The URL can be used to link to this page

Home My WebLink About105-265iQ OC)y7 Wisconsin Department of Safety & Professional Services Page I of 2 : D Division of Industry Services OVefi RE^ SOIL EVALUATION REPORT /D5- 2(0 v� In accordance with SPS 385, Wis. Adm. Code County �t Cl Attach complete site pFaglon gapet frss than 8 1/2 x 11 inches in size. Plan must include Q but not limited to verti d o izontal reference point (BM), direction and percent sl9p 9 Panel I.D. scale or dimensions, north arroy, aad location and distance to nearest road. 114X 2. 7 Q j Plarnklg and 2Ai [ all information. Revieuyed b /e I I ///(.1C -Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Il U i I `I�Voj �I� Property Owner Property Location ❑ LY cn4-d FbU;s Govt Loth %. S W '/. S 2 Z T 4 B NR Q E (or) GV Property Owner's Mailing Address Site Address or CSM and Lot #: n O Z •i4O V Lr Rd City, State, Zip Phone Number ❑ City ❑ Village PU Town I Nearest Road AA1n Flo.wT lcc-' I (7/s 7 -c2 -o) rwl a 14an,.er L. 2g NewConstruction Use: Residential/Numberof bedrooms 3 Code derived designflow rate GPD ❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material RQ A G►av General comments and recommendations: iO I a 1 t -C-ch 1c ®n I V , © Boring # ❑ Boring N Pit Ground surface elev. ft. Depth to limiting factor O in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 •Eff#2 I - 7,S'129/3 - Or" mv-C; O a.s 3/ - - - Boring # ❑Boring [OPit Ground surface elev. ft. Depth to limiting factor(5in. / elev. ft. Soil Soil Annlicatinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 •Eff#2 Q-Lf 1.cyE/?- C- O ht/ -c; G 1u4 0 0 Z, S r23/ - C C - - C]Name (Please Print) l o e kas4 ; Signature >_- 2/ 4. CST Number t o S -S T Address Cl IC C t-1 1.11.ty B R, r W7 t 84 I Date Evaluation Conducted - - z I Telephone Number 7/s- 3r - ES Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L • Effluent #2 = SOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Page Z •• of� 3 Boring # ❑ Boring Da Pit Ground surface elev.9Sft. Depth to limiting factorC)in. / elev. ft. Soil Annlicatinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 *Eff#2 o-3 7.5 y/ G dsM L d 3 -SD z. 3 - L ; - - b ❑ 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. Sz. 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. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. 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, 5 30 mg/L and TSS 5 30 mg/L Combined Soil Evaluation Plot Plan - System Plot Plan Component Manual Design References: Holding Tank Version 2.1 0 50 100 ft 11111111111 Owner: Clifford Follis Site Address: 72430 Hoover Line Road, Iron River, WI 54847 Tax ID: 27011II ii I Legal Description: NESW I I In C) S22-T48N-R09W I N N1/2N1/2SWINDOC j 8 CO�,, 2026R-612263 394 Ii o Document: 2026R-612263 I rn Acreage: 40.000 Town of Oulu, Bayfield County, WI S Existing Well O Soil Pits --- Approximate Property Line A Benchmark Screw in pine tree ICI Approx. 2615to East Property Line Proposed 3 Bedroom Home I All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 _ _ Wieser ,WLP2500 O1 O3 O2 -------------------------- Soil Evaluated By: Ton Polk s i - 11068 -ST � Plumber: Allan Polkoski - PMRS 220090 BAYFIELD 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: FOLLIS, CLIFFORD SCOTT SR -00478 72430 HOOVER LINE RD IRON RIVER, WI 54847 Transaction Number: SR-00478-4AF79 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 6337 Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847 Payment Type: Check Transaction Date: 8/6/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.