HomeMy WebLinkAbout06-25Sk- 0020^ ^^
Wisconsin Department of Safety and Professional Services _ vv^^.
Division of Industry Services --— ^ f:)^-^.
SOIL EVALUATION REPORT
Page 1 of 3
I n accordance With SPS 385 Wis Adm. Code I County
Attach complete site plan on paper no! 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, j Parcel IDscale or dimensions, north arrow, and location and distance to nearest road S 11330
•-"-1
Please print all information.Revised
Personal informaljonyou providemay Os used for secondary purposes (Privacy Law; s l504(1i(mn j L-,1
Property Owner
DEAN & CHERIE L LOUMA TRUSTEES
Property Owner's Mailing Address
12114 336''<AVE
City State
TWIN LAKES I Wl
Property Location
Govt Lot SW 'A SW 'A S 03T 50NR 07
Dale^A^_^ \2/^
a ' B
E (or) W
Zip Code
S3181
Phone Number
(8471 502-4008
Lot H
D Ciiy
Block »Subd. Name or CSMff
D Village [>3 Town
j CLOVER
Nearest Road
STATE HWY 13
I [_] New Construction Use El Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
EE3 Replacement Q Public or commercial - Describe
Parent material SANDY OUTWASH UNDERLAIN BY Sll/TYDEPOSITS _ Flood Plain elevation if applicable M ft
General comments and recommendations: SITE SUITABLE FOR A MOUND SYSTEM
Id :ggl5fg
FEB 1 1 2025
Boring #D SoringEjp'i Ground surface etev _S7S__ K
Bayfielci Co. Zoning Dept.
Depth lo limiting factof _l3_ in
Horizon
1
Depth
In
0.3
2 ! 3.13
3 ! 13-2S•ii
Dominant Color
Munselt
7 5YR 3/2
7 5YR 4/6
5YR 7/3 __
Redox Description
Qu.Az Cont Cokar
NA
NA
c2d 5YR 6/8
Text
sl
s
set
Structure
Gr. Sz Sh
2fabk
_.._1,^.^..
Consistenc®Boundary
ml
— -i^cs
Roots
; Osg
1 2mabk
!t-"~
m''
md
cw
i NA
3m
2(
Soil Application
Rate
GPD/Ff
-6fW1 i 'Effi»2
0.6 1 0
07
r^0.0
Boring *a BoringC3 Pit Ground surface eiev 959 ft Depth lo limiting factor _12.. in
Horizon Depth
In
0-3
3-12
Dominant Color | Redox Description ! Texture
Munsell Qu Az Cont Color
7 5YR 3/2
7.5YR 4/6
12.25 J5YR7/3
"r
Consistence ! Boundary | Roots
• Efflueni #1 = BOD. > 30S 220 mg/L and TSS > 30 £ 150 mg/L
CST Name (Please Print)
EDWARD J WROBLEWSKI
Address
! 84805 HATCHERY RD. BAYFIELD, Wl 54814
• Effluent S2 = BOP. > 30 S 220 mg/L and TSS > 30 S 150 mg/L
CST Number
"D72000013-SP
Date Evaiuation Conducted
6/26/2024
Telephone Number
715.209-4055
---I
SBD-3330(R04/15t
PoiiA ^SO.oo Z/2S/20ZS
U2^
-SE-- 000.0^
Wisconsin Department of Safety and Professional Services
Division of Industry Services
/^^ \ SOIL EVALUATION REPORT
\^ils>l5^/ in accordance with SPS 385, Wis. Adm. Code
Attach complete site plan on paper nBttess than 81/2x11 inches in size. Plan must include,
but not limited to: vertical and horizontal reference point (BM), direction and percent slope,
scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information.
Personal information you provide may be used for secondary purposes(Privacy Law, s. 15.04(1)(m)).
Page 1 of 3
CountyBAYFIELD
Parcel I.D.11330
Reviewed by Date
Property Owner
DEAN & CHERIE L LOUMA TRUSTEES
Property Location D ^
Govt. Lot SW 1/4 SW % S 03T50 NR 07 E (or) W
Property Owner's Mailing Address
12114 336™ AVE
Lot #Block #Subd. NameorCSIVW
City
TWIN LAKES
State
Wl
Zip Code
53181
Phone Number
(847) 502-4008
D City D Village Town
CLOVER
Nearest Road
STATE HWY 13
Q New Construction Use: 13 Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD
IZ] Replacement D Public or commercial - Describe:
Parent material SANDY OUTWASH UNDERLAIN BY SILTY DEPOSITS Flood Plain elevation if applicable NA ft.
General comments and recommendations: SITE SUITABLE FOR A MOUND SYSTEM
^ IEHI
^ FEB 1 1 ZOZ5 B
Boring #D Borings Pit Ground surface elev. 97.6 ft.
Bayfieid Co. Zoniny DepL
Depth to limiting factor 13 in.
Horizon
1
2
3
Depth
In.
0-3
3-13
13-26
Dominant Color
Munsell
7.5YR 3/2
7.5YR 4/6
5YR 7/3
Redox Description
Qu. Az. Cont. Color
NA
NA
c2d 5YR 6/8
Texture
sl
s
scl
Structure
Gr.Sz. Sh.
