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Home My WebLink About73-26S R- oof-/gq Wisconsin Department of Safety& Professional Services SOIL TEST # 7Page 1 of 2 Division of Industry Services —2(0 (over) - l ', sg SOIL EVALUATION REPORT Y In accordance with SPS 385, Wis. Adm. Code County Bayfeld 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, Parcel I.D. 20021 scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Re ' Awte/rIf by /q /�((• �D�ayt�e Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04(1)(m)). ( 1111 l(,� IltA�(. "�J - (�/b( Property Owner Property Location Sr ❑ Amy Richards Govt. Lot NE'. SW% S33 T 47 N R 8 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 157 Beech Drive 64J95 County HWY H City, State, Zip I Phone Number ❑ City ❑ Village N Town INearest Road Lake Zurich, IL 60047 847-708-0642 Iron River County HWY H ❑ New Construction Use: Residential/Numberof bedrooms 2 N Replacement ❑ Public or commercial — Describe: Parent material: Sandy Glaclofluvial Deposits General comments and recommendations: Flood Plan JUN 2 4 2026 planning and designflow rate 300 GPD vation if applicable ft. U Boring# ® Pn„y Pit Ground surface elev. 98.2 ft. Depth to limiting factor 105 in. / elev. 89.5 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 0-9 10YR2/2 - Is 2mgr mvfr cs 3m .7 1.6 2 -24 5YR3/4 - s Osg ml cs 2m .7 1.6 3 -105 2.5YR4/4 - s Osg ml - If .7 1.6 2❑ Boring# ❑Boring 106 ®Pit Ground surface elev. 99.6 ft. Depth to limiting factorin. / elev 90.8 ft. Soil Soil Anolication 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 0-11 7.5YR2.5/2 - Is 2mgr mvfr cs 3m .7 1.6 2 -23 5YR3/4 - Is Osg ml cs 2m .7 1.6 3 -106 7.5YR5/4 - s Osg ml - 1f .7 1.6 CST Name (Please Print) Signatur CST Number Tony Polkoski r� s 11068-ST Address Date Evaluation Conducted Telephone Number 5115 County HWY B, Iron River, WI 54847 I 5-28-26 715-319-9668 Effluent #1 = BOD > 30 ≤ 220 mg/L and TSS > 30 ≤ 150 mg/L 'Effluent #2 = BOD, ≤ 30 mg/L and TSS ≤ 30 mg/L SBD-8330 (R03/22) Boring # ❑ Boring Pit Ground surface elev. 100 ft. Page 2 of 2 Depth to limiting factor 110 in. / elev 90.8 ft. Soil Annliratinn 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 7.5YR3/2 - Is 2mgr mvfr cs 3m .7 1.6 2 - 22 5YR4/4 - s Osg ml cs 2m .7 1.6 3 -110 7.5YR5/4 - s 0sg ml - 1f .7 1.6 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Annliration 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. / elev. ft. I Soil Annlication 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 mg1L and TSS > 30 ≤ 150 mg/L * Effluent #2 = BOO, 5 30 mg/L and TSS 5 30 mg/L Combined Soil Evaluation Plot Plan - System Plot Plan In -Ground Soil Absorption for POWTS Version 2.1 Owner: Amy Richards Site°Address: 64395 Cty Hwy H, Iron River, WI 54847 Tax ID: 18556 Legal Description: See Schedule C (OVER) 0 50 100ft A N 2 Trenches Quick 430 Existing Garage Plus Standard o2 1 Pipe Material /ASTM Standard Chambers 0 Y(Tables Existing Tank to be replaced with Wieser WLP750-MR Filter - PolyLoc PL -525 �d so Existing Well P'a Existing 2 ECE1VED Nestle Lake Bedroom Home Elevation 91.5' JUN 2 4 2026 Existing Garage Bayfield Co. P. nina and Zoning Agency [III Approximate Property Line o Soil Test Pits: 1 - Elevation - 98.2' 2 - Elevation - 99.6' 3 - Elevation - 100' A Benchmark - Screw in Maple tree Elevation - 100' Existing system abandonment per SPS 383.33 prior to new system installation. I I I I I I I / I / I � I / I / I / ----------- N I to O m Iv C m CD a (n H SCHEDULE C - LEGAL DESCRIPTION The North 240 feet of that part of Government Lot Two (2), Section Thirty-three (33), Township Forty-seven (47) North, Range Eight (8) West, lying west of the westerly boundary of County Trunk "H" in Bayfield County, Wisconsin. That part of Gov. Lot Three (3), Section Thirty-three (33), Township Forty-seven (47) North, Range Eight (8) West lying West of County Trunk "H" with the exception of the North 320 feet of said parcel in Bayfield County, Wisconsin. A parcel of land in the Northeast Quarter of the Southwest Quarter (NE'/4-SW'/4) in Thirty-three (33), Township Forty-seven (47) North, Range Eight (8) West, more particularly described as follows: Commencing at the Southeast corner of said NE'/4-SW'/4, which is the point of beginning; thence run westerly along the south line of said NE'/4-SW'/4 a distance of 250 feet; thence run northerly and parallel with the east line of said NE'/4-SW'/4 a distance of 750 feet; thence run easterly and parallel with the south line of said NE'/4-SW'/4 a distance of 250 feet and to the east line of said NE'/4-SW'/4; thence run southerly along the east line of said NE'/4-SW'/4 to the point of beginning. The foregoing descriptions include all of Nestle Lake and entirely surround said Lake. The entire acreage of the afore -described property, including Nestle Lake, contains fifteen (15) acres or in excess thereof. The descriptions located in Governments Lots 2 and 3 border on County Trunk "H". ✓UN 242026 Planning`�z,°" n9Agen�y BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): :L CEiVED C Check List Z Index Page / Title Sheet (Optional) JUi' 24 Z026 X Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyersgayreld Co. Plahning and Zoning Agency l( Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) * Tax Identification Number (must be 5 digitTax ID#) DO NOT USE 12 digit, they are no longer being used * Property Owner's Information (not prospective buyer's name) Z Property Location (Accurate Legal Description with Sec/Twp/Range) CK Road Name (where driveway is/will be coming off of) ❑ Floodplain Elevation, Flow Rate, Comments and Recommendations R Complete Soil Boring / Pit Information X Date Soil Evaluation was conducted Z CST Name, Signature, Number, Address and Phone Number D( *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) X Bench Mark (Description, Elevation and Location) II Contour Lines (Example = 98.0' /96.0' /94.0') D( Property Location (Sec/Twp/Range/, Accurate Legal Description) X Borings (Locations and Elevations) D( Percent and Direction of Land Slope (� Well Location (Including Neighboring Wells, if applicable) ® Location of Wetland Areas, Floodplain and Navigable Waters X Buildings, Driveways, and Structures (Location and Descriptions) R Location of Property Lines DI Existing System Location R Address Number and Road Name Xl Current Surface Elevation of Wetlands and Navigable Waters D( CST, Owner and Property Information IX North Arrow Fee: 14 Certified Soil Tests - Review & Filing Fee $ 50.00 u/forms/sanitary/checM ist/checl istforests J!L/T F I E LD 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: RICHARDS, CHARLES EDWARD & AMY ELIZABETH 157 BEECH DR LAKE ZURICH, IL 60047 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00449 Transaction Number: SR-00449-48FE5 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 6325 Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847 Payment Type: Check Transaction Date: 7/1/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.