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Home My WebLink About34-26S Z -0o RECEIVED �f `pIL TEST # 3 y - a rr"`' Wisconsin Department of Safety& Professional Services Page 1 of 2 Division oL4 (stpfl Sari OV EJ') P ) �IRRUU J SOIL EVALUATION REPORT •« Bayfreld Co. pv,a^•'s Planning and Zoning Ag6Wcordance with SPS 385, Wis. Adm. Code County 00. 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 point (BM), direction and percent slope, Pl I.D. scale or dimensions, north arrow, and location and distance to nearest road. lox I 83'fD Please print all information. Reviewed by / 1MI �� Date O Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l)(m)). ''I I I1L2iit nt /Qr[ Property Owner 1 1 Property Location ❑ ❑ J Yt 1l RC, U Jn P Govt. LotSw 'A SE %S j T y, N R E (or) Property Owner's Mailing Address Site Address or CSM and Lot #: Ei; a T Lu nis2t-i.'tus Rd City, State, Zip I Phone Number ❑ City ❑ Village I9 Town Nearest Road 3rook\sjn,t Cs2.t I( ) -7 S Hu ties W; Us New Construction Use: Ii Residential/Numberof bedrooms '1- Code derived designflow rate.OV GPD ❑ Replacement 1 ❑ Public or commercial - Describe: Flood Plan elevation if applicable ft. Parent material -SLV4 i M uac law sad' Mar.?3 General comments and recommendations: © Boring# ❑Boring O'^ JDD { f�l Pit Ground surface elevQ.la'�j7R Depth to limiting factor Jo in. / elefl.S_fR. SailAooli 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 l 0-8 l0 — Si m -Zr CI'v 3 Z 6-t9 7.5 —St otkw¼4rCS 3s,t .6 3 aq-M3svt4I4 srsacs6K wL CS 4 - - 46k yny4k — un •'1 IJ� Boring # ❑Boring o A g. Pit Ground surface elev.l O 1�. Depth to limiting factor in. / elev%4. Soil Aoolication 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 *EH#2 I -i IoY 3/ I - SI 2v49r m 4r C -w 2- -,--a6 7.s - IMF 3 a6- R 4/3 3rcoS-&bk M t c3 tin 1 4 - / - 5 a.abkmv4r - I CST Name (Pte Pr ntl' _S� , Signature T Number CS 6 9 -1 -' Address TI I $' C t'( h .it. j $ R s'r$ Date Evaluation Conducted -z Telephone Number S--341-7vss Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Boring # ❑ Boring p Pit Ground surface elevft. Page Z-• of Depth to limiting factor73__in. / elev. -8( ft. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft2 *Eff#1 *Eff#2 I %'� V fz3 s a { G i 2 _2G 71 tZ -- S L oJk wf CS c.x,$sbtZ• -7 a 1C rrw- { - 1w 1 LII Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Annlication 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 factor in. / elev. ft. nil Annliratinn Rata I 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 = SOD > 30 ≤ 220 mg/L and TSS > 30 ≤ 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS ≤ 30 mg/L Soil Evaluation Site Map - System Plot Plan 0 10 20 ft /^\ In -Ground Soil Absorption for POWTS Version 2.1 Nv Owner: Joshua Rounds Site Address: 67152 Wills Rd, Brule, WI 54820 Tax ID: 18556 Legal Description: SW1/4 of the SE1/4, Section 18, Township 47N, YECE'V Range 9W, Town of Hughes, Bayfield County, WI E® Benchmark to North Property Line - Approx. 687' MAY 052026 Benchmark to South Property Line - Approx. 622' BayAeld Co Benchmark to East Property Line -Approx. 683' PlanningandZ.oninABen Benchmark to West Property Line - Approx. 656' cr <•` OSB3 `•, A Benchmark -Nail in Maple tree -Elevation 100' ,_______ Suitable Absorption Area o Soil Borings: SB1 - Elevation 98.38 / O582 SB2 - Elevation 98.96 SB3 - Elevation 98.89 BM OSB1. Tank - Wieser W840/500 -MR Filter - PolyLoc PL -525 RIPipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) I Proposed No Wells on Property NewHome LfI, BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS LCdVED Submit the Following (Use Permanent Ink): MAY 052026 Bayfield Co. 00 Check List Planning and Zoning Agency IF Index Page / Title Sheet (Optional) Qy Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) I7 Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) Tutu Sd� ,T PJ-Parcai Identification Number (must be 23 iit Tax ID#) DO NOT USE 12 digit, they are no longer being used I Property Owner's Information (not prospective buyer's name) ® Property Location (Accurate Legal Description with Sec/Twp/Range) 91 Road Name (where driveway is/will be coming off of) O Floodplain Elevation, Flow Rate, Comments and Recommendations @I Complete Soil Boring / Pit Information It Date Soil Evaluation was conducted 9 CST Name, Signature, Number, Address and Phone Number 14 *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) Bench Mark (Description, Elevation and Location) 02 Contour Lines (Example = 98.0' /96.0' /94.0') l Property Location (Sec/Twp/Range/, Accurate Legal Description) 01 Borings (Locations and Elevations) 0 Percent and Direction of Land Slope IM Well Location (Including Neighboring Wells, if applicable) &7 Location of Wetland Areas, Floodplain and Navigable Waters Buildings, Driveways, and Structures (Location and Descriptions) 00 Location of Property Lines ❑ Existing System Location 09 Address Number and Road Name ® Current Surface Elevation of Wetlands and Navigable Waters 16 CST, Owner and Property Information Q0 North Arrow Fee: $T+ Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/ch ecklisVchecklistforests R- 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: ROUNDS, JOSHUA C 498 HILLCREST LN BROOKLYN, WI 53521 WARRINER, AMANDA L 498 HILLCREST LN BROOKLYN, WI 53521 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00404 Transaction Number: SR -00404-4578C Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 6303 Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847 Payment Type: Check Transaction Date: 5/12/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.