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WM�COAs nUepanm ety and Professior� TEST
7r � Division of Industry e
' 1,,,,,,=r HY 7 2026 SOIL EVALUATION REPORT
gayfield Co. n accordance with SPS 385, Wis. Adm. Code County Attach comglgja *601gR 99per'hof less than 8 1/2 x 11 inches in size. Plan must include, /i-i F
but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D.
scale or dimensions, north arrow, and location and distance to nearest road. Zo 7 &
Please print all Information. Vi
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Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). /{7
Property Owner Property Location ❑ 91
1 C_ F1-f3LL Q-- CM I L'1 E2rc L Govt. Lot -1 Y. Y S /7 T '/ri NR O'7 E (or) W
Property Owner's Mailing Address I Site Address or CSM and Lot #:
City State Zip Code Phone Number Li City U Village 1)11 Town Nearest Road
`i12/o (Z LA-$ Mr SJn (Z'S)j 1'S sr RNes Ea&rr St ce fl
JA NewConstruction Use:Residential/Numberofbedrooms S Code derived designflow rate 750 GPD
❑ Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable It.
Parent material c) 'T w.1 f) - S4t'S
be1 t GN TD OT)
General comments and recommendations: s 75 TL'vEL -
LuBoring# ❑Pitnng
Ground surface eiev. 7.0 . Depth to limiting factor 73 in. / elevJ °' _.
Soil Aoolicalinn 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
0-4a
.S A,7.511
—
SL
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Mv4r
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M2
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1.0
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1,6
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3b-73
7.Syti s/q
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arc
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Boring #
❑Boring
Pit Ground surface eiev. ''17 R. Depth to limiting factor 78 in. / elev 0.7? it.
Snil Annliratinn 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
`EII#2
I
Z- G'
7.5
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GtJ(r.
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b4
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CST Name (Please Print)
I Signature
CST Number
flM can _
_
1 OOd Z-8
Address
ate Evaluation Conducted I
Telephone Number
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7 S-778'7�rs
` Effluent #1 = BOO > 30 s 220 mg/L and TSS > 30 s 150 mg/L 'Effluent #2 = BOO, s 30 mg/L and TSS 5 30 mg/L
SBD-8330 (R04/21)
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❑ Boring G
Boring # [ Pit Ground surface ele?_Y &ft. Depth to limiting factor. 87 in. I elev. 1 I ft.
" Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Z/wcb_c--
Consistence
Boundary
Roots
GPD/Ft2
•Eff#1
•Eff#2
0
7.5 YrtzJ/
—
SL
A"
6w
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7-2-3
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❑ Boring #
❑ Boring
❑ 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
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•Eff#1
*Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factorin. / elev. 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/Ft2
*Eff#1
•Eff#2
Effluent #1 = BOD > 30 s 220 mg/L and TSS > 305 150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L
CHECK BOX AS APPLICABLE.
CHECK BOX AS APPLICABLE.
SOIL EVALUATION Scale: 1"40'
❑ SYSTEM PAGE 2 OF
0 40 60
SITE MAP
80
PLOT PLAN
PROJECT NAME: (10 ftgrid)
DESIGN FLOW: 7's GPD
10,
E2 —CZ S /��
Attach design flow calculations for commercial plans.
PROJECT ADDRESS: 4/9 Z S s L ''Sr SI-ro4_c r2 )i
Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
NSanitary
BM Symbol: BM Elevation: /dO FT
Sewer: /
Main: /
BM Description: NAt L -4 g— Sy3f3 arm 3� " ¢c >J PrYc
Force
Indicate north by
Slope Gradient (%) �J 0 6 Well Symbol (it applicable): Q drawing an array
Of Tested Fvea'. !�
IMPORTANT:
Show ground elevation contours at suitable intervals.
on the approprite line.
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MAY 012026 Soil Profile Sheet
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Planning and Zon Soil Tester: Ti ei-y2_p�
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• System Elevation: iy-s Load Rate; O • i System Range -'75-o7 L)
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I34YFIELD 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:
ERTEL, MICHAEL SCOTT & EMILY
BENETTA
19510 FOXFIELD DR
PRIOR LAKE, MN 55372
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00410
Transaction Number:
SR-00410-454FC
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 15029
Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821
Payment Type: Check
Transaction Date: 5/8/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.