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Home My WebLink About67-26S R. ootl36 Soil Test # / _� Bayfield County Waiver of a Thorough Soil & Site Evaluation (subject to 15-1-10(d)) I I 1 a certified soil tester determine that in my professional judgment the f (lowing 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 nee ed to make such a determination. U6!7f RECEIVED Property Owner Erf Mr55i n.+.r Contractor JUN 09 2026 Property Address /5615 Qee/kcnu. &( Authorized //erb& er WT cq,4/q Agent's Telephone Bayfield Co. Planning and Zoning Agency Telephone 7tS 919 - V37/ Written Authorization Attached: Y or N Accurate Legal Description is requested: AVIV 1/4 of 5F1/4 Section9 (_Township'y N. Range C ?W. Town of C-Ic9\I r Additional Legal Description: laK IQ # (F 7C5 Govt. Lot Lot Block Subdivision Lot CSM# Vol. Page CSM Doc # O(O2 f— Sg6 933 Volume Page of Deeds Tax I.D# // %cs Acreage /) Indicate reasoning for your determination: ST k d des Nof Ma) -AI " 'Il1 iioC-S Signature of 6ounty fficial Date Signature Certified Soil Tester 6/8/a6 Date Certification # (Submit a Plot Plan & Fee) u/forms/s oiltestwaiver(K LK) June 2018 I V )MI4Ey y � Wisconsin Department of Safety and.P.rofessicna(•$ervices 4 Division of IndustryServices SOIL EVALUATION REPORT Im,... In accordance with BPS 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. I 12 Page of Parcel I.D. 04-014-2-50-07-21-4 02-000-30000 RevieIedbvnn/.-_.1/..r._ ff Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). 11 ( {I V I (1W/fl p w� Property Owner Property Location ❑ ❑,/ Eric+Amy Missinne Govt. Lot NW r SE r s 21 T 50 N R 07 E (or) W Property Owners Mailing Address Site Address or CSM and Lot #: 1118 Faxon St 15615 Beeksma Rd, Herbster WI 54844 City State Zip Code Phone Number ❑ City ❑ Village 9 Town Nearest Road Superior WI 54880 71591P43'a Clover Beeksma Rd QNewConstruction Use: Residential/Numberof bedrooms 2 Code derived designflow rate 300 GPO ❑Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable ft. Parent material Loamy water -laid deposits and um General comments and recommendations: Site not suitable for treatment system. Holding tank required Boring # ❑Boring - Pit 99.5 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' *Eff#1 •Eft#2 A 0-1.5 5YR 3/3 f -2-d 5YR 6/8 SCL 2-pr-vc mfi cw fl 0.4 0.6 B 1.5-12 2.5YR 3/6 C 3-pr-vc mefi - - 0.2 0.3 Planni p and Zoning Agency ❑ Boring # ❑Boring ❑Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Snil Annlinatinn 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 •Etf#2 CST Name (Please Print) I Signature CST Number Tim Dykstra 1213855 Address Date Evaluation Conducted Telephone Number 10620 Eagle Lake Rd Iron River WI 6/8/26 1715-209-5748 Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30s 150 mg/L ` Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04/21) Page 2 of 2 FillBoring # ❑ 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/F1' Eff#1 'Eft#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 RECEIVED JUN 9 2026 Planning and Doing Agen ❑ 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' *Elf#1 Eff#2 Effluent #1 = BOD > 30 5 220 mglL and TSS > 305150 mg/L' Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L tT t 4 AYA, Mfury A so,d asf, /5&s &kftt4 0-d I v6av ia�k L.4c Pd Werbsf,u WT ww T rx rptc tY,t ion R� k/ y8y7 s rawv\ oe C(c�,yar GS�t 1a�3�s� 6/2126 Z PL RECEIVED Fr�,fi Nase JUN 092026 G Well Bayfield Co. Planning and Zoning Agency lU�uosec� BM'a) loo' BH NaLcfine ®Bt 96.S' 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: Submission Number: MISSINNE, ERIC M & AMY E SR -00436 1118 Faxon ST SUPERIOR, WI 54880 Transaction Number: SR -00436-48409 Description Certified Soil Tests - Review & Filing Fee Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 3374 Paid by: Timothy Dykstra, 10620 Eagle Lake Rd, Iron River WI 54847 Payment Type: Check Transaction Date: 6/22/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.