2fabk
Osg
2mabk
Consistence
ml
ml
mfi
Boundary
cs
cw
NA
Roots
3m
2f
1f
Soil Application
Rate
GPD/Ft2
*Effff1
0.6
0.7
0.0
*Eff#2
1.0
1.6
0.0
Boring #D Borings Pit Ground surface elev. 95.9 ft.Depth to limiting factor 12 in.
Horizon
1
2
3
Depth
In.
0-3
3-12
12-25
Dominant Color
Munsell
7.5YR 3/2
7.5YR 4/6
5YR 7/3
Redox Description
Qu. Az. Cont. Color
NA
NA
c2d 5YR 6/8
Texture
sl
s
set
Structure
Gr.Sz. Sh.
2fabk
Osg
2mabk
Consistence
ml
ml
mfi
Boundary
cs
cw
NA
Roots
3m
2f
1f
Soil Application
Rate
GPD/Ft2
*Eff#1
0.6
0.7
0.0
*Eff#2
1.0
1.6
0.0
* Effluent #1 = BOP, > 30 S 220 mg/L
CST Name (Please Print)
EDWARD J WROBLEWSKI
Address
84805 HATCHERY RD, BAYFIELD, Wl 54814
andTSS>3QS 150mg/L
Signature
~csDate Evaluation Conducted
6/26/2024
* Effluent #2 = BOD > 30 s 220 mg/L and TSS > 30 s
CST Number
~tT72G00013-SP
Telephone Number
715-209-4055
150 mg/L
SBD-8330(R04/15)
Boring #D Borings Pit Ground surface elev. 95.1 ft.Depth to limiting factor 11 in.
Horizon
1
2
3
Depth
In.
0-4
4-11
11-25
Dominant Color
Munsell
7.5YR 3/2
7.5YR 4/6
5YR 7/3
Redox Description
Qu. Az. Cont. Color
NA
NA
c2d 5YR 6/8
Texture
sl
s
scl
Structure
Gr. Sz. Sh
2fabk
Osg
2mabk
Consistence
ml
ml
mfi
Boundary
cs
cw
NA
Ins '•
Root;
3m
2f
1f
Jl
Soil Application
Rate
GPD/Ft2
*Eff#1
s
7
0
i'f 1^
*Eff#2
1.0
1.6
0.0
!P
Boring #D BoringD pit Ground surface elev.
FEB I 1 2025 -
Depth to limiting fact0p"i! ( Qn, ^onli'iu L'o.'j'.
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cent. Color
Texture Structure
Gr.Sz. Sh.
Consistence Boundary Roots
Soil Application
Rate
GPD/Ft2
*Efl#1 *Eff#2
Boring #D BoringD pit Ground surface elev.Depth to limiting factor
Horizon Depth
In
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture Structure
Gr.Sz. Sh.
Consistence Boundary Roots
Soil Application
Rate
GPD/Ft2
*Ef?1 *Eff#2
* Effluent #1 = BOD, > 30 :s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 S 220 mg/L and TSS > 30 S 150 mg/L
EDWARD J WROBLEWSKI, CST#SP-72000013
SOIL TEST PLOT PLAN
DEAN&CHERIELLUOMA
16160 STATE HWY 13
E1/2 SWSW IN V. 1078 P.237 173
(LUOMA TRUST DTD 05/04/2011)
S03 T50N R07W
TOWN OF CLOVER, Wl
SCALE 1"= 50'
N
0 id 11? E
it FEB 1 1 2025 ^;
idayffefd Co. Zoning Dept.
>100'TO NORTHLOT LINE
STATE HWY 13
A = BM 20" MAPLE. SCREW IN BASE» 100.0'
16 20 3'0 40 SHEET 3 OF 3
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS f^ Rfp R DVR f^& i! I fe j]
Submit the Following (Use Permanent Ink): jjj pp-p ^ ?[J|
<Check List ^ayfleid Co. Zoning Oept
^J3-fridex Page / Title Sheet (Optional)
i.0^5riginal Soil Evaluation Report (Submitted in Deed Holders Name - jiot prospective buyers)
riginal Plot Plan
-—-Qtross Section Soil Profile Sheet (optional)
^--&-Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
3arcel Identification Number (must be 23 digit Tax ID#') DO NOT USE 12 digit, they are no longer being used
Owner's Information (not prospective buyer's name)
'roperty Location (Accurate Legal Description with Sec/Twp/Range)
^oad Name (where driveway is/will be coming off of)
Elevation, Flow Rate, Comments and Recommendations
yETCorr)plete Soil Boring / Pit Information
D^Date Soil Evaluation was conducted
Name, Signature, Number, Address and Phone Number
a *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
'Bench Mark (Description, Elevation and Location)
'tontour Lines (Example = 98.0' ,96.0' ,94.0')
Location (Sec/Twp/Range/, Accurate Legal Description)
iorings (Locations and Elevations)
B^Pejcent and Direction of Land Slope
'W§11 Location (Including Neighboring Wells, if applicable)
'Location of Wetland Areas, Floodplain and Navigable Waters
'Buildings, Driveways, and Structures (Location and Descriptions)
Location of Property Lines
B^Existjpg System Location
B-^jdress Number and Road Name
^urr^nt Surface Elevation of Wetlands and Navigable Waters
"CST, Owner and Property Information
Jorth Arrow
Fee:
D Certified Soil Tests - Review & Filing Fee 50.00 U/forms/sanitary/checklist/checklistforcsts