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Home My WebLink About59-26Soil Test # 59-a� Bayfield County Ep Waiver of a Thorough Soil & Site Evaluation r EC )�1EG Zb (subject to 15-1-10(d)) MAY 282926 1 Imp a certified soil tester determine that in my professional judgment the following site (see below) is unsuitable for any treatment component other. thanholding tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a determination. Property Owner &tc z Me�erof-Fo Contractor Property Address 77520 iPnr.n,c. Sine ncA Authorized Agent ti -on iQ ar —1n/,T 5NSN7 Agent's Telephone Telephone__________________ aaa 9i38s Accurate Legal Description is requested: Written Authorization Attached: Y or N 31'i 1/4 of Nk/ 1/4 Section / 9 Township 96 N. Range 08 W. Town of rt Additional Legal Description: tau tO 3Oaeg/ Govt. Lot Lot Block Subdivision Lot I CSM# 161,2 Vol. 9 Page 30q CSM Doc # 2Das R.-609OBa a r Volume Page of Deeds Tax I.D# 3026/ Acreage 7. 6 Indicate reasoning for your determination: Silt aes Alot Atu.t ,4 /z/ En\ f 1& I f r uio Signature of Cou ty Officia Date Signature of Certified Soil Tester -5/9/66 Date /a/3B SS Certification # (Submit a Plot Plan & Fee) u forms/soiItestwaiver(KLK) June 2018 r) Ks-o' rylWisconsin Department of Safety and Professional bervices Division of IndustryServices SOIL EVALUATION REPORT ,,,.. In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. :rsonal information you provide may be used for secondary ourooses (Privacy Law. s. 15.04(11(m11. 12 Page of Parcel I.D. 04-048-2-08-08-19-2 03-000-40000 Property Owner Property Location \) - L —I Lei Gage Meierotto Govt. Lot SW i4 NW % S 19 T 48 N R 08 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 72520 Range Line Rd City State Zip Code Phone Number U City LJ Village IJ Town Nearest Road Iron River WI 54847 71 529298& Tripp Rang Line Rd ONew Construction Use:❑ Residential/ Number of bedrooms 2 Code derived designflow rate 300 GPD flReplacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable ft. Parent material Clayey Till General comments and recommendations: Site does not meet A+4. Holding tank recommended LIII Boring # ❑Boring pPit 100.8 Ground surface elev. ft. Depth to limiting factor in. / elev.ft. Snil Annlirntinn 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 A 0-5 5YR 3/4 Sic 2-sbk-c mill as 1f 0.2 0.3 B 5-15 2.5YR 414 f -1-f 2.5YR 5/8 C 1-pr-vc dh - - 0.0 0.0 G C Ba field Co. nning and Zc ingAgen 2 Boring# Boring @Pit Ground surface elev._ft. Depth to limiting factor in. / elev._ft. cnii n..nrr�n..n o.te 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 CST Name (Please Print) Signature CST Number Tim Dykstra Z 1213855 Address Date Evaluation Conducted I Telephone Number 10620 Eagle Lake Rd Iron River WI 2-20-26 ill5-209-5748 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 (R04/21) Page 2 of 2 ❑ Boring Boring # • Pit Ground surface elev. ft. Depth to limiting factor in. I 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/Ft' Eff#1 -Eff#2 ❑ 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/Ft' Eif#1 `Eff#2 t�++ i b Ct ED b C rfE `� YtldC lAgency Planning and Zcnin ❑ Boring it ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor n. I 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 GPO/Ft' `Eff#1 *Eff#2 Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 S 150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS S 30 mg/L (jazz Me1erotto 7a'Do Ir«� Q,a- wt 5411g7 Town op Ti -9 Tax SD 3Ot6q Sulc !'=so' gA, AMA Soil I s fns IO6�.o Ca5lc lake el Tar ec WI S'/5N7 Cs.14 L(95 S/ie/a6 -f L U LULU Bayfield Co. Planning and Zoning Agency 13-4Y 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: ZAK, JASON A 29840 KELLY RD MASON, WI 54856 MEIEROTTO, GAGE J 29480 KELLY RD MASON, WI 54856 OGILVIE ZAK, JENELL R 29840 KELLY RD MASON, WI 54856 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00421 Transaction Number: SR -00421-47008 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 3371 Paid by: Timothy Dykstra, 10620 Eagle Lake Rd, Iron River WI 54847 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.