HomeMy WebLinkAbout106-26Wisconsin Department of Safety and Professional Services
Division of Industry Services . n n
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SOIL EVALSR�T # / C& "
� oo r 76 \ ice/ In accordance with SPS 385, Wis. Adm. Code County
Attach complete site plan on paper n sstthan 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. 7006
Please print all information. Re�wed by / /
Page j. of 3
ltd(o-- Date
311O94
Property Owner
Property Location
V V `J
❑
CHRISTINE L MATTSON
Govt. Lot NW % SE
'f S 29 T 49 N R 04
E
(or) W
Property Owner's Mailing Address
Lot #
Block #
Subd. Name or CSM#
City State Zip Code Phone Number I ❑ City ❑ Village ® Town Nearest Road
® New Construction Use: Residential / Number of bedrooms I Code derived design flow rate 450 GPD
❑ Replacement ❑ Public or commercial — Describe:
Parent material SANDY OUTWASH Flood Plan elevation if applicable NA ft.
General comments and recommendations: SITE SUITABLE FOR A MOUND SYSTEM
a ❑ Boring
Boring #
® Pit Ground surface elev. 99.3 ft. Depth to limiting factor 18 in.
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
7.5YR 5/2
NA
Is
Osg
dl
gs
3m
0.7
1.6
2
3-12
7.5YR 3/4
NA
s
Osg
dl
cs
2f
0.7
1.6
3
12-15
7.5YR6/3
NA
s
Osg
ml
cs
if
0.7
1.6
4
15-18
7.5YR 5/8
NA
s
Osg
ml
cs
1vf
0.7
1.6
5
18-25
7.5YR 5/8
c2f 7.5YR 7/4
s
Osg
ml
NA
tvf
0.0
0.0
1❑ ® Boring
Boring #
❑ Pit Ground surface elev. 97.7 ft. Depth to limiting factor 16 in.
Soil Application
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
7.5YR 5/2
NA
Is
Osg
NA
NA
NA
0.7
1.6
2
3-10
7.5YR 3/4
NA
s
Osg
NA
NA
NA
0.7
1.6
3
10-16
7.5YR 5/8
NA
s
Osg
NA
NA
NA
0.7
1.6
4
16-25
7.5YR 5/8
c2f 7.5YR 7/4
s
Osg
NA
NA
NA
0.0
0.0
Effluent #1 = BOD > 30 5 220 ma/L and TSS > 30 5 1 FO mn/I • Ffflu<nt eo = Rrin > an < 9�n mnn =nd TQQ , in < f cn mn/I
CST Name (Please Print)
I
I CST Number
EDWARD J WROBLEWSKI
SP -72000013
Address
Date Evaluation Conducted
I Telephone Number pynlrp arM Z*r"ApeM,y
84805 HATCHERY RD, BAYFIELD, WI 54814
7/21/2026
I 715-209-4055
Eau-a33u (KU4/15)
3❑ Boring #
❑ Boring
® Pit Ground surface elev. 98.1 ft.
Depth to limiting factor 16 in.
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
'Etff#2
1
0-2
7.5YR 5/2
NA
Is
Osg
dl
gs
2m
0.7
1.6
2
2-11
7.5YR3/4
NA
S
Osg
dl
cs
if
0.7
1.6
3
11-16
5YR 5/8
NA
s
Osg
ml
cs
ivf
0.7
1.6
4
16-20
5YR 5/8
c2f 5YR 7/4
s
Osg
ml
NA
tvf
0.0
0.0
❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft.
Depth to limiting factor in.
Soil Application
Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
'Eff#2
❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft.
Depth to limiting factor _ in.
Soil Application
Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
Eff#1
*Eff#2
Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30S 150 mg/L * Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L
RECEIVED
JUL 272026
Bsyfkld Co.
Planning and Zoning Agency
EDWARD J. WROBLEWSKI, CST #SP -72000013
SOIL TEST PLOT PLAN
CHRISTINE L MATTSON
N
XXXXX WASHINGTON AVENUE
in
cD
WASHBURN, WI 54891
j�
=
NW SE AA BIGELOW CO SUBD LOT 40 IN 2026R-611051
U
299
G
yyyy
S29 T49N R04W
uJ
CV
4 N
TOWN OF BAWIEW, WI
SCALE 1" = 60'
W
J
A= SM 14SPRUCE, NAIL IN BASE = 100'
0 a o 0oT
SHEET 3 0 3
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink):
Check List
�B-Irtex Page / Title Sheet (Optional)
6riginal Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
Q"≤iginal Plot Plan
J-etoss Section Soil Profile Sheet (optional)
ditional 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
L9lroperty Owner's Information (not prospective buyer's name)
R4perty Location (Accurate Legal Description with Sec/Twp/Range)
I pad Name (where driveway is/will be coming off of)
Dkfloodplain Elevation, Flow Rate, Comments and Recommendations
fa'Coomplete Soil Boring / Pit Information
[rat Soil Evaluation was conducted
Name, Signature, Number, Address and Phone Number
❑ *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
Tench Mark (Description, Elevation and Location)
Ei-C:ontour Lines (Example = 98.0' /96.0' /94.0')
CR1operty Location (Sec/Twp/Range/, Accurate Legal Description)
firings (Locations and Elevations)
❑Percent and Direction of Land Slope
NA- ❑ Well Location (Including Neighboring Wells, if applicable)
�Vk ❑ Location of Wetland Areas, Floodplain and Navigable Waters
O'Buildings, Driveways, and Structures (Location and Descriptions)
6a'Cocation of Property Lines
N+� ❑ Existing System Location
l4dress Number and Road Name
[\JQ� ❑ Current Surface Elevation of Wetlands and Navigable Waters
LEST, Owner and Property Information
2' North Arrow
RECEIVED
JUL 272026
say*id Co.
Planning arq Zoning Age,
Fee:
,Certified Soil Tests - Review & Filing Fee $ 50.00
U/forms/sanitary/check) ist/checkl istforests