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Home My WebLink About42-26°r SOIL TEST # -)t �a -d(, �l�yu�oo p pailment of Safety & Professional Services ><IU stry Services SOIL EVALUATION REPORT k' AY 13 202 In accordance with SPS 385, Wis. Adm. Code Attach com lete sit gal�e�r s an 8 1/2 x 11 inches in size. Plan must include, but not limit1�0N reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. ,rsnnal information you nrovide may be used for secondary ourooses (Privacy Law. s. 15.04(1)(m)). County Bayfield Parcel I.D. 19973 by Page 1 of 2 (over) Property Owner Property Location V I —I usl James Duclon Govt Lot NW'/, NE%, S33 T 47 N R 8 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 64805 County Highway H 64805 County HWY H City, State, Zip Phone Number ❑ City ❑ Village N Town Nearest Road Iron River, WI 54847 715-372-8290 Iron River County HWY H ❑ New Construction Use: 19 Residential/ Number of bedrooms 2 Code derived designflow rate 300 GPD Z Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material: Sandy and gravelly outwash General comments and recommendations:Ah SG Ab.Vt I -tad .en fi eV ife,$ PrGSSVre dtsrribu-ribr. AN I) 6o" uc.rtico.1, Se-perrw-riov Boring Ground surface elev. 96.4 ft. Depth to limiting factor 106 in. / elev. 87.7 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/Ft2 'Eff#1 -Eff#2 O-9 7sYg3/7..— 51 I S 4 -ac 3 .S .r — c&oS_1 .s LI - s - - 1t'4 2 Boring # ❑Boring NPit Ground surface elev. 96.3 ft. Depth to limiting factor 102 in. / elev 87.8 ft. SoilAnnli 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 0-4 - 51 .M .1 4 - R tF S . S 3 I -S- - 1 cs 14 .S .S '(_s:.1on&'4/4- - l CST Name (Please Print) Signatur CST Number Ton Polkoski !� O 11068 - ST Address Date Evaluation Conducted Telephone Number 5115 County HWY B, Iron River, WI 54847 I 5-2-26 715-319-966 Effluent #1 = BOO > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOO, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Page if u 2 ❑ Boring 3❑ Boring # ® Pit Ground surface elev. 96.2 ft. Depth to limiting factor 100 in. / elev 87.9 ft. snu AnnIir�tI,.n 0�*- 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 I o- — SI IwchkfY4C S cs c lc • •S .c 2 4-IsS c I c Mt mi 15 -s -0k — c cs t -c .r .c — I I. ❑ 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/Ft2 •Eff#1 Eff#2 ❑❑ 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 ,pgndn3,#It ;B,W > 30 5 220 mg/L and TSS > 30 5150 mg/L MAY 13 2026 Bayfield Co. Planning and Zoning Agency * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L RECEIVED BAYFIELD COUNTY 'AY 132026 CHECKLIST FOR CERTIFIED SOIL TESTS payfield Co. Sabfnsia e'ila61ftiving (Use Permanent Ink): X Check List Z Index Page / Title Sheet (Optional) • Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) CK Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) R Tax Identification Number (must be 5 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used N Property Owner's Information (not prospective buyer's name) X Property Location (Accurate Legal Description with Sec/Twp/Range) a Road Name (where driveway is/will be coming off of) O Floodplain Elevation, Flow Rate, Comments and Recommendations CZ Complete Soil Boring / Pit Information X Date Soil Evaluation was conducted Z CST Name, Signature, Number, Address and Phone Number X *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) X Bench Mark (Description, Elevation and Location) X Contour Lines (Example = 98.0' /96.0' /94.0') D( Property Location (SecfTwp/Range/, Accurate Legal Description) * Borings (Locations and Elevations) ($ Percent and Direction of Land Slope Z Well Location (Including Neighboring Wells, if applicable) P Location of Wetland Areas, Floodplain and Navigable Waters a Buildings, Driveways, and Structures (Location and Descriptions) Location of Property Lines Existing System Location Address Number and Road Name I9 Current Surface Elevation of Wetlands and Navigable Waters a CST, Owner and Property Information X North Arrow Fee: >� Certified Soil Tests - Review & Filing Fee $ 50.00 u/forms/sanitary/checldist/cheddistforests MAY 13 2026 83 ld CO. CflCY I n--P�nandZSoi Absorption for POWTS Version 2.1 Owner/Site Address: James Duclon 64805 County HWY H Iron River, WI 54847 Tax ID: 19973 Legal Description: Combined Soil Evaluation - System Plot Plan \\ \\\\\\ A parcel of land located in the Northwest Quarter of the Northeast t Quarter (NW% NE'%), Section Thirty-three (33), Township Forty-seven (47) North, Range Eight (8) West, Town of Iron River, Bayfield County. Wisconsin, described as follows: Commencing at the quarter corner between Sections 28 and 33; N thence West along the section line a distance of 359.5 feet to an iron pipe; thence angle to the left 90°21' a distance of 222.6 feet to an iron pipe: thence angle to the left 41°40' a distance of 307.1 feet to an iron pipe: thence angle to the left 02°48' a distance of 571.0 feet along the South side of new Highway "H" to an iron pipe located on the water's edge of Bass Lake, which is known as the place of beginning: Page 2 of 4 0 50 100 ft Ak, thence continue on the same line a distance of 162.7 feet to an iron pipe; thence angle to the left 05°22' a distance of 157.7 feet to I an iron pipe; thence angle to the left 07°30' a distance of 648.7 feet to an iron pipe: thence angle to the right 147°20' a distance of 340.3 feet to an iron pipe; thence angle to the right 44°35' a distance of 302.0 feet to an iron pipe located on the water's edge i o° `.5 of Bass Lake; thence Southwesterly and Northerly along the c ` water's edge, a distance of 977.0 feet to the place of beginning. Pipe Material i 98• 1 .o �� i : �• . • 'b �° ASTM Standard 2 (Tables 384.30-3 ;03.96 • ._Existing :...... ' Absorbtion Area CZ) tih ; & 384.30-5) Drainfield o Soil Borings: , . o , - p a 1 - Elevation - 96.4' co �� ;' o "b o �Q r 2 - Elevation - 96.3' Qjo �o ; 3 OOW! , 3 - Elevation - 96.2' / �`� N ° Benchmark - Screw in Birch tree ° Elevation - 100' ��;,°��• Existing Well ♦6 LT.TJ Approximate Property Line mat Note: Existing system abandonment per SPS 383.33 prior to new system installation. rr r= rr Completed Bayfield County rr- Abandonment form available , ; ''rr during inspection of new system. : ' Soil Evaluated By: Tony Polkoski - 11068 -ST I Plumber: Allan Polkoski - PMRS 220090 R \'FIELD Bayfield County Planning & Zoning Department 117 E 5a, Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: DUCLON, JAMES R & LORRAINE J SR -00414 64805 COUNTY HWY H IRON RIVER, WI 54847 Transaction Number: SR-00414-45AF6 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 6311 Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847 Payment Type: Check Transaction Date: 5/27/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.