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Wisconsin Departmentof Safetyand Professional Services S K-. °°-� SOIL TEST #
Division of Industry Services
i S SOIL EVALUATION R ORT a�
In accordance with SPS 38 e County BAYFIELD
Attach complete site plan on paper not less than 8 1/2 x 11 inch la i ude, Parcel I.D. .� L [b
but not limited to: vertical and horizontal reference point (BM), di percent slope, 04-004-2-44-09-02-3-05.004-13100 J
scale or dimensions, north arrow, and location and distance to ne
Please print all information. Revg9wy�yd.��y -. Datgg
/�/7`� /i�o s - /GAL
Property Owner Property Location '� Pr
ERIC & KIMBERLY GILL T LI
R 0 6 [U_0 Govt. Lot V. Y. S z y 1 N R E (or) W
roperty Owner's Mailing Address Site Address or CSM and Lot #
65 GOLDEN EAGLE DR S ;.,cy .5.9 fcaS �e'1trFs$ QO^fl
City I State Zip Code Phone Number ❑ City ❑ Village W Town I Nearest Road
FT
HAILEY ID 83333 (503)793-9028 BARNES JAMES ROAD
❑ New Construction Use Residential/Numberof bedrooms L Code derived designflow rate 600 GPD
Replacement ❑ Public or commercial —Describe: F. —Z dVart$C�atio ' able N/A R.
Parent material O�fStrr+1S t\S nN OS is FG I
General comments and recommendations: JUN 0 12026_______
❑Boring pr(3 Bayfeld Co.
Boring # Pit Ground surface elev. 1 PIRB.ning and Zon%4$, miting 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/Ff
Eff#1
Eff#2
1
0-10
7.5YR2.5/3
------
FS
OFSG
ML
3W
IF
5
1.0
2
10-17
7.5YR4/6
FS
OFSG
ML
3W
IF
5
1.0
3
17-28
7.SYR5/4
S
OMSG
ML
3W
IM
7
1.6
4
28.48
7.5YR4/4
--
S
OMSG
ML
3W
IM
.7
1.6
5
48-90
SYR4/6
S
0MSG
ML
.7
1.6
Boring # ❑Baring
Pit Ground surface elev.� ft. Depth to limiting factor in. / elev._R.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ff
*Eff#1
'Eff#2
1
0-11
7.5YR2.5/3
FS
OFSG
ML
3W
IF
5
1.0
-------••-
2
3
11-19
19-30
7.5YR4/6
7.5YR5/4
------
FS
S
OFSG
OMSG
ML
ML
3W
3W
IF
IM
.5
.7
1.0
1.6
4
30-49
7.5YR4/4
S
OMSG
ML
3W
1M
7
1.6
5
49-89
SYR4/6
S
OMSG
ML
.7
1.6
-
CST Name (Please Print) Signature CST Number
GREG YOUNG 231040
Address Date Evaluation Con ucted Telephone Number
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 Z of 3
❑ Boring /]
Boring # ,GI Pit Ground surface elev. i-q ft. Depth to limiting factor —1� 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'
'Eff#1
Eff#2
I
0-10
.5YR2.5/3
FS
OFSG
ML
3W
IF
5
1.0
-----
2
10-20
.5YR4/6
FS
OFSG
ML
3W
IF
5
1.0
3
20-30
.5YR5/4
---
S
OMSG
ML
3W
M
.7
1.6
4
30-08
.5YR4/4
-
S
OMSG
ML
3W
IM
7
1.6
5
48.90
.5YR4/6
----
S
OMSG
ML
❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft.
Sell Annlication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDIFt'
Eff#1
Eff#2
❑ Boring #
❑ Boring
❑ Ph 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/Ff
•Eff#1
Elf#2
Effluent #1 = BOD > 30 5 220 mg/L and TSS>30 30 s150 mglL
RE -
JUN U 1'tU_:o
Bayfield Co.
Planning and Zoning Agony
* Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L
APR 062075
f:orr,.n SaKc II Co.
Zcn!ng Agency.
30-c•3
1'
E5bsJ*rflEsfed
APR 062Q26
2Q26
O I Bayfield Co. C L Plarimno aid Zcnirg Agency
Q� = ,00 RECEIVED
fr2E L.s1fl4. or. r%j ,+3Q0�J JUN 012026
Bayfield Co.
Planning and Zoning Agency
5 Rrrss
Cos21
Lcstt
L f1¢e�
3 BEo
'4 oME
o
� uyeLL
9-7
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink): APR 36 2026
1 Eayfiu!] Co.
,YJ Check List Planoinu a, -!.d Ccic� A9ancy
❑ Index Page / Title Sheet (Optional)
,Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)RECEIVED
Original Plot Plan JUN 012026
❑ Cross Section Soil Profile Sheet (optional)
❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Planningancizonin'
( tY ( P ) a Agency
Soil Evaluation Report: (Include the following Information)
,Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
,frProperty Owner's Information not prospective buyer's name)
Property Location (Accurate Legal Description with Sec/Twp/Range)
,Road Name (where driveway is/will be coming off of)
❑ Floodplain Elevation, Flow Rate, Comments and Recommendations
,e! Complete Soil Boring / Pit Information
Date Soil Evaluation was conducted
.ICST Name, Signature, Number, Address and Phone Number
.'*Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
flbench Mark (Description, Elevation and Location)
contour Lines (Example = 98.0' /96.0' /94.0')
roperty Location (Sec/Twp/Range/, Accurate Legal Description)
,"Borings (Locations and Elevations)
OiPercent and Direction of Land Slope
J'Well Location (Including Neighboring Wells, if applicable)
�focation of Wetland Areas, Floodplain and Navigable Waters
Zbuildings, Driveways, and Structures (Location and Descriptions)
,Location of Property Lines
Existing System Location
,e(Address Number and Road Name
,I�Current Surface Elevation of Wetlands and Navigable Waters
giCST, Owner and Property Information
� North Arrow
Fee:
',Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklisvvchecklistforests
6502 Tower Avenue
Superior, WI 54880
June 17, 2026
Bayfield County Zoning
RE:
Eric Gill
5565 James Road
Barnes Wi
I have completed a soil test for the above property, although the soils are acceptable for an in -ground
system the lot size along with clear available area does not allow enough room for a conventional type
of drain field, therefore I am proposing a 3000 gal holding tank.
Respectfully,
Greg Young
I3 - Y F I E L D Bayfield ield 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:
GILL, ERIC & KIMBERLY
265 GOLDEN EAGLE DR S
HAILEY, ID 83333
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00426
Transaction Number:
SR -00426-482A0
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 21004
Paid by: Young Plumbing & Heating, 6502 Tower Ave, Superior WI 54880
Payment Type: Check
Transaction Date: 6/19/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.