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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.