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^?—-y^. Wisconsin Department of Safety & Professional Services
'^/v'i _ •'• '^ Division of Industry Services
SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code
^\rti/V%S^
Attach complete site plan on paper not less than 81/2x11 inches In size. Plan must include,
but not limited to venical 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 secondap' purposes (Privacy Law, s. l5.04(l)(m)).
"V ^ t. K I ':» ^.\\ I lr: l'-i' ;l: '! •" '-•
lil' MAR 1 7 ? pa9e-
i,avilidilCo,ZonhK!L'^.:
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County Bayfietd
Parcel 1.0•°- 5W ^
Revie1 ^A.- 1^'w~"7aD"Property Location
GovtLot^V '/, ^IA/'/S 17 T 44 N R 09 E
Property Owner
Tim Zwickey
Property Owner's Mailing Address
1807 Savannah Circle
Site Address or CSM and Lot #:re$s or CSM and Lot #: . ., /...,-,»,/...'^rjzoolT' Lot#i ,c^ WQ
City, State, ZipMarshfield.WI 54449
Phone Number
( 651 ) 269-7547
D City D Village 0 Town
Barnes
Nearest Road
River Rd
New Construction Use: 0 Residential / Numbercrf bedrooms _2_
D Replacement D Public or commercial - Describe.
Parent material Outwash sands (Rubicon-Sayner complex)
General comments and recommendations: Ground surface elevations are for original grade. Sand has been brought in to level site
Code derived desianfiowrate 300 GPD
Flood Plan elevation if applicabte_ N/A ft.
Boring #D BoringE2PH Ground surface etev.^4'^ ft.Depth to limiting (actor.96 Jn./elev.96'2 ft.
Horizon
1
2
3
4
5
Depth
In.
0-7
7-21
21.51
51-60
60-96
Dominant Color
htunsell
10YR 2/1
7.5YR 3/4
7.5YR4/4
10YR5/4
10YR 5/4
Redox Description
Qu. Az, Conl. Color
Texture
Is
s
s
s
cos
Structure
Gr, Sz. Sh.
Osg
Osg
Osg
Osg
Osg
Consistence
ml
ml
ml
ml
ml
Boundary
cw
gw
gw
cw
Roofs
1m/1f/1vl
WWZvl
1m
Soil Application Rate
GPD/Ft'
•EffiM
0.7
0.7
0.7
0.7
0.7
'Effl»2
1.6
1.6
1.6
1.6
1.6
Boring #QBoring
EP"Ground surface elev. ""'"•'ft.Depth to limiting factor 96 in. / etev. ft.
Horizon
1
2
3
4
5
Depth
In.
0-5
5-32
32-40
40-57
57-96
Dominant Color
Munselt
10YR2/1
7.5YR 4/4
7.5YR 4/4
10YR 5/4
10YR 5/4
Redox Description
Qu. Az. Cont. Color
Texture
Is
s
cos
s
cos
Structure
Gr. Sz. Sh.
Osg
Osg
Osg
-°sa-
Osg
Conslstence
ml
ml
ml
ml
ml
Boundary
aw
aw
aw
cw
Roots
2vf
im/ir/ivi
1vf
Soil Application Rate
GPD/Ft'
•Ef»1
0.7
0.7
0.7
0.7
0.7
•Eff»2
1.6
1.6
1,6
1.6
1.6
CST Name (Please Print)
Keith Wiley
Signature!^h'C'ST Number
^'654921
Address
11623 E Larson Dr. LaKe Nebagamon. Wt 54849
Dale-Evaluation Conducted11/2/2024 Telephone Number
218-451-2611
• Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L - Effluent *2 = BOD, s 30 mg/L and TSS & 30 mg/L^^Ht^\2k ^SO.OO t^U SBD.8330(R03/22)
SR-072.1?K
Wisconsin Department of Safety & Professional Services
Division of Industry Services
SOIL EVALUATION REPORTw N1Ai'•^Q^ Page ' of
'^SH-I-S^ ln accordance with SPS 385, Wis. Adm. Code
Attach complete site plan on paper not less 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)).
County Bayfield
Parcel I.D.
Reviewed by Date
Property Owner
Tim Zwickey
Property Location
Govt. Lot V,y< S 17 T 44 N R 09
Property Owner's Mailing Address
1807 Savannah Circle
Site Address or CSM and Lot #:Lot #1
City, State, ZipMarshfietd.WI 54449
Phone Number
( 651 ) 269-7547
D City D Village Town
Barnes
Nearest Road
River Rd
New Construction
D Replacement
Use: M Residential/Numberofbedrooms 2
Public or commercial - Describe:
Parent material Outwash sands (Rubicon-Sayner complex)
General comments and recommendations: Ground surface elevations are for original grade.
Code derived designflow rate.
Flood Plan elevation if applicable.
Sand has been brought in to level
_GPD
N/A ft.
site
Boring #D Boring
E2 Pit Ground surface elev.104.2 ft.Depth to limiting factor ^® in. / elev. 96-2 ft.
Horizon
1
2
3
4
5
Depth
In.
0-7
7-21
21-51
51-60
60-96
Dominant Color
Munsell
10YR2/1
7.5YR 3/4
7.5YR 4/4
10YR5/4
10YR5/4
Redox Description
Qu. Az. Cont. Color
Texture
Is
s
s
s
cos
Structure
Gr.Sz. Sh.
