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HomeMy WebLinkAbout75-26Wisconsin Departmentof Safety &Professional Services SOIL TEST ; Page of_____ Division of Industry Services 75-2 / SOIL EVALUATION REPORT '* In accordance with SPS 385, Wls. Adm. Code County Bayfield 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. Parcel I.D. 04-004-2-44-09-09-1 Re Please print all Information. ,rQnn=I iafnrmatinn vnu nmvide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner Property Location u u James C. & Jean A. Mather Trustees Govt. Lot 'A '4 S 09 T 44 N R 09 E (or) WQ Property Owner's Mailing Address Site Address or CSM and Lot #: 3537 Lake Rd 3537 Lake Rd City, State, Zip Phone Number ❑ City ❑ Village ® Town Nearest Road Barnes, WI54873 (928) 486-8572 Barnes Lake Rd NewConstruction Use: 1YlResidential/Numberofbedrooms 1 RECEiV $" ederived designflow rate 150 GPO ❑ Replacement ❑ Public or commercial —Describe: - Flood Plan elevation if applicable N/A fL Parentmaterial 0utwashSands(Rubicon-Saynercamplex) JUN 252026 General comments and recommendations: Bay Co Boring # Boring ®Pft Planning and Loning Agency Ground surface elev. 96.7 ft. Depth to limiting factor 84 _In. / elev. 89.7 ft. Snil Annilcatlon 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 `Etf#2 1 0-6 1 OYR 2/1 — s 0sg ml aw 2vf 0.7 1.6 2 6-18 1 0YR 3/3 — s 0sg ml cw 1nv1f/1vt 0.7 1.6 3 18-26 7.5YR 3/4 — s Osg ml Cw 1M1f/tvf 0.7 1.6 4 26-50 10YR 5/6 — s 0sg ml cs if 0.7 .1.6 5 50-84 10YR 6/4 — s Osg ml — — 0.7 1.6 2❑ Boring # ❑Boring ®Pit Ground surface elev. 97.5 ft. Depth to limiting factor 84 in. / elev. 90_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 0-7 1OYR2/1 — s 0sg ml aw 1m/1vf 0.7 1.6 2 7-21 1 OYR 3/3 — s 0sg ml Cw M1f/1vf 0.7 1.6 3 21-39 7.5YR 3/4 — S 0sg ml cw if 0.7 1.6 4 39-49 1 OYR 5/6 — $ 0sg ml cw — 0.7 1.6 5 49-84 10YR 6/4 — a — — — — 0.7 1.6 CST Name (Please Print) Signature CST Number Keith Wiley 654921 Address Date Evijatlon Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon. WI 54849 5/3/2026 & 6/13/2026 218-451-2611 ` Effluent #1 = BOO > 30 5 220 mg/L and TSS > 30:5150 mg/L • Effluent #2 = BOD, s 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Page 2 of 3 3❑ Boring # ❑ Boring Pit Ground surface elev. 97.2 fL Depth to limiting factor 84 in. / elev. 90_2 R Sell Anolleatlon 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 1 0-9 10YR2/1 — s 0sg ml aw lco/2m11 0.7 1.6 2 9-26 10YR 3/3 — s Osg ml cw lmflf/lvl 0.7 1.6 3 26-37 7.5YR 3/4 — s Osg ml Cw 1vf 0.7 1.6 4 37-57 10YR 5/6 — cos Osg ml as — 0.7 1.6 5 57-84 1 OYR 6/4 — $ Osg ml — — 0.7 1.6 ❑4 Bodng # ❑Bodng ® Pit Ground surface elev. 95_5 ft. Depth to limiting factor 84 in. I elev. 88.5 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/FP *Eff#1 *Eff#2 1 0-10 10YR 2/1 — s 0sg ml as 2vf 0.7 1.6 2 10-29 10YR 3/3 — S Osg ml 9w lmilf/lv 0.7 1.6 3 29-37 7.5YR 3/4 — s 0sg ml gw 1vf 0.7 1.6 4 37-52 10YR 5/6 — s Osg ml gw 1vf 0.7 1.6 5 52-84 1 OYR 6/4 — s Osg ml — — 0.7 1.6 ❑5 Boring# ❑ Boring ® Pit Ground surface eiev. ft. Depth to limiting factor 84 In.! elev. 88.5 ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPO/Ft' Eff#1 •Eft#2 1 0-12 1 OYR 2/1 — s 0sg ml as 1W 0.7 1.6 2 12-15 1OYR 3/3 — S Osg ml gw lnulf/lvf 0.7 1.6 3 15-40 7.5YR 3/4 — s 0sg ml gw 1vf 0.7 1.6 4 40-50 1OYR5/6 — (10%F0R>s 0sg ml cw 1vf 0.7 1.6 5 50-84 10YR 6/4 — s Osg ml — — 0.7 1.6 * Effluent #1 = BOO > 31 )5220 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = SOD, 530 mg/L and TSS 5 30 mg/L RECEIVED JUN 252026 Bayfieid Co. Planning and Zoning Agency Mather (1 bedroom) Soil Report Plot Plan North Q ci a JAMES C & JEAN A MATHER TRUSTEES 3537 LAKE RD PAR IN LOT 6 & 9 IN V.1132 P.762 509 S09 T44N R09W TOWN OF BARNES 2.245 Acres RECEIVED JUN 252076 Bayfield Co. Planning and Zoning Agency 1 edroom cabin DF ST 3 bedroom house 300to lake I 0Well NOTES: - Property lines not shown > 50' from tested area Scale 1:30 - Lower Eau Claire Lake elevtt 68' t� Bench Mark= Duplex nail w/ orange disc in 14" DBH oak Elev = 100.0' CST 119900002 -SP Page 3 of 3 JAMES C & JEAN A MATHER TRUSTEES BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): ["Check List ❑ Index Page / Title Sheet (Optional) 7 Original Soil Evaluation Report (Submitted in Deed Holders Name — prospective buyers) 9 Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) I3' Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used EQ'Prooerty Owner's Information (nos prospective buyer's name) 11 Property Location (Accurate Legal Description with Sec/Twp/Range) lid' Road Name (where driveway is/will be coming off of) Ill Floodplain Elevation, Flow Rate, Comments and Recommendations 7 Complete Soil Boring / Pit Information O Date Soil Evaluation was conducted 9CST Name, Signature, Number, Address and Phone Number f7 *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) l 'Bench Mark (Description, Elevation and Location) I3'Contour Lines (Example = 98.0' /96.0' /94.0) ED'Property Location (Sec/Twp/Range/, Accurate Legal Description) 67 Borings (Locations and Elevations) Q'Percent and Direction of Land Slope 7 Well Location (Including Neighboring Wells, if applicable) l' Location of Wetland Areas, Floodplain and Navigable Waters cBuildings, Driveways, and Structures (Location and Descriptions) 17'Location of Property Lines 7Existing System Location p'Address Number and Road NaRECEIVED 7 Current Surface Elevation of Wetlands and Navigable Waters M'CST, Owner and Property InfordikNo8 4 2026 ci North Arrow Bayi.eia Co Planning and Zoning4 y Fee: Gd'Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforests 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: MATHER TRUSTEES, JAMES C & JEAN A SR -00432 3537 LAKE RD BARNES, WI 54873 Transaction Number: SR -00432-4809F Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1108 Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849 Payment Type: Check Transaction Date: 7/2/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.