HomeMy WebLinkAbout115-26S -oo'-f9d SOIL TEST# 115-2(,
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Wisconsin Department of Safety & Professional Services Page 1 of 3
=' Division of Industry Services
SOIL EVALUATION REPORT
'"4* In accordance with SIPS 385, Wis. Adm. Code County
Attach complete site plan on paper not less than 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 avow, and location and distance to nearest road. 27938
Please print all information. Reviewed (Date Z `
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). � 1.CL f�f.
Todd M& Jodi A Eickhoff Govt. Lot u ¶45 6 r 49 N R 8 E (or) W
Property Owner's Mailing Address Site Address or CSM and Lot #:
8491 Oak Ln 81660 Evergreen Rd Port Wing, WI 54865
City, State, Zip Phone Number JCity Village X Town Nearest Road
Becker, MN 55308 1-612-803-2094 Port Wing Evergeen Rd
X New Construction Use: X ResidentiaUNumber of bedrooms 3 Code derived designflow rate 450 GPD
Replacement Public or commemlal,-Describe: Flood Plan elevation it applicable It.
Parent material clayey till
General comments and recommendations: Holding tank only clay site doesn't meet A+4requirmentmodeling intop5". rNTEREU
Boring# Poring
1 X Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft.
Sail Aooli� ratio
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
0-5
5yr412
c1d5yr5/6
Sc
3sbk
mfr
Cw
3f
.2
.3
2
5-10
5yr3/4
clf5yr5/8
c
3sbk
mvfi
-
-
.2
.3
Boring# BPoring
2 Pit Ground surface elev. ft. Depth to limitingfactor in./elev. ft.
Soil Anolil
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description Qu.
Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft
*Eff#1
*Eff#2
BaYft
arming a
CST Name (Please Print)
Signature
CST Number
Ryan Van Ornum
'1''—�
11011
Address
Date Evaluation Conducted
Telephone Number
65907Jolma Rd Marengo, WI
8-7-2026
(715) 413-0074
*Effluent#1= Boo> 30 s 220mg/L and TSS> 30s 150mg/L *Effluent#2=B0D, s 30mg/L and TS5S 30mg/L
SBD-8330 (R03/22)
pg. 2 of 3
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 Todd M & Jodi Eickhoff Contractor.
Property Address 81660 Evergreen Rd
Port Wing , WI 54865
Telephone 1-(612)-803-2094
Accurate Legal Description is requested:
Authorized Agent
Agent's Te
Written Authorization Attached: Y or N
SW 1/4 of NW 1/4 Section 06 Township 49 N. Range 08 W. Town of Port Wing
Additional Legal Description:
Govt. Lot Lot Block Subdivision
Lot CSM# Vol. Page CSM Doc #
Volume 1130 Page 605 of Deeds Tax I.D# 27938 Acreage 40.950
Indicate reasoning for your determination: Clay site models in top 5" of soil profile. Doesn't
A+4 code requirement
rc,zc iVED
AUG 18 2026
Bayfield Go.
Planning and Zoning Agency
Signature of County Official
Date
Sign ure of Certified Soil Tester
8-7-2026
Date
11011
Certification #
(Submit a Plot Plan & Fee)
u/fors/soiltestwa iver(KLK)
June 2018
13 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:
EICKHOFF, TODD M & JODI A
SR -00492
8491 OAK LN
BECKER, MN 55308
Transaction Number:
SR-00492-4C4D9
Description
Amount
Certified Soil Tests - Review & Filing Fee
$50.00
Total:
$50.00
Payment Amount:
$50.00
Reference: 114
Paid by: Northwoods Soil & Site, 659 Jolma Rd, Marengo
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.