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Home My WebLink About71-26S P-_ o oK37 Wisconsin Department of Safety and Professional Services Page of1� x )7 Division of IndustryServices TEST # Page SOIL EVALUATIO PORT IIn accordance with SPS 385, Wis. Adm. Code ICounty Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, Bayfield County but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. I 04-040-2-47-06-11-1 02-000-09000 Please print all information. Re jp t by . _ Date Property Owner Property Location LJ LI Kevin+Lynn Leino Govt. Lot NW v, NE v s 11 T 47 N R 06 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 23550 County Hwy G 23550 County Hwy G City State Zip Code Phone Number E City ❑ Village • Town Nearest Road Ashland WI 54806 21834325%1 Pilsen County Hwy G Q New Construction Use: ❑E Residential/Numberofbedrooms 2 Code derived designflow rate 300 GPD ❑ Replacement ❑ 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 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/Ft2 'Eft#1 -Eff#2 A 0-3 5YR 4/2 SC 2-sbk-vc mfi as 2f 0.2 0.3 B 3-9 5YR 4/2 f -1-d 2.5YR 5/8 SC 2-sbk-vc mfi aw - 0.2 0.3 C 9-15 2.5YR 4/4 C 3-cpr-vc dvh - - 0.2 0.3 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/Ft2 *Eff#1 'Eff#2 JUH 09 [ayreld Planning Co. nd Zoning A n CST Name (Please Print) Signature CST Number Tim Dykstra 1213855 Address Date Evaluation Conducted Telephone Number 10620 Eagle Lake Rd Iron River WI 5-20-26 715-209-5748 ' 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 (R04/21) Page 2 of 2 Boring # ❑ Boring 0 Pit Ground surface elev. It. 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/Ft2 •Etf#1 *Ef#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/Ft2 *Eff#1 -Eff#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/Ft2 •Eff#1 *Efff#2 R�Gi WED JUN (.9 2026 Bayfi Id Co. Flanning gnu :y Aye.iu * Effluent #1 = BOD > 305220 mg/L and TSS >30S150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L A-`Yh !'Lynn Le'iw a35st Cr///4,,y& 4sWa.AUi:sygoo TktD 7322. 1 uw� a E PIS xv I" =So` U 45 At. seX (%O 1 /e Lake i L,e WI 1724'? Gs1 \ac3as T REcj__IVED JUN 092026 Bayfield Co. Planning and Zoning Agency �� PL 'hr x �Q;r q.ti y r Bs IIFk"sT ^fit STPEER E Ef S Pr L -1'.. RCH a Bayfield County, WI ;A 2359. COUNTY HWY.C am' H: STEVEN {Y.M1Efl Tax ID# 275D6 23580 6CU11TY H` - 4tt- ii -R1 CODU� r RECREATION CORRIDOR Tax ,I Ok 27527 _ �::..-.-1 ...... __ Lunch Rd F. ._. ..... tia5 COUI • I I : STEI _. _.. TB:.:I A&LORI p` '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: Submission Number: LEINO, KEVIN & LYNN R J SR -00437 23550 COUNTY HWY G ASHLAND, WI 54806 Transaction Number: SR-00437-48CAE Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 3373 Paid by: Timothy Dykstra, 10620 Eagle Lake Rd, Iron River WI 54847 Payment Type: Check Transaction Date: 6/29/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.