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Home My WebLink About124-26Wisconsin Department of Safety and Professional Services SOIL I Lb I F V rage .L or a Division of Industry Services a 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. 38281 Please print all Information. Rewe.4 by NI Property Owner Property Location V V "J ❑ GARY M COLLINS GovtLot NE 'A NW % S 12 T 50 N R 04 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# PO BOX 397 City State Zip Code Phone Number ❑ City . ❑ Village , S Town Nearest Road New Construction Use: 0 Residential/ Numberof bedrooms 3 Code derived design flow rate 450 GPD RECEIVED ❑ Replacement ❑ Public or commercial — Describe: CIE!NTERIParent material SANDY OUTWASH Flood Plan elevation if applicable NA ft. AUG 8 2026 General comments and recommendations: SITE SUITABLE FOR A MOUND SYSTEM Bayfield Co. 1❑ Boring # Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eft#1 •Eff#2 1 0-3 7.5YR 3/3 NA Is NA NA NA NA 0.7 1.6 2 3-7 7.5YR 5/2 NA s NA NA NA NA 0.7 1.6 3 7-16 7.5YR 4/6 NA s NA NA NA NA 0.7 1.6 4 16-25 7.5YR 4/6 f2d 7.5YR 714 s NA NA NA NA 0.0 0.0 Boring ❑ Pit Ground surface elev. .Qt R Depth to limiting factor jfi in. 2❑ Boring # ❑ Boring ® Pit Ground surface elev. 97 5 ft. Depth to limiting factor 15 in. Soil Applic Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 •Ef #2 1 0-3 7.5YR 3/3 NA Is Osg dl cs 3m 0.7 1.6 2 3-6 7.5YR 5/2 NA s Osg dl cs 2f 0.7 1.6 3 6-15 7.5YR 4/6 NA $ Osg mu l gs If 0.7 1.6 4 15-24 7.5YR 4/6 f2d 7.5YR 7/4 s Osg ml NA if 0.0 0.0 • cNlunnt d i - nrin > 3n < 990 mnn and TSS > 30 < 1 sn mnn • Fehiwnt l = Ron > 3n < 99n mnrr and T 's > 3n < S5n man_ CST Name (Please Print) Signatu CST Number EDWARD J WROBLEWSKI P-72000013 Address Date Evaluation Conducted Telephone Number 84805 HATCHERY RD, BAYFIELD, WI 54814 I 8/3/2026 I 715-209-4055 abU-aiiU (KU4113) 3❑ # Z Boring Boring ❑ Pit Ground surface elev. 97.6 ft. Depth to limiting factor 15 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/Ft' 'Eff#1 *Eff#2 1 0-3 7.5YR 3/3 NA Is NA NA NA NA 0.7 1.6 2 3-7 7.5YR 512 NA s NA NA NA NA 0.7 1.6 3 7-15 7.5YR 4/6 NA s NA NA NA NA 0.7 1.6 4 15-25 7.5YR 4/6 f2d 7.5YR 7/4 s 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/FN *Eff#1 *Eff#2 RECEr 'ED Pk ining and Zon ig Agency ❑ 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 " Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L EDWARD J. WROBLEWSKI. CST #SP -72000013 SOIL TEST PLOT PLAN GARY M COLLINS 36807 COUNTY HWY J BAYFIELD: WI 54814 PAR INNE NW IN 2017R-569049 LESS SW NE NW DESC IN DOC 2020R-584916 S12 TSON R04W TOWN OF BAYFIELD, WI SCALE 1" = 60' - BM 0MAPLE, NAIL IN BASE = 100' 0 0 a0 5 6 SHEET 3OF 3 BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): Check List i87ndex Page / Title Sheet (Optional) 6O iL�dr��iginal Soil Evaluation Report (Submitted in Deed Holders Name - not prospective buyers) IQ"Driginal Plot Plan ,_-a-gross Section Soil Profile Sheet (optional) RECEIVED __-a'ICdditional Information (Warranty/Quit Claim Deed) (Optional) AU8 18 2026 Soil Evaluation Report: (Include the following Information) Eayfield co. Planning and Zoning Agency rcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used [4operty Owner's Information (not prospective buyer's name) perry Location (Accurate Legal Description with Sec/Twp/Range) Name (where driveway is/will be coming off of) P'Floodplain Elevation, Flow Rate, Comments and Recommendations complete Soil Boring / Pit Information I ate Soil Evaluation was conducted �ST Name, Signature, Number, Address and Phone Number ❑ *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) Ld'13ench Mark (Description, Elevation and Location) 'ontour Lines (Example = 98.0' /96.0' /94.0') e'Pr��operty Location (Sec/Twp/Range/, Accurate Legal Description) Lc3'Borings (Locations and Elevations) 4' t and Direction of Land Slope Ell Location (Including Neighboring Wells, if applicable) ❑ Location of Wetland Areas, Floodplain and Navigable Waters IIlldings, Driveways, and Structures (Location and Descriptions) la'Location of Property Lines p.(\-❑ Existing System Location dress Number and Road Name t4A ❑ Current Surface Elevation of Wetlands and Navigable Waters [V5T, Owner and Property Information North Arrow Fee: Certified Soil Tests - Review & Filing Fee $ 50.00 u/forms/sanitary/checklist/checklistforests 13- Y F I E L D 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: COLLINS, GARY M SR -00494 PO BOX 397 HASTINGS, MN 55033 Transaction Number: SR -00494-4D254 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 3079 Paid by: Ed's Mechanical, 1491 County Hwy C, Washburn WI 54891 Payment Type: Check Transaction Date: 9/1/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.