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Home My WebLink About70-265K-edLKH Wisconsin Department of Safety and Professional Services SOIL TEST #7O -2t_ Page/ of Division of Industry Services 'I 1=�:, SOIL EVALUATION REPORT '°" In accordance with SPS 385, Wis. Adm. Code County is f y r Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, Lparcel I.D. 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. I 3 1 q 3 77 Please print all information. Rgviewed by AA I - I Date, Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). I fl III V/Lit I (AO/ Property Owner Property Location J J ❑ L I C,.} e AJ (J ((v P Eti'rl C S -L Govt. Lot 'G % S S T S) N R O' -I E (or) W roperty Owner's Mailing Address Site Address or CSM and Lot #: /q % L'(N'ALE VG. Lot I CM z_35) V I3 P 330 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road /(^NN E4PO Li3 PA SS`jo S ((,12)777 sr etc. (77-+KIAt $Ho 2CS ff(] NewConstruction Use:Residential/Numberofbedrooms 3 Code derived designflow rate NSo GPD ❑Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable ft. Parent material O' -'l w e+S 11- SAYS 6/11 General comments and recommendations: G S r (.,1 N O • % Boring # ❑ Boring ®Pit Ground surface elev. 7 • I ftt. Depth to limiting factor >1 >1W in. / elev. u 7. %rt. Snil AnnlirAtinn Rafe Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Etf#1 •Effiral D- 3 .,$ YR-34 — LS O OW J -k 0.7 I.& Z- 3-2-0 7•SYA-7/g — S oSG I G✓v J4Mti on 1Cr 3 — S oSCo w+/ - Ff 0-7 /•G Bayfield Co. ❑Boring r� Planning and Zoning Agency L Boring # ❑Pit Ground surface ele_o • 6S ft. Depth to limiting factor>/16i in.! elev.r98 , SGfl. Snit Annliratinn Rafe Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDN2Eff#2 •Eff#1 *Eft I o4 7.5t(,3jJ '— (-S oJ6 / G- tItf o.76-Zy 7,572 y/3 -S oS& M 6' l 07) 74-//8 ,SYL$16 — S p,fG M CST Name (Please Print) Signature CST Number M C-C-4fl1C O?I OOOLS Address t90 90 x kb cn,3(2, w r Date E aluat n Conducted q/ /{o Z,b Telephone Number Effluent #1 = BOD > 305 220 mg/L and TSS > 305 150 mg/L • Effluent #2 = BOD, s 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04121) Page of ❑❑Boring 9 3 Boring # gPil Ground surface elev/9_1fI. Depth to limiting factor in. / elev. % $ . 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 O -Z 7_5W — CS oSG Mt GW E1(4 0.) /•(o .. Z(o 7jnt - S' in—i GjJ I-FIrt 6.-i 3 - zz 7,51,tVS _ OS6 t".I )42 0.7 , 4 ZZ-i .S k'. oS6 iM l _ a e V ❑ Boring # ❑ Boring ❑ 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 •Eff#1 •Eff#2 026 B,nd zoning Agency ❑ 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 Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOO, 5 30 mg/L and TSS 5 30 mg/L CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE. SOIL EVALUATION Scale: 40 40' 80 SYSTEM PAGE 2 OF 3 0 SITE MAP j.PLOT PLAN I PROJECT NAME:'1,�JDESIGN FLOW: a 5O GPD (t0Xgnd) 10 Lt c i-i-N 3 3 et Attach design flow calculations for commercial plans. PROJECT ADDRESS: T ESD Pipe Material I ASTM Standard (Tables 384.30-3 & 384.30-5) Sanitary Sewer. / BM Symbol: BM Elevation: OO . 0 FT 11 Force Main: / BMDescdption: N'4t) ) r•tl' i?oN ri" MA.OLt - Slo eGradient % n indicate norm by IMPORTANT: P I ) 5 / Well Symbol (if applicable): 0 drawing an avow Show ground elevation contours at suitable Intervals. of Tested Area: on the approprite line. 0LJ tt—.Oc*ery ?Rcjeea- iE s��zcSr T13D - (S oLb E � P r LG4t tsr 1 Cr-' 2351 `/ 7AtC tc 39337 LLL 6LvSC 'C'S x1wV- -S 3 P73° 2.5 pc q es RECEIVED JUN 16 2026 Bayfield Co. Planning and Zoning Agency quo' /j>{LWL` �Ta oLmcin Smzes S 35 T51N R- O'�,J gYSRh ct I.- 9N.0 "PjbC- 91,86 Tv N o # 13MI00 95 / N tCCC . Pen zn CST- c"%C\O o -z R -A 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: LICHEN PROPERTIES LLC SR -00444 4149 LYNDALE AVE S MINNEAPOLIS , MN 55409 Transaction Number: SR -00444-4804D Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 15041 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 6/23/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.