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Home My WebLink About60-26SIB- oc)y3N Wisconsin Department of Safety & Professional Services Division of IndustryServices SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code 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, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. TEST # 40'o Page 1 of 2 6 9 RECEIVED unty Bavfielht)N 0 8 2028 by Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). t' tl't' 1 -I t V I C/Pu LP l WI Property Owner Property Location O ❑ Ricky Scott Baggenstoss Rev Trust Govt. Lot '/. ''A S 18 T 47 N R 09 E (or) Property Owner's Mailing Address Site Address or CSM and Lot #: 1206 CO RD H Lot 3 CSM 2400 in DOC 2025R-607437 City, State, Zip Phone Number ❑ City ❑ Village ® Town Nearest Road New Richmond, WI 54017 ( ) Hughes 67965 Wills Rd New Construction Use: 0 Residential/ Numberof bedrooms 2 Code derived designflow rate 300 GPD ❑Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable N/A ft. Parent material Sandy outwash underlain by stratified silty, loamy, and sandy glaciofuvial deposits (Cublake, Croswell, Ashwabay complex) General comments and recommendations: Site does not have A+4 conditions. Holding Tank is required 17 Boring # ❑ Boring ® Pit Ground surface elev. ft. Depth to limiting factor 0 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/Ft2 *Eff#1 Eff#2 1 0-8 10YR 2/1 — (imi;B)is Osg ml aw 2mrn/2vf 0.7 1.6 2 8-11 1 0YR 4/4 — Is 0sg ml cw 2m/2f 0.7 1.6 3 11-34 1 0YR 4/4 c3d 5YR 4/6 Is 0sg ml - 1m/1f/1vf 0.7 1.6 Water entering pit at 27" ❑ 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 Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 -Eff#2 CST Name (Please Print) Signature - CST Number Keith Wiley 654921 Address Date E aluation Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 5/23/2026 218-451-2611 Effluent #1 = BOD > 30s220 220 mg/L and TSS' 30 5150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03122) RECEIVED Baggenstoss (2 bedroom) Soil Report Plot Plan JUN 082026 .North moo~ RICKY SCOTT, BAGGENSTOSS REV TRUST DTD 8/20/2018 67965 Wills Rd LOT 3 CSM 2400 IN DOC 2025R-607437 IN DEED 2026R-611229 S18 T47N R09W Town of Hughes 04-022-2-47-09-18-2 01-000-13000 5.0 Acres Property line Scale 1:40 Bayfield Co. Planning and Zoning Agency O Propos site of 2 bedroom d elling Wills Rtl C NOTES: X Bench Mark = - No well Elev = 100.0' - Property lines not to scale CST 11 900002 -SP Page 2 of 2 RECEIVED JUN 082016 Bayfield Co. Bayfiek1gHD0T9n1 rency Soil Test # Waiver of a Thorough Soil & Site Evaluation (subject to 15-1-10(d)) I Keith Wiley 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 Ricky Scott Baggenstoss Rev Trust Contractor Property Add Brute, WI 67965 Wills Rd Telephone 651-226-4 Accurate Legal Description is requested: Authorized Agent Agent's Telephone Written Authorization Attached: Y or N 1/4 of 1/4 Section 18 Township 47 N. Range 09 W. Town Additional Legal Description: Hughes Govt. Lot Lot Block Subdivision Lot 3 CSM# 2400 Vol. Page CSM Doc # 2025R-607437 Volume Page of Deeds Tax I.D# 04-022-2-47-09-18-2 01-000-13000 Acreage 5.0 Indicate reasoning for your determination: mm(u . c:G►LL' 9 Signatur Coun fficial G6/10 1JU4 Date A+0 soil conditions. Stgna�Certified Soifer Date C3 5`92/ Certification # (Submit a Plot Plan & Fee) u/forms/soi Itestwa iver(KLK) June 2018 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: RICKY SCOTT BAGGENSTOSS REV TRUST DTD 8/20/2018 1206 CO RD H NEW RICHMOND, WI 54017 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00434 Transaction Number: SR -00434-47D54 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1105 Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849 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.