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Home My WebLink About82-26S k- oal-(67 SOIL TEST # -aL t WisconsinDepartmentofSafety&ProfessionalServices Page ofDivisionofIndustryServicesSOIL EVALUATION REPORT in accordance with SPS 385, Wis. 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, Parcel I.D. ', scale or dimensions, north arrow, and location and distance to nearest road. 04-004-2-45-09-23-2 02-000-40000 Please print all information. R ie ed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l)(m)). f7,/ 231 I Property Owner Property Location 0 ❑ Richard & Paula Thompson Govt. Lot NW % NW % S 23 T 45 N R 09 E(or)® Property Owner's Mailing Address Site Address or CSM and Lot #: #ate Kaufman Rd N9658 Say Hi Rd f ?'?49 KQd1nati City, State, Zip I Phone Number ❑ City ❑ Village ® Town I Nearest Road Springbrook, WI 54875 ( ) Barnes Kaufman Rd 0 New Construction Use: ® Residential/Numberofbedrooms 3 _Qo4siveddesignflowrate450GPO ❑ Replacement ❑ Public or commercial— Describe: iNEC I n' elevation if applicable N/A ft. Parent material Outwash Sands (Rubicon Series) q C General comments and recommendations: JUL 1 O LOZU ENTERED 7/10 8aybeld Co. HBoring # ❑ Boring T°°"9 and Zoning Ag� ®Pit Ground surface elev. 101.8tE. Depth to limiting factor 96 in. / elev. 93.8. 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 0-3 10YR 2/1 — s Osg ml as 1vf 0.7 1.6 2 3-21 10YR 3/4 — s Osg ml gw tco/tm/2 0.7 1.6 3 21-28 10YR4/4 — s Osg ml gw 1f/1vf 0.7 1.6 4 28-38 10YR 4/4 — 10%FGR)ms Osg ml cw 1vf 0.7 1.6 5 38-53 10YR4/4 — s Osg ml cw 1vf 0.7 1.6 6 53-96 10YR 5/4 — s Osg ml — — 0.7 1.6 Horizon 5 has bans of lam Ilae 2❑ Boring # ❑Boring ®Pit Ground surface elev. 99.9 ft. Depth to limiting factor 96 in. / elev. 91_9 ft. — SoilAnollcation 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 0-2 10YR 2/1 — s Osg ml as co/1f/lvf 0.7 1.6 2 2-5 10YR 3/3 — s Osg ml cs 1m/if 0.7 1.6 3 5-17 1 0YR 4/4 — s 0sg ml gw if 0.7 1.6 4 17-33 7.5YR4/4 — s osg ml gw 1f 0.7 1.6 5 33-55 10YR 5/4 — s Osg ml cw if 0.7 1.6 6 55-63 10YR 5/4 —(5? FGR) cos Osg ml cw — 0.7 1.6 7 63-96 10YR 5/4 — s Osg ml — — 0.7 1.6 CST Name (Please Print) Signature CST Number Keith Wiley 654921 Address Date E aluation Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 6/13/2026 218-451-2611 Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 Si 50 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS S 30 mg/L SBD-8330 (R03/22) Page 2 of 3 3❑ Boring # ❑ Boring Pit Ground surface elev.100.3 ft. Depth to limiting factor 96 in. / elev. 9�.3 ft. Soil Aoolication 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 0-4 10YR2/1 — s 0sg ml as tnv2f/lvf 0.7 1.6 2 4-20 10YR4/4 — S 0sg ml cw 1f/1vf 0.7 1.6 3 20-30 7.5YR 4/4 — s Osg ml gw if 0.7 1.6 4 30-50 10YR 5/4 — S 0sg ml Cw if 0.7 1.6 5 50-96 1 OYR 5/4 — s Osg ml — 0.7 1.6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev.ft. SoilAool 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. / elev. ft. SoilADoli 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 = BOD, S 30 mg/L and TSS 5 30 mg/L RECEIVED JUL 10 2026 Bayfield Co. Planning and Zoning Agency Thompson (3 bedroom) Soil Report Plot Plan North T Cu E I of `a I a I Scale 1:60 of ous Centerline of Cf R 167A ----- Property line Richard & Paula Thompson #### Kaufman Rd PAR IN NW NW IN DOC 2026R-611195 S23 T45N R09W Town of Barnes Tax ID 2742 15.4 acres RECEIVED JUL 102026 Bayfield Co. Planning and Zoning Agency NOTES: x Bench Mark = Duplex nail in 8" DBH Jack Pine - No well Elev = 100.0' - Property lines not shown > 50' from tested area CS�S� Page 3 of 3 BAYFIELD COUNTY Richard & Paula Thompson CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): RECEWED Er Check List JUL 10 2026 ❑ Index Page / Title Sheet (Optional) 9' Original Soil Evaluation Report(Submitted in Deed Holders Name — not prospective buyers) Hayfield co. 9 P P P Y ) Planning and Zoning Agency 9 Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) U' Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used GYProoerty Owner's Information not prospective buyer's name) 9 Property Location (Accurate Legal Description with Sec/Twp/Range) 9 Road Name (where driveway is/will be coming off of) EY Floodplain Elevation, Flow Rate, Comments and Recommendations G1 Complete Soil Boring / Pit Information U' Date Soil Evaluation was conducted UCST Name, Signature, Number, Address and Phone Number V *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) G2'Bench Mark (Description, Elevation and Location) E 'Contour Lines (Example = 98.0' /96.0' /94.0') GYProperty Location (Sec/Twp/Range/, Accurate Legal Description) 9' Borings (Locations and Elevations) ID' Percent and Direction of Land Slope 6a' Well Location (Including Neighboring Wells, if applicable) 'Location of Wetland Areas, Floodplain and Navigable Waters UBuildings, Driveways, and Structures (Location and Descriptions) ID' Location of Property Lines Er Existing System Location [Address Number and Road Name U' Current Surface Elevation of Wetlands and Navigable Waters [CST, Owner and Property Information ID' North Arrow Fee: ID' Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforests 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: THOMPSON, RICHARD & PAULA N9658 SAY HI RD SPRINGBROOK, WI 54875 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00467 Transaction Number: SR -00467-49C23 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1110 Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849 Payment Type: Check Transaction Date: 7/13/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.