HomeMy WebLinkAbout94-26ECEI SOIL TEST #1 L( 24
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Wisconsin Department of Safety & Professional Services Bayfield Co. Page 1 of 3
Division of Industry Services planning and Zoning Agency —
k'ERED SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code County
Attach complete site plan o not less than 8 1/2 x 11 inches in size. Plan must include, Bayfield
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. , % (. iZ,
Please print all information. Review by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). i
Property Owner Property Location ❑ Q
Mikelle Budge Govt. Lot to ¼S 33 T 50 N R 8 E (or) W
Property Owner's Mailing Address Site Address or CSM and Lot #:
3223 Central Ave 82285 Morrison Rd, Port Wing, WI 54865
City, State, Zip Phone Number City Village X Town INearestRoad
Minneapolis, MN 55418 1(615) 364-7456 Port Wing Morrison RD
X New Construction Use: X Residential/Number of bedrooms 3 Code deriveddesignflow rate 450 GPD
Replacement Public or commercial -Describe: Flood Plan elevation If applicable ft.
Parent material Clayey Till
General comments and recommendations: Holding Tank Clay site does not meet A +4" code
Boring it Poring
1 X Pit Ground surtace elev. ft. Depth to Omiting factor inJelev. ft.
I Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description Qu.
Az. Cont. Color
Texture
Structure
Cr. Si. Sh.
Consistence
Boundary
Roots
GPD/Ft
*Eff#1
'Eff#2
1
1-6
7.5yr3/4
--
sic
2csbk
mfi
Cs
3f
0.2
0.3
2
6-34
7.5yr 5/3
m2p7.5yr5/6
C
3vcsbk
mefi
-
-
0.2
0.3
Boring# Boring
2 Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsett
Redox Description Qu.
Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft
Eff#1
Eff#2
CST Name (Please Print)
Signature
CST Number
Ryan Van Ornum
✓'._—'L?_ -
11011
Address
Date Evaluation Conducted
Telephone Number
65907 Jolma Rd Marengo, WI
7/10/2026
(715) 413-0074
' Effluent#1=B0D> 30 s 220mg/L and TSS>30s150mg/L Effluent#2=B0D,s 30mg/L and TSS s 30mg/L
SBD-8330 (R03/22)
pg.Aof3
Soil Test #
Bayfield County
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1 -1 0(d))
I Ryan Van Ornum a certified soil tester determine that in my professional
judgment the following site (see below) is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not need dtp tpake such a
determination. JAIL I ( LUCo
Bayfeld Co.
planning an0 Zoning A9GJ)Ly
Property Owner Mikelle Budge Contractor
Property Address 82285 Morrison Rd Authorized Agent
Port Wing , WI 54865 Agent's Telephone
Telephone 1(615)364J456 (615) 364-7456 Written Authorization Attached: Y or N
Accurate Legal Description is requested:
1/4 of 1/4 Section 33 Township 50 N. Range 8 W. Town of Port Wing
Additional Legal Description: S1/2 S1/2 NE SW
Govt. Lot Lot Block Subdivision
Lot CSM# Vol. Page CSM Doc #
Volume Page of Deeds Tax I.D# 28621 Acreage 100
Indicate reasoning for your determination: Clay Site does not meet A + 4 code
Sign ure of Certified Soil Tester
7/10/2026
Date
11011
Certification #
Signature of County Official
Date
(Submit a Plot Plan & Fee)
u/forms/soiltestwai ver(KLK )
June 2018
F 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:
BUDGE, MIKELLE SR -00471
3223 CENTRAL AVE NE
MINNEAPOLIS, MN 55418 Transaction Number:
SR -00471-4A466
Description Amount
Certified Soil Tests - Review & Filing Fee $50.00
Total: $50.00
Payment Amount: $50.00
Reference: 107
Paid by: Northwoods Soil & Site, 659 Jolma Rd, Marengo
Payment Type: Check
Transaction Date: 7/21/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.