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Soil Evaluation RepoiSO"L TEST #
in accordance with SPS 3B5.Wis.Adm Code
'%Y % Wlscanstn oew,nnens of 5alery and Professional 5eMses
Attach complete site plan on paper not less than 8Ya X 11 inches in size. Page: 1 of 6
Plan must include but not limited to: Vertical and horizontal reference
County:
point (BM), direction and percent slope, scale or dimensions, north arrow,
Bavfield
Parcel I.D.
location and distance to nearest road.
Please Print All Information
2374
Personal information you provide may be used for secondary purposes.
R vi a
Date:
(privacy Law,s.15.04(1)(m)).
/,�
Lv r_C—
%
Property Owner:
Property Location
Dan & Holly Green
S30,T44N,R09W
Property Owners Mailing Address:
Site Address or CSM and Lot #
PO Box 104
1610 Lower Lake Road
City
State I Zip Code
Phone Number:
Town
Nearest Road:
Hayward
WI II
0
Barnes
Lower Lake Road
I— New J Residential Number of Bedrooms: 3
Code derived design flow rate: 450
Flood Plain if applicable RECEIVE
)✓ Replacement r Public or Commercial - Describe:
AUG 182026
Parent Material: Outwash Flood Plain if Applicable: 77
Baytield co.
General Comments & Recommendations: Planning and Zordry
System Elevation: 96 Load Rate 0=r
Boring #1 r Bor.F Rt Ground surface Elev: Depth to Limiting Factor:
Soil Application Rate:
99.3 Ft. 110 in. Elev. 90.13 ft
Horizon
Depth in.
Domm.Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots
GPD/ft'
*Eff#1
Eff#2
Munsell
Qu. Sz. Cont. Color
Gr.Sz.Sh.
1
0-4
7.5YR2.5/3
N/A
SL
2MSBK
MFR
CS
3F
0.6
1.0
2
4-28
7.5YR4/6
N/A
LS
0SG
ML
CS
3M
0.7
1.6
3
28-110
7.5YR512
N/A
MS
0SG
ML
N/A
1M
0.7
1.6
4
5
6
7
Boring # 2 r Bor.r pit Ground surface Elev: Depth to Limiting Factor:
Soil Application Rate:
102 Ft. 115 in. Elev. 92.42. ft
Horizon
Depth in.
Domm.Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots
GPD/fta
•Eff#1
Eff#2
Munsell
Qu. Sz. Cont. Color
Gr.Sz.Sh.
1
0-4
7.5YR2.5/3
N/A
SL
2MSBK
MFR
CS
3F
0.6
1.0
2
4-30
7.5YR4/6
N/A
LS
0SG
ML
CS
3M
0.7
1.6
3
30-115
7.5YR5/2
N/A
MS
0SG
ML
N/A
1M
0.7
1.6
4
5
6
7
'Effluent #1 = 800 5>30< 2 20mgnaryfTS 0 < 150mg/1
-E#lu nt #2 = BOD 5 < 30 mg/land TSS < 30 mg/1
CST Name (Please Print)
S' a
CST Number:
Mark S. Thompson
877598
Address: 12006 N US Hwy 63
Dat va onducted:
Telephone Number
Hayward, WI 54843
uesday, ug , 2026
7151699-4081
I
SBD-8330 (R04/21)
ENTERED
Property Owner: Dan & Holly Green Parcel I.D. 2374 Page: 2 of 6
Boring # 3
Ground surface Elev: Depth to Limiting Factor:
r Borr 99.07 Ft. 118 in. Elev. 89.24 ft
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
`Eff#1
Eff#2
1
0-8
7.5YR2.5/3
N/A
SL
2MSBK
MFR
CS
3F
0.6
1.0
2
8-36
7.5YR4/6
N/A
LS
0SG
ML
CS
3M
0.7
1.6
3
36-118
7.5YR5/2
N/A
MS
0SG
ML
N/A
1M
0.7
1.6
4
5
6
7
Boring # 4
Ground surface Elev: Depth to Limiting Factor:
r Borr �t t
0 Ft. 0ln.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
•Eff#1
Eff#2
1
2
3
4
5
6
7
Boring # 5
r Borr F8 Ground surface Elev: Depth to Limiting Factor:
0 Ft. 0 In.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
2
3
4
5
Planning aid
Zoning
en
6
7
Boring # 6
r Borr Piit Ground surface Elev: Depth to Limiting Factor:
0 Ft. 0 In.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
•Eff#1
Eff#2
2
3
4
5
6
7
*Effluent #1 = SOD 5>30 < 2 20 mg/1 and TSS>30 < 150mg/1 *Effluent #2 = SOD 5< 30 mg/I and TSS < 30 mg4
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access
services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777
SBD-8330(R.W100)
Soil Profile Sheet Page: 3 of 6
Owner: Dan&Holly Green SoiLTester: Mark& Thompson
System Elevation: 96 Load Rate: 0.7 System Elevation: 95.42 To 96.07
103
92
103 61
102
...............
102
102 ......._.......
101
...._..___....
101 ...............
100
---------------
0,7
100
..._..._..._.99.6
y
99
_.._.__..---
0,7
99 -"'_..........
98
______
98
97
_________....
97 ...............
96
..1..1___11._._
__.___......
...............
96
95
_______________
95,42
95 ------------___
94
...............
...............
.__............
94 ..........____.
93
.....___....__
93 ...............
92
_.___.._--
92.42
92
LE
91
------...._.--
91
90
......._......
90
89
...............
89 .._............
88
________11_11_
________1.111..
...............
gg
87
__1____1____11_
87 ...............
86
_______________
86
85
--—
85 .._......._...
84
...............
84 ._.._......_..
83
83
82
11__1__1.......
—
............. .
82
81
1.111._......._
_..___...
...............
81
98.1
93J3
13,
9.0,13
103 R3
102 ...............
System
101 Etevatioi
100 .............
99 ......._...-- 99.07
02 97
I _______________ 0.2
02 96 ---------------99.02 2
............... 02
95 —
94 —
93
92
91 ...............
90 ---"'.........
89 ...............
88
87
86
85
84
83
82 ._...__....__
81
2v
89.24
LF.
RECEIVED
AUG 18 2026
Beyheld Co.
Planning and Zon'rj Agency
owner Intarma1I n
Name: Dan 8 HoBv Green
Location: S30 T44N R09W
Township: Barnes
County: Bayfield
Address: lfio Lower Lake Road
82
BM 81
IA'.
1"=40Onlyin Tested Area
rj
@ 88.5
AUG 18 2026
BM=100: Nailw/rihhon on the base of tree neargl
I1
B3
Bayfield Co.
planning and Zoning Agency
CST: Marks. . Thompson
B1= @9.3
B2= 102
83= 9902
Lake= ZZ
F YFIELD
Property Owner:
GREEN, DANIEL J & HOLLY J
PO BOX 104
HAYWARD, WI 54843
Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00495
Transaction Number:
SR -00495-4D168
Amount
$50.00
Total: $50.00
Payment Amount:
Reference: 15153
Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821
Payment Type: Check
Transaction Date: 8/31/2026
$50.00
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.