HomeMy WebLinkAbout57-261 S by SOIL TEST #57 -�(o
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(s isconsin Department of Safety & Professional Services Page 1 of 3
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SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code County
Attach complete site plaless than 8 112 x 11 inches in size. Plan must include, Bayfield
but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D.
scale or dimensions, north avow. and location and distance to nearest road. 29186
Please print all information. R ieyved b y Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). l IItUOp (S a
Property Owner Property Location ❑ Q
Barry F & Heidi J Guy Govt. Lot 14 +AS 19 T 51 N R 4 E (or) W
Property Owner's Mailing Add ress Site Address or CSM and Lot #:
N12343 County Hwy 0 S 1/2 N 1/2 N N1/2 SW IN 2025r- 607494
Dcyceville WI 54725 715-308-0362 Russel Holt
% New Construction Use: % Residential/Number of bedrooms 2 Code deriveddesignflow rate 300 GPD
Replacement Public or commercial -Describe: Rood Plan elevation it applicable ft.
rent material Clayey Lacustrine deposits
neral comments and recommendations: Holding tank only. Clay site does not meet A+4 code.
Boring# BBoring
1 Pit Ground surface elev. ft. Depth to limiting factor inJelev. ft.
I Soil Aoolication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description Qu.
Az. Cont. Color
Texture
Structure
Gr. Si. Sh.
Consistence
Boundary
Roots
GPD/Ft
-Eff#1
*Eff#2
1
0-8
7.5yr3/1
_
st
lmsbk
ml
cw
3co
.4
.7
2
8-16
7.5yr3/2
cmp5yr4/4
is
lmsbk
ml
cw
2f
.4
.6
3
16-60
2.5yr4/4
-
c
3csbk
mvfi
-
-
.2
.3
Boring# Boring
2 Pit Ground surface elev. ft. Depth to limiting factor In./elev. ft.
Soil Aooli� Soil Rat
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
0-10
7.5yr3/1
-
sl
lmsbk
ml
cw
3co
.4
.7
2
10-16
7.5yr3/2
cmp5yr4/4
is
lmsbk
ml
cw
2f
.4
.6
3
16-50
2.5yr 4/4
-
c
3csbk
mvfi
-
-
.2
.3
C
CST Name (Please Print)
Signature
CST Number
. !
J"--4?'�
Ryan Van Ornum
11011
Address
Date Evaluation Conducted
Telephone Number
65907 Jolma Rd Marengo, WI
5/29/2026
(715) 413-0074
T
ncy
Effluent #1-BOD >30 s 220 mg/L and TSS >30 s 150 mg/L * Effluent #2- BOD, s 30 mg/L and TSS s 30 mg/L
SBD-8330 (R03122)
pg. 2 of 3
Soil Test #
Bayfield County
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1 -1 0(d))
I Ryan Van Ornum a certified soil tester determine that in my professional
judgment the following site (see below) is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
Property Owner Barry F & Heidi J Guy Contractor
Property Address S 1/2 N1/2 N 1/2 SW Authorized
Agent's Telephone
Telephone 715-308-0362 Written Authorization Attached: Y or N
Accurate Legal Description is requested:
1/4 of 1/4 Section 19 Township 51 N. Range 04 W. Town of Russell
Additional Legal Description: S 1/2 N 1/2 N 1/2 SW IN 2025r-607494 227
Govt. Lot
Lot
Block
Subdivision
Lot
CSM#
Vol.
Page CSM Doc #
Volume
Page
of Deeds
Tax I.D# 29186 Acreage 20
Indicate reasoning for your determination: Clay site does not meet A+4 code.
th /
Signature of Count Official
Lb( iC�f���,.
Date
Sign ure of Certified Soil Tester
5/29/2026
Date
11011
Certification #
(Submit a Plot Plan & Fee)
RECEIVED
JUN 0 2 2026
u/forms/soiltestwaiver(KLK )
June 2018
Bayfield Co.
Planning an^ __rr,„-, ?._;ency
B =YFIELD 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:
GUY, BARRY F & HEIDI J
N12343 COUNTY HWY O
BOYCEVILLE, WI 54725
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00429
Transaction Number:
SR -00429-47A00
Amount
$50.00
Total: $50.00
Payment Amount $50.00
Reference: 106
Paid by: Northwoods Soil & Site, 659 Jolma Rd, Marengo
Payment Type: Check
Transaction Date: 6/16/ 2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.