430-3 8 3&1.305) �c��,c� N sa���ry�,�� i 8M Symhd:� BM ElavaGion: 'I FT Force Mein: / BM Deacripllon: )cyn o� r45�'�'v.�; y 2.�.%I slo creelent% ma��te�ortney IMPORTANT: P° � � �� Well Symbd(ttapplin6le): 0 araw��a a�e� Show ground elevation contours at auitable intervels. of Testetl Arae: on Ne eVGmPrrte Itrrc. ����r L��� _ - --- -— --- � _ _ �� _ �__ _ ,/� __ _ i��:k a«P���.�.�� �,��y _--� , '_ �b, e-K�ST/h%c� 7 ���� � , No�s� . �ol ' . Svsr��n � �tL.�{3 � ^ ; I , ,� _ ___ / � ( � ~ � �m_. � � . 1 Jerry Ruid Excavating,LLC j W208 County HWY A i Stone Lake,WI 54876 �� �s' — ��i2�tE.;2 r��,�?s ��� �.—� Soil ProfileSheet � Owner:C��'e a-g'r,-, ,-+l^ 3oi1 Tl�hr: �e.rs�( �;• � � syran Ela�tion:`i6. '� 7 Lad Ru� � •�' Systen►R�ntt. t°— i � /cC ...... ..... ......._... ............ Ic, .. ... ... ..: ... ... .. ... `1�.� 7 .. ... ... ... c� ... ... � .. ... ... ... ... .. � ... ... z�2 7 :.. ::: ... ... c� � ... ... � ... .. . , �: ::: . �i� ... .. — ci(c . �-1 �3' ... ... � �5�'j''' � �{- c , ... ... �S • ... ..: �': ::: :: c � , ':: _ .. �-� �l.3� .:� ::: ::: ::: . �3 :.. ::: � _� -: :� �: ... .. 3 �� ... .. � ::: ::: ::: ::: c � ::: .. ����3� ::: ::: ::: ::: c� ... _. '.� ::: ::: ::: ............ ..... ...... ..... ._... ............ .._. ...... ............ ..........., ..... ...... ..... ...... 5/20/24. 12:52 PM Real Property Listing Page Redl EStdte Sawyer County Property Listing Praperty Status: Current Today's Date: 5/20/2029 Created On: 2(6/2007 7:55:49 AM � Description Updated: 10/8/2021 � Ownership Updated: 2/20/2024 Tax ID: 29116 PETER A COPPERSMITH LIV TRUST ST PAUL MN PIN: 57-026-2-39-09-27-5 OS-005-000210 Legacy PIN: 026939275521 Billing Address: Mailing Address: Map ID: :5.21 PE7ER A COPPERSMITH LIV PETER A COPPERSMITH LIV Municipality: (026)TOWN OF SAND LAKE TRUST TRUST STR: S27 T39N R09W 1758 HUBBARD AVE 1758 HUBBARD AVE ST PAUL MN 55104 ST PAUL MN 55104 Description: PRT GOVT LOT 5 LOTS 2-1 &24 CSM 10/91 #2131 tp Remrded Aves: 2.190 r Site Address * indicates Private Road Calculated Acres: 2.257 5484N HAM-HOLLY DR STONE LAKE 54876 Lottery Qaims: 0 First Dollar: Yes � Property Assessment Updated: 4/2/2020 Waterbody: Ham Lake 2024 Assessment Detail Zoning: (RRl) Resfdential/Recreational One �ode Acres Land Imp. ESN: 423 G1-RESIDENTIAL 2.190 99,800 99,500 � Tax Districts Updated: 2/6/2007 2-Year Comparison 2023 2024 Change 1 5[ate of Wisconsin Land: 99,800 99,800 0.0% 57 Sawyer County Improved: 99,500 99,500 0.0% 026 Town of Sand Lake Total: 199,300 199,300 0.0% 572478 Hayward Community School Dis[rid O01100 Technical College � �L'�Property His[ory + Recorded Documents Updated: 2/20/2024 N/A QUIT CLAIM DEED Date Remrded: 1/12/2024 448153 WARRANTY DEED Date Recorded: 10/17/2023 446899 WARRANTY DEED Date Recorded: 10/29/Z020 427591 WARRANTY DEED Date Recorded: l0/10/2005 334093 CERTIFIED SURVEY MAP Date Remrded: 5/10/1984 191224 https:lltas.sawyercountygov.orglsystem/frames.asp?uname=Eric+Wellauer 1l1 _' .`.x . ,'.'1�y ti 'Y;`lt.�'�j':��y "c ,,r� ,� .; �, .' �C `��f � ". -?_'�^�, � .- . . � � � �� - • Addresses S "��'��''x y'Y -1,. .{� /�r ' � a•,� '�4 F • � Y '� , ��.�a. ,,: _ . y �t,� ���" . , yM� + �-.���, . .s,� �� S•. I�� � r"�+. 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