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Home My WebLink About109-26S R - o&H'IS I} ,� (0 Wisconsin Department of Safety and Professional Services SOIL TEST # I v 1 Page 1 of 3 Division of Industry Services v7 SOIL 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. 29044 Please print all information. Rwiewed bye /15'≤fl Property Owner Property Location V v U ❑ BLOOM TREE FARM LLC Govt. Lot NW % SE Y. S 08 T 51 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 3 Code derived design flow rate 450 GPD (7j7 ❑ Replacement ❑ Public or commercial — Describe: Parent material SANDY OUTWASH Flood Plan elevation if applicable NA ft. General comments and recommendations: GROUND WATER SEEPAGE AT 25", 26", 32", RESPECTIVELY. SITE SUITABLE FOR A MOUND SYSTEM. t❑ ❑ Boring Boring # ® Pit Ground surface elev. 97.6 ft.Depth to limiting factor 13 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 0-4 7.5YR 3/2 NA Is Osg dl cs 3m 0.7 1.6 2 4-8 7.5YR 6/3 NA s osg dl cs 2f 0.7 1.6 3 8-13 7.5YR5/8 NA s Osg ml gs 1f 0.7 1.6 4 13-20 7.5YR 5/8 I'llf 7.5YR 7/3 s Osg ml cw if 0.0 0.0 5 20-26 5YR 5/4 c2d 5YR 7/2 scl 2mbk mfr NA 1vf 0.0 0.0 2❑ Boring # ❑ Boring Pit Ground surface elev. 97.5 ft. Depth to limiting factor 12 in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft' *Eff#1 *Eff#2 1 0-4 7.5YR 3/2 NA Is Osg dl cs 3m 0.7 1.6 2 4-7 7.5YR 6/3 NA s Osg dl cs 2f 0.7 1.6 3 7-12 7.5YR5/8 NA s Osg ml gs if 0.7 1.6 4 12-19 7.5YR 5/8 flf 7.5YR 7/3 s Osg ml cw 1f 0.0 0.0 6 19-28 5YR 5/4 c2d 5YR 7/2 scl 2mbk mfr NA 1vf 0.0 0.0 - rttwent #1 = BUD- > 3n ≤ 22n mn/L and I SS > 3n ≤ 1 Sn mn/i - Fffhient 2q = RUn > 3n < 220 mn/I and TSR > 3n < 1 Fn mn/I CST Name (Please Print) Sig u CST Number EDWARD J WROBLEWSKI 72000013 RCFIVFD Address Date Evaluation Conducted Telephone Number 84805 HATCHERY RD, BAYFIELD, WI 54814 7/3/2026 715-209-4055 '' '$B-B33IT(R04/15) Bayfeld Co. Planning and Zoning Agency 3❑ Boring # ® Boring ❑ Pit Ground surface elev. 97.3 ft. Depth to limiting factor 13 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 0-4 7.5YR 3/2 NA Is NA NA NA NA 0.7 1.6 2 4-7 7.5YR 6/3 NA s NA NA NA NA 0.7 1.6 3 7-13 7.5YR 5.8 NA s NA NA NA NA 0.7 1.6 4 13-26 7.5YR 5/8 fit 7.5YR 7/3 s NA NA NA NA 0.0 0.0 5 26-45 5YR 5/4 c2d 5YR 7/2 act NA NA NA NA 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 Gr. 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 Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 `Eff#1 'Eff2 Effluent #1 = BOD, > 30 ≤ 220 mg/L and TSS > 30 ≤ 150 mg/L * Effluent #2 = BOD, > 30 ≤ 220 mg/L and TSS > 30 ≤ 150 mg/L RECEIVED AUG 0 6 2026 Bayteld Co. Planning and Zoning Agency EDWARD J. WROBLEWSKI, CST#SP-72000013 SOIL TEST PLOT PLAN BLOOM TREEfARM LLC 32605 BLOOM RD BAYFIELD, WI 54814 NW $6 SOB T51N R04W TOWN OF RUSSELL, WI SCALE 1" = 60' APPROX. 450' TO W EST LOT LINE E EXISTING GARAGE O WELL A-SM 12MAPLE.NAIL INSASE =100' 0 0 0 0 5 SO T APPROX 125' TO NORTH LOT LINE AND BLOOM RD MOWED PATH FUTURE 3 BEDROOM HOUSE APPROX 900' TO SOUTH LOT LINE I 1% SLOPE 9].3' APPROX. 400' TO EAST LOT LINE RECEIVED AUG 082026 Bayfield Co. Planning and Zoning Agency SHEET 3 OF BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): Check List .- T�ndex Page / Title Sheet (Optional) i'OOriginal Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) ®'Original Plot Plan toss Section Soil Profile Sheet (optional) Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) "Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used p'roperty Owners Information (not prospective buyer's name) @'PrTPoperty Location (Accurate Legal Description with Sec/Twp/Range) ird'izoad Name (where driveway is/will be coming off of) Ea4idplain Elevation, Flow Rate, Comments and Recommendations plete Soil Boring / Pit Information Ze Soil Evaluation was conducted id'CST Name, Signature, Number, Address and Phone Number ❑ *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) ®'Bench Mark (Description, Elevation and Location) ntour Lines (Example = 98.0,/96.0' /94.0') c-fferty Location (Sec/Twp/Range/, Accurate Legal Description) f!]'Boripgs (Locations and Elevations) Ga'P�eerrcent and Direction of Land Slope Cd'WelI Location (Including Neighboring Wells, if applicable) NA ❑ Location of Wetland Areas, Floodplain and Navigable Waters (dings, Driveways, and Structures (Location and Descriptions) BLocation of Property Lines ❑ Existing System Location dress Number and Road Name RECEIVED ❑ Current /// Surface Elevation of Wetlands and Navigable Waters AUG 0 6 2026 caner and Property Information Beynald Co North Arrow Panning Agency Fee: ❑ Certified Soil Tests - Review & Filing Fee $ 50.00 u/forms/sanitary/checklist/checklistrorests P 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: BLOOM TREE FARM LLC W158N10490 FIELDSTONE PASS GERMANTOWN, WI 53022 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00485 Transaction Number: SR-00485-4BAD3 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 3063 Paid by: Ed's Mechanical, 1491 County Hwy C, Washburn WI 54891 Payment Type: Check Transaction Date: 8/11/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.