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Wisconsin Deparlmentof Safety and Professional Services SOIL TEST #tf/_�-Page____ of
• Division of Industry Services
SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code
Cou ty
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.
04012243072120200030000
Please print all information.
Reviewed by g
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Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)).
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Property Owner
Property Location
1104 Z Li ❑✓
KAREN R ROBINSON
Govt Lot '4
%s21 T43
NR07 07 E (or) W
Property Owner's Mailing Address
Site Address or CSM and Lot #:
3850 E DOUBLE J ACRES RD
LOT 3 OF CSM #1075
City
State
Zip Code
Phone Number
❑ City ❑ Village
® Town
Nearest Road
LABELLE
FL
33935
715798344!
CABLE
TRAIL INN RD S
]NewConstnution Use:Residential/Numberofbedrooms 3 Code derived designflow rate 450 GPD
❑Replacement E] Public or commercial — Describe: Flood Plan elevation if applicable ft. ENTERED
Parent material %/�
General comments and recommendations: SYSTEM ELEVATION RANGE 96.0' TO 94.95' SIZED AT 0.7
❑Boring
Bonng It �Plt
98.55' >84" >91.55'
Ground surface elev. ft Depth to limiting factor in. / elev. ft.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Stnlcture
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft'
'Eff#'1
'Eff#2
1
0-8
5YR 3/3
SL
3VFGR
DS
AW
3W -F
0.6
1.0
2
8-18
5YR 4/4
SL
2MSBK
DS
AW
2F
0.6
1.0
3
18-36
5YR4/6
LS
OSG
ML
AS
0
0.7
1.6
4
36-50
5YR4/6
GRS
OSG
ML
AS
0
0.7
1.6
5
50.84
2.5YR 4/4
GRS
OSG
ML
—
0
0.7
1.6
2 Boring #
Boring 98.95' >84" >91.95'
•Pit Ground surface elev. ft Depth to limiting factor in. / elev. ft.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft'
•Eft#1
'Eff#2
1
0-8
5YR 3/3
SL
3VFGR
DS
AW
3VF-F
0.6
1.0
2
8-15
5YR 4/3
LS
OSG
DL
AW
2F
0.7
1.6
3
15-40
5YR 4/6
S
OSG
ML
AS
0
0.7
1.6
4
40-69
5YR 5/6
S
OSG
ML
AS
0
0.7
1.6
5
69-84
2.5YR 4/4
GRS
OSG
ML
—
0
0.7
1.6
CST Name (Please Print)
Signai'jj�y
CST Number
KEVIN MCKINNEY
'
224234
Address
Date Evaluation Conducted
Telephone Number
11 wwFypEoOOL RD CABLE WI 54821
5/05/2026
715-798-3494
ent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L ' Effluent#2 = BOD, '30 mg/L and TSS 5 30 mg/L
AUG 14 Z0 ' SBD-8330(RO4/21)
Bay5eld Co.
planning and zoning Agency
Boring #
❑ Boring 98.30'
Pit Ground surface elev. ft.
2 - 4.
Page
>84" .. >91.30'
Depth to limiting factor in. / elev. ft.
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
• tf#1
•Eff#2
1
0-7
5YR 3/3
SL
3VFGR
DS
AW
3VF-F
0.6
1.0
2
7-19
5YR 4/4
SL
2MSBK
DS
AW
2F
0.6
1.0
3
19-39
5YR 4/6
LS
0SG
ML
AS
0
0.7
1.6
4
39-52
5YR 416
GRS
0SG
ML
AS
0
0.7
1.6
5
52-84
2.5 YR 4/4
GRS
0SG
ML
-
0
0.7
1.6
❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft.
Soil Aoolication 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. I elev. ft.
Soil Aod
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Cr. Sr Sh.
Consistence
Boundary
Roots
GPD/Ft2
'EfFAH
'Etf#2
Effluent #1 = BOD > 30 5 220 mglL and TSS > 30 5150 mg/L
RECEIVED
AUG 14 2026
Bayfield Co.
Planning and Zoning Agency
Effluent #2 = BOD, 5 30 mg/L and TSS s 30 mg/L
N
PAGE 3 OF 4
ROBINSON
SCALE 1"=40'
0' 40'
RECEIVED
AUG 14 2026
KAREN R ROBINSON
3850 E DOUBLE J ACRES RD
LABELLE FL 33935
715-798-3445
PARCEL LOCATED AT
LOT 3 OF CSM#1075
TOWN OF CABLE
S21 T43NR07W
PIN 04-012-2-43-07-21-2 02-000-30000
BM TOP OF 1.5" IRON PIPE 18" ABOVE GRADE
SYSTEM ELEVATION RANGE 96.0' TO 94.95'
SIZED AT 0.7
1800' TO TRAIL INN RD S
B3
98.30'
NO WELL
PROPERTY LINE
AliZ
98.95'
96.95'
PROPOSED
3 BEDRM
CRAWL SPACE
R1
Bayfield Co.
Planning and Zoning AgenC
PAGE 4 OF 4
ROBINSON
KAREN R ROBINSON
3850 E DOUBLE I ACRES I
LABELLE FL 33935
715-798-3445
PARCEL LOCATED AT
LOT 3 OF CSM # 1075
TOWN OF CABLE
S21 T43N R07W
PIN 04-012-2-43-07-21-2 02
BM TOP OF 1.5" IRON PIP]
SYSTEM ELEVATION RAT
SIZED AT 0.7
SCALE
Z- /11
-K q)39
stctwto
AUG 1 4 2026
B4O6d Cn9 A9eno/
pWnnin9 and Zon
BA_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:
ROBINSON, KAREN R SR -00491
3850 E DOUBLE J ACRES RD
LABELLE, FL 33935 Transaction Number:
SR-00491-4C4E7
Description Amount
Certified Soil Tests - Review & Filing Fee $50.00
Total: $50.00
Payment Amount: $50.00
Reference: 6863
Paid by: HK Septic Service, 11130 Leonard School Rd, Cable WI 54821
Payment Type: Check
Transaction Date: 8/18/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.