Osg
Osg
Osg
Osg
Osg
Consistence
ml
ml
ml
ml
ml
Boundary
cw
gw
gw
cw
Roots
1m/1f/1v1
1m/1f/2v1
1m
Soil Application Rate
GPD/Ft2
*Eff#1
0.7
0.7
0.7
0.7
0.7
*Eff#2
1.6
1.6
1.6
1.6
1.6
Boring #QBoring
0Pit Ground surface elev.106.1 ft.Depth to limiting factor.96 in./elev. •-'"•' ft.
Horizon
1
2
3
4
5
Depth
In.
0-5
5-32
32-40
40-57
57-96
Dominant Color
Munsell
10YR2/1
7.5YR 4/4
7.5YR 4/4
10YR5/4
10YR5/4
Redox Description
Qu. Az. Cont. Color
Texture
Is
s
cos
s
cos
Structure
Gr.Sz. Sh.
Osg
Osg
Osg
Osg
Osg
Consistence
ml
ml
ml
ml
ml
Boundary
aw
aw
aw
cw
Roots
2vf
1m/1f/1v1
1vf
Soil Application Rate
GPD/Ft2
*Eff#1
0.7
0.7
0.7
0.7
0.7
*Effi#2
1.6
1.6
1.6
1.6
1.6
CST Name (Please Print)
Keith Wiley
Address
11623 E Larson Dr. Lake Nebagamon, Wl 54849
Signature ^^ . ^ '-> ^.---\^^^ - ^
Date evaluation Conducted11/2/2024
-CST Number 654921
Telephone Number
218-451-2611
Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 <• 150 mg/L * Effluent #2 = BOD, £ 30 mg/L and TSS s 30 mg/L
SBD-8330 (R03/22)
Buring #
[~] Boring
El Pit Ground surface elev.108
Page _£__ of.
/ iJepth to limiting factor 120 jp. / elev.98.0 ft.
Horizon
1
2
3
4
5
Depth
In.
0-4
4-18
18-32
32-56
56-120
Dominant Color
Munsell
10YR2/1
7.5YR 3/4
7.5YR 4/4
10YR5/4
10YR5/4
Redox Description
Qu. Az. Cant. Color
Texture
Is
s
s
s
cos
Structure
Gr.Sz. Sh.
Osg
Osg
Osg
Osg
Osg
Consistence
ml
ml
ml
ml
ml
Boundary
cw
cw
cw
cw
Roots
1vf
2co/2m/2f
2f
1f
Soil Application Rate
GPD/Ft2
*EfW1
0.7
0.7
0.7
0.7
0.7
*Eff#2
1.6
1.6
1.6
1.6
1.6
Boring #D Boring
a pit Ground surface elev..-ft.Depth to limiting factor_in. / elev._ft.
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
*Efft»1 *Eff#2
Boring #D Boring
D Pit Ground surface elev.-ft.Depth to limiting factor_in. / elev._ft.
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cant. Color
Texture Structure
Gr.Sz. Sh.
Consistence Boundary Roots
Soil Application Rate
GPD/Ft2
*Eff#1 *Eff#2
* Effluent #1 = BOD > 30 S 220 mg/L and TSS > 30 £ 150 mg/L Effluent #2 = BOD, s 30 mg/L and TSS £ 30 mg/L
North^
^y \\i
108'
Zwickey (2 bedroom)
Soil Report Plot Plan
y
^
Scale 1:20
<-
X Bench Mark = Duplex nail w/ orange ribbon in 9" DBH oak
Elev = 100.0'
NOTES:
No well
Property lines not shown > 25' from tested area
Middle Eau Claire Lake Elev " 75'
System area leveled with sand
CST# 654921 Page 3 of 3
Zwickey
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
M': •; ')W'n;L , ; /' i/
Submit the Following (Use Permanent Ink):
^ Check List
D Index Page / Title Sheet (Optional)
E/T Original Soil Evaluation Report (Submitted in Deed Holders Name - not prospective buyers)
S[ Original Plot Plan
D Cross Section Soil Profile Sheet (optional)
D Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
Sf Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
53^ Property Owner's Information (not prospective buyer's name)
l\y Property Location (Accurate Legal Description with Sec/Twp/Range)
0'Road Name (where driveway is/will be coming off of)
Q'Floodplain Elevation, Flow Rate, Comments and Recommendations
Q/Complete Soil Boring / Pit Information
E7 Date Soil Evaluation was conducted
yCST Name, Signature, Number, Address and Phone Number
Q' *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
\Sf Bench Mark (Description, Elevation and Location)
5?'Contour Lines (Example = 98.0'/96.0'/94.0')
S/Property Location (Sec/Twp/Range/, Accurate Legal Description)
Q! Borings (Locations and Elevations)
[^Percent and Direction of Land Slope
S7 Well Location (Including Neighboring Wells, if applicable)
E7 Location of Wetland Areas, Floodplain and Navigable Waters
5^ Buildings, Driveways, and Structures (Location and Descriptions)
S/ Location of Property Lines
0/Existing System Location
E7 Address Number and Road Name
E7 Current Surface Elevation of Wetlands and Navigable Waters
53/ CST, Owner and Property Information
S/ North Arrow
Fee:
E3'Certified Soil Tests-Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforcsts