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Wisconsin Department of Safety and Professional Services O RIG I NAL ��� Division of Industry services M I=1 �EpE' SOIL EVALUATION REPORT CountyBAYFIEID c„m.sa In accordance with SPS 385, Ws. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference of ne Rcdf slo e, Parcel I.D. scale or dimensions, north arrow, and location and dic a tsars % 1pL# p 1 TAX ID, # 39004 Please print all information. 3, a Ya Review irsonal information you provide may be used for secondary purposes (Privacy Law, s...15.04(1)(m)). / Page _1 of._L 'uF='IY vw"o' Property Location Li In THOMAS J & ANN L GIBBONS Govt. Lot '/. '/. S 01 145 N ROB E (or) W Property Owner's Mailing Address I Site Address or CSM and Lot #: LOTS 1& 2 IN CSM NO 761 (LOC IN GOV LOT 2) S373 VALLEY VIEW ESTATES LN IN DOC 2023R-599060 45455 E CABLE LK RD) City I State I Zip Code I Phone Number ❑ City ❑ Village Town I Nearest Road COON VALLEY WI 54623 ( ) CABLE EAST CABLE LK RD ❑ New Construction Use: ❑ Residential/ Numberof bedrooms _3 Code derived designflow rate 450 GPD ® Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable Parent material GLACIAL OUTWASH General comments and recommendations: NEW SYSTEM ELEV. Q 91.0W/LOADING RATE @ .5W/QUICK 4 + PR p 6 2026 ❑ © Boring # Boring Bayfield Co. Pit Ground surface elev. 96.6 ft. Depth to limiting factor 120PIahn4k9r ?rdt#r6T Agerflc/ 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 0-8 7.5 YR 3/2 LS 2MGR MVFR GW ICOVF .7 1.6 2 8-26 7.5 YR 4/3 LS 2MSBK MVFR GW ICOVF .7 1.6 3 26-38 7.5YR4/4 GRS OSG ML GW IVF .7 1.6 4 38-58 7.5 YR4/4 FS 2MSBK ML GW .5 1.0 5 58-120 7.5 YR 5/4 S OSG ML --- .7 1.6 H3 2% GRAV & COB ® Boring # ❑Boring ®Pit Ground surface elev. 96.6 ft. Depth to limiting factor 120 in. / elev._86.6_ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 *Eff#2 1 0-7 7.5YR32 LS 2MGR MVFR GW ICOVF .7 1.6 2 7-18 7.5YR4/3 LS 2MSBK MVFR GW ICOVF .7 1.6 3 18-40 7.5 YR4/4 GRS OSG ML GW IVF .7 1.6 4 40-54 7.5 YR 4/4 FS 2MSBK ML GW .5 1.0 5 54-120 7.5 YR 5/4 S OSG ML - .7 1.6 H3 2% GRAY & COB CST Name (Please Print) Signature CST Number RICHARD RAUCH I SP -012100001 Address 11370 BONDEGARD DR I Date Evaluation Conducted Telephone Number CABLE WI 54821 7/14/2025 I 715-681-1190 * Effluent #1 = BOO > 30 s 220 mg/L and TSS > SOS 150 mg/L * Effluent #2 = BOO, S30 mg/L and TSS s 30 mg/L SBD-8330 (R0421) Page _2_ of 1 Boring # ❑ Boring ® Pit Ground surface elev. 94.7 ft. Depth to limiting factor 120 in. / elev._84.7_ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/F12 *Eff#1 'Eff#2 1 0-8 7.5YR32 S 2MGR MVFR GW 1COVF .7 1.6 2 8-20 7.5YR4/3 S 2MSBK MVFR GW IVFF .7 1.6 3 20-40 7.5 YR 4/4 ORS OSG ML GW 1W .7 1.6 4 40-120 7.5 YR 5/4 S OSG ML — .7 1.6 H3 2% GRAY & COB -'1EC-ED ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. pp M 0 6 202peplh to limiting factor in.! elev. ft. PavfI1 I Co. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture P iPcure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' *Eff#1 *Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ff Eff#1 Eff#2 Effluent #1 = SOD > 30S 220 mg/L and TSS > 30!5 150 mg/L ≤r s!'--0If-2 XO1 wr-cg - /( to * Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L 3o -F3 1#( ley ( Kt c_S -own a." Thotita5 .T & ilnn L 6s•'bhoil3 £373 Va//C.y v/ew Ls,4-+tosLA/ Goon Va//ey WZ. .C923 RECEIVED --Le5�1 Torun a; Cable t00 062026 (3qyAe id kJ2 , Bayfield Co. % Z' n 39� Y Planning and ZeninO Age::, 4X � so/ rY3/v,fo8w tors / Cz rn CSMno74i (L0 in Goc-Lois ) ys•/rs e cub// Lk /€c1. /{ /SdR LqL/e kJX SV021 �» tnjr/co Btih /14i/rK/Y"oa(c p�X• V #SSSG a -P fate an Sotnd-J $Jc Fit 9.G 6.r gz 9•G t $3 fy7 co9A. Stein Gz 24 5 y sfiew ,E/ 4 71. o Cv . C k'/ qti Lt,r y -4- SG�I�e% 6 r 1,� 5 PA r, Gjyzi j;a S/— O (2f Ct000 ( A(ew Wc(t !l -� -4`{sgss- U I C BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): 1 Check List ❑ Index Page / Title Sheet (Optional) 2&iginal Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) f&iginal Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) 'Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being D1Ferty Owner's Information (not prospective buyer's name) I?Property Location (Accurate Legal Description with Sec/Twp/Range) Road Name (where driveway is/will be coming off of) iiloodplain Elevation, Flow Rate, Comments and Recommendations /' " u � 20 .6 CI Complete Soil Boring / Pit Information Bayfield co. Planning and Zcning Agency Late Soil Evaluation was conducted RECEIVED I�CST Name, Signature, Number, Address and Phone Number 2'<Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) C3'Bench Mark (Description, Elevation and Location) ❑ Contour Lines (Example = 98.0' /96.0' /94.0') U -Property Location (Sec/Twp/Range/, Accurate Legal Description) la -Borings (Locations and Elevations) 2Percent and Direction of Land Slope ❑-Well Location (Including Neighboring Wells, if applicable) 9 -Location of Wetland Areas, Floodplain and Navigable Waters &-Buildings, Driveways, and Structures (Location and Descriptions) B'Cocation of Property Lines ❑ Existing System Location .0'Address Number and Road Name ❑ Current Surface Elevation of Wetlands and Navigable Waters 0tST, Owner and Property Information 2 -North Arrow Fee: 0"Certified Soil Tests - Review & Filing Fee $ 50.00 u/forms/sanitary/checkiist/checidistforcsts B-- 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: Submission Number: GIBBONS, THOMAS J & ANN L SR -00393 S373 VALLEY VIEW ESTATES LN COON VALLEY, WI 54623 Transaction Number: SR -00393-4485B Description Certified Soil Tests - Review & Filing Fee Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 5428 Paid by: A -Z Enterprises, Nor -Pines Plumbing, PO Box 196, Drummond WI 54832 Payment Type: Check Transaction Date: 4/27/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.