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HomeMy WebLinkAbout21-26o Wisconsin Department of Safety and Professional Services Page Division fof Industry Services �—tI 1 SOIL EVALUATION REPOSOIL TEST F �I 5 I \-o0 J in accordance with SPS 385, Wis. Adm. Code parre y Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, I.D. ci 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. Wemil Please print all Information.Personal information you provide maybe used for secondary purposes (PrivacyLaw,s.15.04(1)(m))./y 3 roperty Owner Property Location Govt. Lot /. % 533 T Y` N R OS E (or) W roperty Owner's MailingAddress ,// 2 792 S' 414 .SM /CGt! Site Address or CSM and Lot"" Pier in E/LC- 1'.. r/.9y>1 /'S j 7 D� SG a G zr P- 609 fJ s S98 7S 4.y City I State Zip Code I Phone Number ❑ City ❑ Village Town Nearest Road ❑ NewConstruction Use: ❑ Residential/Numberofbedrooms Code derived deslgnflow rate GPD EAiE ,S Replacement // ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material (;hua / 7/( Pb General comments and recommendations: `j4 ✓e inc cc...r4 off falbv¢y .SQ+re I2S 1t.t4 © Boring# ,®Boring ❑Pit Ground surface elev.lOft. Depth to limiting factorz0 In. / elev. � �• fit. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ftz •Eff#1 *Eff#2 d -G S74(' 3 SL -gAs4r nL a 9c.to 2tec ,. /0 2O -3�r F F s7'Q 8 zr ©'•' — — ,S` eo ❑ ❑Boring Boring # M `• - " ( 06 2026 ❑Pit Ground surface elev. ft. Depth to limiting factor in. / elev. 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/Ftz •Eff#1 •Etf#2 CST Name (Please Prin I Signature CST Number eu-d Pa I I 5% Address /l3 io a4.nclejreJ U k' I Date Evaluation Conducted Telephone Number cf61e /- zo2s /S-- 6 1 - Effluent #1 = BOD > 30 5 220 mg/Land TSS > 30 5150 mg/L Effluent #2 = BOD. s30 mg/L and TSS 5 30 mg/L SBD-8330 (R04/21) .201-z TZ- _# Scc� to { -I 6� 63 / U sad G S/ Sr°- 7/s - 61t1'O Pane t ce )t 1 ie_ %sc-lc ar z 79a -s /9ro of �d Alc&scG, w. s`ye SG 7aK D ..2/S 5 1 wr fcdt o- /(tee /'fp 533 TY6N /20 sW 1°5''d7 f*r I 11/E'Nc/v11, I2cc z o2 SlP- &;C1 t -Z S88'/S' col $.To{eflo17 C( , 6 t4'[ loe my! i`frt NOYo/e 4ot!C 9tacJe 133'/&/ 'V/C' �.O3 Svs+ems, gbecJ � •tve,!( s+Kd tPR 0 6 ZOZ6 Bayiic�d Gojr9arcy pl3nrdn7 a.. _. Narrative for Fischer Mound Relocate Dane C & Julie Fischer 58875 Roy Anderson Rd Town of Kelly Bayfield County Tax ID 21559 RECEiVED S33 T46N R05W APR 062026 Bayfield Co. Original Mound was installed in 2006. At that time the North Property line was assumed to be the fence line. During the sale of the property last year a survey was completed revealing a portion of the Mound System was on neighbor's property. We are proposing moving the Mound South Easterly to accommodate new property boundary. One Soil Boring was completed to verify soils in the direction of the movement. Apr 26 2006 7:34PM JOE ZIRM SOIL TESTING 715 765 4608 p.1 Wiebars„DepartmentofCommerce SOIL EVALUATION REPORT pagej...of 3 Division of Safety and Bolldhgs In accordance with Comm 85, WIs. Mm. Code Math complete site plan on paper not less than 81/2 x 11 inches In size. Plan must Include, but not Unified W. vertical and horizontal reference point (BM), direction and Parcel I - percent stope, Scale or dimension, north snow, and locallon and distance to nearest road. av o'F D% • Please print all Information. Q.31( aav,ts _ viewed by Date Porcdnalfnbrmatlon you RoMde rmy be used for seconds y Pupas ffrh'acy Lava. 16.04(1) (rn)). - Properly 9M15r -1 p Property Location . . dVmK j6Ve(`7& Goan. Lot A/C 1/495114 $33 Ty(9 N R 5 Hal)W PropertyOwner's MannaAddress - Lot # Block C Subd. Name or CSM# /207' �E//is rive - %(Q$ l..State Code Phone nnn ❑Gry Village Qg Town Nearest Roa4 Zi4 o&/ (FYI )0V8—/YSG KthCI i Rl A rt-rc. RGi B flaw Construction Usti: ® Re&tde IIat I Number of bedrooms _2 Code derived design flow rate ` 1) GPO flRapbcemenl �• Pubic a' rdat- Oeekdbe: Parent matetyl—_L7lx-cj l LcCrn,yr..e_ Float Plain elevation it appliable IL General comments r andreammandallona: (10n.ncV r.e/Sys c e%VSf 0r. = tO O r Ifecovn"e"Jd Resrs.i /eeidn V'i'e=_spd/S¢ dBorings Boring ® pg Ground surface elQv. ! R Depth b Willing factor _2 in. Horizon Depth n. DoMnad Color iAjml Redox Description Cu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDNN - - --- OEM •Eff*2 e R air b+ L_ SL pp&&ffr- cs 2I1. to /.0 G -la S`lR 't( Lis I4M. ,vw c.5 ►f wx $ (•O 3 I�- Sy/(5A, ad. SY2 /2 Lvfs oy1 — — ® Boring tl BornB� ❑ pit Ground surface slag. R DepfA to andWhq factor /rX n. ctii e,wi Homan Depth In, Daminad Cofer Monsed Redox Description Cu. Sr- Cont. Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPDrt1 'Eaa1 •Eff#2 1 0-3 SY 3 (t rtoA,.1_.. SL 2 -(2 sy,ccil3 noh2 3 la -a(. 2 to sy2 c•(s Lvs 26 S3 2 S/ 'lnA 2 ?/0 L v ' Emganral = eODy > 30 <22V mgrl and TSS >30 < 150 mgn. • Effluent #2 = BOD1 C 30 mg/L and TSS < 30 nhe& CST Name (Please Pd ) OE Z7b„T Signature CST Number L .csa9 3 9 £s Address mo Date Evaluation Conducted Telephone Number Mason.'54856 4f-a6-oG 7 765=i`�a8 San -Bran ranvnm Bay{ie1d Co. Panning a" Zoning FST :'1' Apr 26 2006 7:34PM JOE 2IRN SOIL TESTING 715 765 4608 p.3 pmpetty owner Qret fbacl fl) e pa4 I0 o7- o� Perin ID k ' J-Be" Boring I G�1 pit Ground wrrace elev. 101. o K Depth to 1uniuno is" .Hotkon Depth In. DrsmitCo4o Mtanes Redox Deaaipgon Qu. Sz. Cont. CateGr. Structure St. Sh. Consistence Boundary Roots GPO/K1 tf#1 •EIY#2 0-7 ≤≤YRSIt ohc-_ Q mQraa/0 VT,,xOxe -36 sY wc, 1F a46F Qvi0 RcA ar- -7k 0&1 -r — '" Gyouw ,t V 1 I soft tI ❑ Batt n At Ground surface elev. ft. Deem to thntting factor In. R"I er -„firm aats� I Wng0 ❑ eating j j a, Ground surface elev. ft. Depth to 0miting factor In, u aif` a natal page _9or. S Sag AaoI®ton Rate • Efsuent N1 • BCos > 3g < 220 myL and TSS >3D < 150 mglL ' Effluent #2 - BOD, < 30 mgr! and TSS < 30 myl The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need Material in an alternate format, please contact the department at 608-266.3151 or 'IT? 60&264-6777. APR 052026 Sao&d Co. Planning and Zu, inp Agana/ Apr 26 2006 7:34PM JOE ZIRN SOIL TESTING 715 765 4609 p.2 .a4. -sir Rd `+_ -�-- of �euc.�: o.K..i4J�w.a4Q sc�1 wap& teo.' ............ f . I.................. .: 3wv..j Ke J_�enff rot ,..... /Qec9-w.4nenJgd i........... . W JkW, m^-o"e 41 .1. ... P Wyk I ........ _ww �t Silt ytP.. Veco"a 1 IPA . . . . RECEVED Ste. cps ZI�� � 2238 V APR 362026 Eayiield Co. BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): H Check List tal&iex Page / Title Sheet (Optional) 6riginal Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyer ca�\lf .O 8'6riginal Plot Plan ❑ Cross Section Soil Profile Sheet (optional) APR o 6 2p- ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Bay6o�d Co. Ageno'/ planning � ,d 7yrang Soil Evaluation Report: (Include the following Information) LTF'arcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used ooerty Owner's Information (not prospective buyer's name) r9iFoperty Location (Accurate Legal Description with Sec/Twp/Range) goad Name (where driveway is/will be coming off of) O Floodplain Elevation, Flow Rate, Comments and Recommendations R'emplete Soil Boring / Pit Information cci6e Soil Evaluation was conducted CST Name, Signature, Number, Address and Phone Number Cy*6ate Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) lZ1'Bench Mark (Description, Elevation and Location) [3 -Contour Lines (Example = 98.0' /96.0' /94.0') 1roperty Location (Sec/Twp/Range/, Accurate Legal Description) moorings (Locations and Elevations) 'Percent and Direction of Land Slope rWell Location (Including Neighboring Wells, if applicable) O Location of Wetland Areas, Floodplain and Navigable Waters C 3uildings, Driveways, and Structures (Location and Descriptions) Ccation of Property Lines El -Existing System Location dress Number and Road Name ❑ Current Surface Elevation of Wetlands and Navigable Waters CST, Owner and Property Information ['North Arrow Fee: CJ,Eertified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforests 'FIELD 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: FISCHER, DANE C & JULIE 27925 BROWN RD MASON, WI 54856 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00392 Transaction Number: SR -00392-44200 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 5430 Paid by: A -Z Enterprises, Nor -Pines Plumbing, PO Box 196, Drummond WI 54832 Payment Type: Check Transaction Date: 4/17/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.