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Home My WebLink About74-26SR a�K3OIL TEST #7�- tIL, ,.,Wisconsin Department of Safety and Professional Services a� ge 1 of 2 c Division of Industry Services =P: f SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code CountyBAYFIELD Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, parcel 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. 21204-Oo-z-N4-4-IB— ( og'-ac2-lyeao Please print all Information. y Date Personal infarma0on you provide may be used for seconds acy Law, s. 15.04(1)(m)) / .76 Property Owner Property Location ❑ SMITH JOINT REVOCABLE TRUST Govt. Lot Z '/. Y. S 18 T tjtj N R OI E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 1885 SMART ROAD s S /tM1AIL.T QaA0 City I State I Zip Code I Phone Number ❑ City ❑ Village Town I Nearest Road GORDON I WI I 54838 ( ) BARNES ❑ New Construction Use: Residential/Numberof bedrooms S Code derived deslgnflow rate W t GPD Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable MIA ft. "ENTERE� Parent material bT'/y d3 General comments and recommendations: ©fl 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 tEff#2 1 -6 -- DM86 AL S IF 7 1.6 -05 .5YR6/4 -- S OMSG AL 3W IF .7 1.6 3 5-70 .5YR4/4 -- DMSG AL 3W 7 1.6 0-184 .5YR4/6 -- S OMSG AL 3W 7 1.6 ❑ 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/Ftz 'Eff#1 *Eff#2 ECE VED 026 Plani ng and Zc ing Agency CST Name (Please Print) Signature CST Number GREG YOUNG 231040 Address Date Evaluation Conducted Telephone Number 6502 TOWER AVE 6-3-26 3952929 Effluent #1 = BOD > 305 220 mg/L and TSS > 30 5150 mglL t Effluent #2 = BOD, 530 mg/L and TSS 5 30 mg/L SBD-8330 (R04121) <N --- /Yl I cot t< EA c L. 12E Ake n. c►?.ite.rs` S (?e.s6 Ejgsr- ►6 Ivey psi., ix�sr r �� fls tSss �qql _p 3M t$ t� r G W cf I �{s fncN a' I Te SH-nar Qet+0 9, f ---I = goo' Vat .$ So,.►u.1 FIYts%tat VL 6CM Ts -m.,t-cIt-' ='s.c.a Lc arl owl AS ecttY.s 6 ORAI N e eLa LAKE etev 82 RECEIVED JUN 082026 Planning?� ld Co, Zoning Agency BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): 15ieck List I Index Page / Title Sheet (Optional) Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) R Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) C/fParcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used 'Property Owner's Information not prospective buyer's name) L/Property Location (Accurate Legal Description with Sec/Twp/Range) 2' Road Name (where driveway is/will be coming off of) lr Floodplain Elevation, Flow Rate, Comments and Recommendations Complete Soil Boring / Pit Information itbate Soil Evaluation was conducted 21"CST Name, Signature, Number, Address and Phone Number 2r*Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) Siench Mark (Description, Elevation and Location) UrContour Lines (Example = 98.0' /96.0' /94.0') Property Location (Sec/Twp/Range/, Accurate Legal Description) Borings (Locations and Elevations) IJ'Percent and Direction of Land Slope n Well Location (Including Neighboring Wells, if applicable) ZfLocation of Wetland Areas, Floodplain and Navigable Waters [(Buildings, Driveways, and Structures (Location and Descriptions) [(Location of Property Lines [(Existing System Location [(Address Number and Road Name ❑4rrent Surface Elevation of Wetlands and Navigable Waters IJ CST, Owner and Property Information North Arrow Few Q Certified Soil Tests - Review & Filing Fee $ 50.00 RECEIVED JUN 082026 Bayfield Co. Planning and Zoning Agency U/forms/sanitary/checklist/checklistforals 13-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: SMITH JOINT REV TRUST SR -00433 1885 SMART RD GORDON, WI 54838 Transaction Number: SR-00433-475BA Description Certified Soil Tests - Review & Filing Fee Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 21014 Paid by: Young Plumbing & Heating, 6502 Tower Ave, Superior WI 54880 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.