HomeMy WebLinkAbout129-26SR-Cvq-7
x°°rMrA'�'o Wisconsin Department of Safety & Professional Services
& i Division of IndustryServices
SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code
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,
scale or dimensions, north arrow, and location and distance to nearest road.
SO ST # /A�'- 2
EXIEERRED Page 1 of 3
County
Parcel I.D.
04-010-2-50-06-20-2 00-282-05000
Please print all information. newew u oy uy�aaJ�reeI�
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). I /V y9 crib:
Property Owner Property Location ❑
Red Maple Rev Trust Govt. Lot V. '/. s 20 T 50 N R 06 E (or) W
Property Owner's Mailing Address Site Address or CSM and Lot #:
560 Turner Warnell Rd (Lot 5 Siskiwit Shores) 20670 S Siskiwit Shores Rd
City, State, Zip Phone Number ❑ City ❑ Village 2 Town Nearest Road
Mansfield, TX 76063 ( ) Bell Siskiwit Shores Dr
[V7 New Construction Use: Residential/Numberofbedrooms 5 Code derived designflow rate 750 GPO
❑ Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable N/A ft.
Parent material Sandy outwash underlain by stratified silty, loamy, and sandy glaciofuvial deposits(Cublake-Croswell-Ashwabay complex)
General comments and recommendations: Mound
❑ Boring
❑ 1 Boring # Pit Ground surface elev. 98.3 ft. Depth to limiting factor 17 in. / elev. 96.8 ft.
SailAnolication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•Etf#1
`Eff#2
1
0-2
10YR 3/1
—
is
Osg
ml
as
2vf
0.7
1.6
2
2-10
7.5YR 6/1
—
Is
Osg
ml
aw
co/2m/1f
0.7
1.6
3
'tt 10-17
7.5YR 5/4
—
Is
Osg
ml
cw
1M1f/tvf
0.7
1.6
4
17-38
7.5YR 4/4
c2d 5YR 4/6
scl
2msbk
mfi
aw
1f
0.4
0.6
5
38-48
10YR 5/4
f2d 5YR 4/6
fs
0sg
ml
—
—
0.5
1.0
2❑ Boring #
❑Boring
®Pit Ground surface elev. 98.3 ft. Depth to limiting factor 19 in. I elev. 96.7 ft.
Soil 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
1
0-6
10YR 3/1
—
Is
Osg
ml
as
lco/2m/2
0.7
1.6
2
6-19
10YR 4/4
—
Is
Osg
ml
aw
2m✓2f/2vf
0.7
1.6
3
19-58
10YR 5/4
c2d 2.5YR 4/8
Is
0sg
ml
—
1vf
0.5
1.0
Soil saturate
@ 50"
CST Name (Please Print)
Signature
T Number
Keith Wiley
654921
Address
Date Ev uation Conducted
Number
11623 E Larson Dr. Lake Nebagamon, WI 54849
8/8/2026
218-451-2611
Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L • EffiuentAJ5Bs2@2S/L and TSS s 30 mg/L
SBD-8330 (R03/22)
Bayfield Co.
Planning and Zoning Agency
Page 2 of 3
❑ Baring
❑3 Boring #
Ground surface elev. 100.3 ft. Depth to limiting factor 34 in. / elev. 97.4 ft.
I SoilAooI
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPO/Ft2
*Eff#1
'Eff#2
1
0-3
10YR 3/1
—
Is
0sg
ml
as
1m/1f/1
0.7
1.6
2
3-21
7.5YR 5/4
—
Is
Osg
ml
aw
3f/2vf
0.7
1.6
3
21-34
10YR 5/4
—
Is
Osg
ml
cw
lm/2f/2u
0.5
1.0
4
34-60
1 0YR 5/4
f2d 2.5YR 4/8
Is
Osg
ml
—
1f
0.5
1.0
F Boring # ❑ Boring
❑Pit
Ground surface elev. ft. Depth to limiting factor in. / elev. ft.
Soil Aooliration Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPO/Ft'
•Eft#1
•E11#2
❑ Boring# ❑ Boring
❑ 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
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPO/Ft'
•Eff#1
"Eff#2
Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30s 150 mg/L
R-CEIVF-®
20 2026
SaYfield Co.
planning Agao
and Zoning cy
* Effluent #2 = BOO, 5 30 mg/L and TSS 5 30 mg/L
Red Maple Rev Trust (5 bedroom)
Soil Report Plot Plan
North
O\
Red Maple Rev Trust
20670 S Siskiwit Shores Rd
Lot 5 Siskiwit Shores
S20T50N R06W
Town of Bell
04-010-2-50-06-20-2 00-'0' ncnnn
2.040 acres
Privy to be abandoned 9
Proposed site of
pole bldg
\�o�e
\ sqy
y
Scale 1:60
Proposed site of
5 bedroom hous
* Bench Mark = Duplex nail w/orange disc in 10" DBH oak
Elev = 100.0'
AU0 20 ZOZ6
Sayneld Co. A envy
planning and Zoning 9
NOTES:
Siskiwit Lake
- No well
- Siskiwit Lake Elev z 94'
CST 11Gi�`�-SP Page 3 of 3
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink):
6d'Check List
❑ Index Page / Title Sheet (Optional)
RI Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
9 Original Plot Plan
❑ Cross Section Soil Profile Sheet (optional)
❑ Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
Red Maple Rev Trust
9 Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
E 'Property Owner's Information (not prospective buyer's name)
(U Property Location (Accurate Legal Description with Sec/Twp/Range)
RI Road Name (where driveway is/will be coming off of) RECEIVED
RI Floodplain Elevation, Flow Rate, Comments and Recommendations
RI Complete Soil Boring / Pit Information AUG 207026
�' Date Soil Evaluation was conducted Bayfieki Co.
Planning and Zoning Agency
E7 CST Name, Signature, Number, Address and Phone Number
9' *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
E�'Bench Mark (Description, Elevation and Location)
I12'Contour Lines (Example = 98.0' /96.0' /94.0
q'Property Location (Sec/Twp/Range/, Accurate Legal Description)
®' Borings (Locations and Elevations)
'Percent and Direction of Land Slope
U' Well Location (Including Neighboring Wells, if applicable)
(Location of Wetland Areas, Floodplain and Navigable Waters
(Buildings, Driveways, and Structures (Location and Descriptions)
'Location of Property Lines
13% Existing System Location
I7Address Number and Road Name
U Current Surface Elevation of Wetlands and Navigable Waters
@'CST, Owner and Property Information
El North Arrow
Fee:
RI Certified Soil Tests - Review & Filing Fee $ 50.00
u/forms/sanitary/checklist/checklistforests
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: Submission Number:
RED MAPLE REV TRUST SR -00497
560 TURNER WARNELL RD
MANSFIELD, TX 76063 Transaction Number:
SR-00497-4CAAD
Description
Certified Soil Tests - Review & Filing Fee
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 1116
Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849
Payment Type: Check
Transaction Date: 9/3/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.