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Home My WebLink About143-25RECEIVED EtRERED ` Wisconsin Department of Safety and Professional Services 9 Page 1 of 3 Division of I ndust"6Lucy 7vI s it-wJ & a Nov " / SOIL EVALUATION REPORT IL TEST # Bayfiekt Co. In accordance with SPS 385, Wis. Adm. Code County p nine and Zoning Agency BAYFIELD Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel ID. scale or dimensions, north arrow, and location and distance to nearest road. 31101 Please print all information. R ww b� , ^ Property Owner Property Location ❑ TERRYA BUTLER Govt. Lot NW Y. SE % S 29 T 49 N R 05 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number I ❑ City ❑ Village ® Town Nearest Road New Construction Use: Residential/ Number of bedrooms 4 Code derived design flow rate 600 GPD ❑Replacement ❑ Public or commercial — Describe: _ Parent material SANDY TILL Flood Plan elevation if applicable NA ft. General comments and recommendations: SITE SUITABLE FOR A MOUND SYSTEM 1 Boring # ❑ Boring ® Pit Ground surface elev. 97.0 ft. Depth to limiting factor 36 in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 `Eff#1 *Eff#2 1 0-11 7.5YR 4/6 NA s osg dl cw 2m 0.7 1.6 2 11-24 7.5YR 5/8 NA s Osg dll dw if 0.7 1.6 3 1 24-36 7.5YR 6/4 NA s osg dl cs if 0.7 1.6 4 36-44 7.5YR 6/4 f2d 5YR 5/8 Is Osg mfr cw 1vf 0.0 0.0 5 44-66 2.5YR 4/4 f2d 2.5YR 6/6 Is osg ml NA tvf 0.0 0.0 ❑ Boring 2 Boring # �J ® Pit Ground surface elev. 96.5 ft. Depth to limiting factor 33 in. Soil Application Horizon Depth Dominant Color In. Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 -Eff#2 1 0-10 7.5YR 4/6 NA s Osg dl cw 2m 0.7 1.6 2 10-24 7.5YR 5/8 NA s osg dl dw If 0.7 1.6 3 24-33 7 5YR 6/4 NA s Osg dl cs if 0.7 1.6 4 -i-33-44 7.SYR 6/4 f2d 5YR 5/8 Is Osg mfr cw ivf 0.0 0.0 5 144-56 2.5YR 4/4 f2d 2.5YR 616 Is Osg ml NA 1vf 0.0 0.0 - tttluent #1 = HUD. > 30 ≤ 220 maIL and I SS > 3n ≤ 15n mn/r - FffWpnt H7 = ROD > 3n ≤ 770 mn/I and TSS > 30 ≤ 15n mall CST Name (Please Print) Signaturey/ CST Number EDWARD J WROBLEWSKI �--/ SP -72000013 Address Date Evaluation Conducted Telephone Number 84805 HATCHERY RD, BAYFIELD, WI 54814 8/8/2025 715-209-4055 5BD-8330 (R04/15) RECD, A0 3 �3oring # HOV 0. s 2025 ® Pit ring Ground surface elev. 96.4 ft. Depth to limiting factor 33 in. ptanatn0" Z"nrng Alice Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 "Eff#2 1 0-2 7.5YR 3/2 NA s Osg dl cw 3m 0.7 1.6 2 2-12 7.5YR 4/6 NA s Osg dl cw 2m 0,7 1.6 3 12-23 7.5YR 5/8 NA s Osg dl dw if 0.7 1.6 4 23-33 7.5YR 6/4 NA s Osg dl cs 1f 0.7 1.6 5 33-45 L 7.5YR 6/4 f2d 5YR 5/8 Is Osg mfr cw 1vf 0.0 0.0 6 45-60 2.5YR 4/4 f2d 2.5YR 6/6 Is Osg ml NA tvf 0.0 0.0 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft' Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 Eff#2 Effluent #1 = BOO, > 30 5 220 mg/L and TSS > 30 5 150 mg/L * Effluent #2 = BOO, > 30 5 220 mg/L and TSS > 30 5 150 mg/L EDWARD J. WROBLEWSKI. CST#SP-72000013 SOIL TEST PLOT PLAN TERRY 4 BUTLES..4 XXXXX W MAPLE HILL R W1/2 NW SE TOG WITH EASE IN DOC 2023R-601434 S29T49N R05W TOWN OF WASHBURN WI SCALE 1' = 60' 22% SLOPE A A= BEM 18;OAK NAIL INEASE10 10 20 05 <b 50 60'FT N�CEIVED NOV 072025 NORTH LOT LINE =T 3 OF3 BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS �.lV@C➢ Submit the Following (Use Permanent Ink): NOV 072025 / Bayfieid Co. Er Check List Planning and Zoning Agency __alhdex Page / Title Sheet (Optional) "Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) Czr6'riginal Plot Plan Cross Section Soil Profile Sheet (optional) —Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) E3'Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used Clrooerty Owner's Information (not prospective buyer's name) w'vroperty Location (Accurate Legal Description with Sec/Twp/Range) ad Name (where driveway is/will be coming off of) C�3'Floodplain Elevation, Flow Rate, Comments and Recommendations U,6�omplete Soil Boring / Pit Information Cad-D/ate Soil Evaluation was conducted H CST Name, Signature, Number, Address and Phone Number El *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) Bich Mark (Description, Elevation and Location) C�Contour Lines (Example = 98.0' /96.0' /94.0') li-operty Location (Sec/Twp/Range/, Accurate Legal Description) flings (Locations and Elevations) ❑Percent and Direction of Land Slope EA'Well Location (Including Neighboring Wells, if applicable) N)O( El Location of Wetland Areas, Floodplain and Navigable Waters F}4uildings, Driveways, and Structures (Location and Descriptions) cation of Property Lines N ❑ Existing System Location ®'Address Number and Road Name N/A- El Current Surface Elevation of Wetlands and Navigable Waters 'Owner and Property Information L9'North Arrow Fee: Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/check) istforests I -A YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: BUTLER, TERRY A SR -00360 215N1STAVEE DULUTH, MN 55802 Transaction Number: SR -00360-38559 Description Certified Soil Tests - Review & Filing Fee Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 2818 Paid by: Ed's Mechanical, 1491 County Hwy C, Washburn WI 54891 Payment Type: Check Transaction Date: 11/ 12/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.