HomeMy WebLinkAbout96-26SOIL TEST # %— c G
-
Wisconsin Department of Safety & Professional Services Page 1 of 3
. S Division of Industry Services
rs � SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code County
Attach complete site plan on paper not less than 8 1/2 x 1 f 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. 30593
Please print all information. y
Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04(1)(m)). Q to
Property Owner Property Location ❑�
Kenneth Swanson Govt. Lot w ws 3 1 48 N R 5 E (or) W
Property Owner's Mailing Address Site Address or CSM and Lot #:
2986 West Shaddy LN 28195 Lucia Rd Washburn, WI 54891
City, State, Zip Phone Number City village XLJTown Nearest Road
Neenah WI, 54956 1-(608) 963-0748 Washburn Lucia
X New Construction Use: X ResidenttatNumber of bedrooms 3 Code derived designflow rate 450 GPD
Replacement Public or commercial -Describe: Flood Plan elevatJ h.
Till Parent material Clayey T'V
General comments and recommendations: Holding Tank Clay Site does not meet A + 4 "code JUL 17 2026
Boring# eBoring BayfieldCo.Co. n en
1 �a A9
X Pit Ground surface alev. ft. Depth to timiRA99996arnd Zo InJelm. ft.
I SoilAooticatlon Rate
Horizon
Depth
In.
Dominant Color
Munseti
Redox Description Qu.
Az.Cont. Color
Texture
Structure
Or.Sz.Sh.
Consistence
Boundary
Roots
GPD/Ft
*Eff#1
*Eff#2
1
0-6
5yr 3/3
-
sicl
2msbk
mfr
CS
2f
.4
.6
2
6-20
5yr3/4
m2d 5yr5/6
C
3csbk
mvfi
-
1vf
.2
.3
Boring#
2
Boring
Pit Ground surface elev.
ft. Depth to limiting factor in./elev. ft.
SoilAnn
Horizon
Depth
In.
Dominant Color
MunseB
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
IJ _2i`---
11011
Address
Date Evaluation Conducted
Telephone Number
65907 Jolma Rd Marengo, WI
7/10/2026
(715) 413-0074
*Effluent#1=BOD> 30 s 220mg/L and TSS>30s150mg/L *Eftluent#2=BOD, s 30mg/L and TS5 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 needed to make such a
determination.
Property Owner Kenny Swanson
Contractor
Property Address 28195 Lucia Rd Authorized Agent
Washburn, WI 54891 Agent's Telephone
Telephone (608) 963-0748 Written Authorization Attached: Y or N
Accurate Legal Description is requested:
1/4 of 1/4 Section 3 Township 48 N. Range 05 W. Town of Washburn
Additional Legal Description: NW NW
Govt. Lot Lot Block Subdivision
Lot CSM# Vol.
Volume Page of Deeds
Page CSM Doc #
Tax I.D# 30593
Indicate reasoning for your determination: Clay site does not meet A + 4 code
JUL, 1726
Bayfield Co.
planning and Zoning pgencY
/37(y
Signature of County Official
Date '
20
Sign ure of Certified Soil Tester
7/10/2026
Date
11011
Certification #
(Submit a Plot Plan & Fee)
u/forms/soiltestwai ver(K LK )
June 2018
B -LL 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:
SWANSON,KENNETH
SR -00472
2986 WEST SHADDY LN
NEENAH, WI 54956
Transaction Number:
SR-00472-4A46E
Description
Amount
Certified Soil Tests - Review & Filing Fee
$50.00
Total:
$50.00
Payment Amount:
$50.00
Reference: 110
Paid by: Northwoods Soil & Site, 659 Jolma Rd, Marengo
Payment Type: Check
Transaction Date: 7/22/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.