HomeMy WebLinkAbout13-26SOIL TEST #
.S P oo3�H ENTERED
WisconsirgDepartment of Safety & Professional Services '—
• Y _ Division of IndustryServices
1SP5, SOIL EVALUATION REPORT
�• :,,,u „o�� In accordance with SPS 385. Wiis. Adm. Code County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, 1,
but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. ,g
scale or dimensions, north arrow, and location and distance to nearest road.
Please print all lo(orinadon. ' we t
.rsonal information you orovide may be used for secondary puro6ses•(Privacv Law, s. 15.04(1)(m)).
Page I of_4ps, (over)
Property Owner . . • . , . • /. Property Location - L -OT " 1 — ' G —J/I a'Ti aJ U 3. Li
mf Ia S C lr #•O&
Property O 2rner•s Mailing Address Site Address or CSM and Lot #: .a qq`
I 0 t)r; 7 S rrh rm DrrJe
City, State, Zip Phone Number ❑ city ❑ Village �• Town Nearest Road
'r--_ Q:.m/ LIT c"i4u-, 9. ,,i2o1.V 9Qf) T...._— QT...,..e IAi.nt.CL... `l..'.I&
W NewConstruction Use: LWResidential/Numberofbedrooms —5
❑ Replacement ❑ Public or commercial — Describe:
Parent material Sotv3.jC .r &s
General comments and recommendations:
[-1-1 Boring # ❑Boring
L -1 ] Ground surface elevfia l�•1 wi'
Code derived designflow rate SUGPD
Flood Plan elevation if applicable ft.
Depth to limiting factor, in. I ells ".7 ft.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Cr, Sz. Sh.
Consistence
Boundary
Roots
GPD/FI2
•Eft#1
Eff#2
I
o-'7
Id R
L
I4oSIc
aS
.-7
7-22
7.S&'i14
S
0.
V
S
1.6
s
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s
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rni
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I
1.
I Boring # ❑Boring r�O
u4� Pit Ground surface elev7.giDepth to limiting factors7in. I elevf'' ft.''
Soil Aooll
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cunt Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
Eff#1
•Eff#2
0-8
IoR
—
mu4r
a53ca
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I.�oktc
iu.Cy
-
5
4.
CST Name (Please Print) 5!
!G
Signalufe /-7f4K
CST Number'' _ S
Address
Dale Evaluu lionConductedTelephone
Number
I
lift -as I
71S'-
SYOis -
' Effluent #1 = BO'D > 30 s 220 mg/L and TSS > 30 $150 mg/L ' Effluent #2 = BOO, 5 30 mg/L and TSS 5 30 mg/L
SBD-8330 (R0322)
• [] Boring
•' Pit
' Bores#
i
Page,, of,
Ground surface eiev _ft. Depth to limiting factor8En. I ele+�O• ft.
Snfl Annftratren Rata
Horizon
Depth
In.
' Do Iriant'Color
_ Mansell• .
Redox Description
Qu. AL Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD1Ft2
•Eti#1
Eff#2
1
.R
Ib!jVI--S
woJ,k
iv#r
La
J.
2
a
s
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k.
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—
a Boring # ; ❑ Boring •:
❑ Pit Ground surface elev. •ft• Depth to iimfthtg factor In. I elev ft
.,n e.,,+a..l.,,. ono
Horizon
Depth
In.
Dominant Color
Munseti
Redox Description
Qu. AZ. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDIFt2
•Eff#1
'Eff#2
Boring # ❑f So
❑ Pit Ground surface elev. ft. Depth to limiting factor in• I slay ft•
Cnfl Onnffnafinn Rat
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cent Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•Eff#1
•Ef#f2
r
'
Effluent#1 a SOD > 30 S 220 mglL and TSS > 30 s 160 mglL ' Effluent#2 = BOD, 30 mglL and TSS S 30 mgIL
Soil Evaluation Site Map - System Plot Plan
In -Ground Soil Absorption for POWTS Component Manual V_2.1
Site Owner: Logan W. Trautt
Site Address: 8765 North Shore Drive, Iron River, WI 54847
Legal Description: LOT 4 CSM 2153 IN V12 P333 (LOCATED IN GOVT LOT 2) IN DOC 2024R-606027
Tax ID: 38423
CST: Tony Polkoski 11068 -ST �cECF_IVED
Plumber: Allan Polkoski - PMRS 220090
FEB 242016
Bayfield Co.
Planning and Zoning Agency
0
m
O
r
t
O
O
z
205'
No wells on property
o neighboring wells < 50' from property lines
frank- Wieser WLP-1000MR
Filter- PolyLoc PL -525 Effluent Filte
0 40 80 ft A
N
a
Nbso,PUo''SB1♦`,
r� °�1 ♦SS ,
IS83jg,5.5
Proposed
3 Bedroom
Home
; { (Tables 384-30-3 8
0
Driveway $ BM - Nail in Red Pine - Elevation 100'
A SB1 - Elevation 97.95'
SB2 - Elevation 98.05'
SB3 - Elevation 98.1'
— Property_Line
— Elevation Contours
2os'
BAYFIELD COUNTY RECEIVED
CHECKLIST FOR CERTIFIED SOIL TESTS
FEB 242026
Submit the Following (Use Permanent Ink): Bayfield Co
Planning and Zoning Agency
Check List
Index Page / Title Sheet (Optional)
81 Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
ip Original Plot Plan
ion
19 Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
I96 8
Parcel Identification Number (must be digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
Promo erty Owner's Information (ngt prospective buyer's name)
40 Property Location (Accurate Legal Description with Sec/Twp/Range)
ti Road Name (where driveway is/will be coming off of)
6d Complete Soil Boring / Pit Information
Date Soil Evaluation was conducted
ri CST Name, Signature, Number, Address and Phone Number
ip *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
V Bench Mark (Description, Elevation and Location)
1l Contour Lines (Example = 98.0' /96.0' /94.0')
RI Property Location (Sec/Twp/Range/, Accurate Legal Description)
I Borings (Locations and Elevations)
IPercent and Direction of Land Slope
fp Well Location (Including Neighboring Wells, if applicable)
e aers
CS Buildings, Driveways, and Structures (Location and Descriptions)
In Location of Property Lines
-D ELting System Locoti.-
541 Address Number and Road Name
r CST, Owner and Property Information
1A North Arrow
Fee:
I Certified Soil Tests - Review & Filing Fee $ 50.00
u/forms/sanitary/cheddist/checklistforests
I F I 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:
TRAUTT, LOGAN W SR -00384
10775 SCENIC DR
IRON RIVER, WI 54847 Transaction Number:
SR-00384-3FBE9
Description Amount
Certified Soil Tests - Review & Filing Fee $50.00
Total: $50.00
Payment Amount: $50.00
Reference: 2502
Paid by: Polkoski Soil 2 Septic, 5115 County Highway B, Iron River WI 54847
Payment Type: Check
Transaction Date: 3/5/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.