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Home My WebLink About132-26SR- oosoi Wisconsin QRIGIIJAL Department of Safety and Professional Services Page 1 of 3 `< Division of Industry Services SPA SOIL EVALUATION REPORT SOIL TEST # I 3a -1 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.. TAX ID # 10657 scale or dimensions, north arrow, and location and distance to nearest road. Please Flgf rRltion. Date/ Reviewed by /` Personal information you provide may be 5See 01 aa�ry+purposes (Privacy Law, s. 15.04(1)(m)). B j� Property Owner: Property Location ❑ 9 MELISSA S GIESREGN AUG 2.7 2026 Govt. Lot N E Y. S 6 Y+ S 15 T 43 N R 07 E (or) W Property Owner's Mailing Address Bayjeb Co. Site Address or CSM and STONE PINE SUBDIVISION LOT 25 IN DOC 16895 STONE PINE DR. and Zoning Agony' fanning 2020R-5820671265 City State I Zip Code I Phone Number ❑ City El Village Town I rNeare�stload 16895 CABLE W 54821 NINE DR. pl NewConstruction Use: Residential/Numberofbedrooms f Code derived designflow rate _____GPO ❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material GLAICIAL OUTWASHe. & General comments and recommendation: i �7i �/ 7-, ..t W/ cy e f yrbew Poring Boring # Eifl. Pit X Ground surface elev 98.4_k. Depth to limiting factor 120 in. / elev.88.4—_ft. 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 1 0-7 7.5 Y/R3/2 LS 2MGR MVFR GW 2COVFF .7 1.6 2 7-16 7.5 Y/R 4/3 S OSG ML GW ICOVF .7 1.6 3 16-40 7.5 Y/R4/4 GRS OSG ML GW IVF .7 1.6 4 40-120 7.5 Y/R 5/4 S OSG ML ---- 1 VF .7 1.6 2 Boring # ❑Boring x1Pit Ground surface elev. 98.1 ft. Depth to limiting factor 120 in. / elev._88.1 _ft. 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 0-8 7.5Y/R3/2 LS 2MGR MVFR GW 2COVFF .7 1.6 2 8-16 7.5 Y/R4/3 S OSG ML GW ICOVF .7 1.6 3 16-42 7.5Y/R4/4 GRS OSG ML GW IVF .7 1.6 4 42-120 7.5 Y/R 5/4 S OSG ML ---- 1W .7 1.6 CST Name (Please Print) Signature CST Number SP -012100001 RICHARD RAUCH Address 11370 BONDEGARD DR. Date Evaluation Conducted Telephone Number CABLE WI. 54821 6/3/2026 715-681-1190 ' Effluent #1 = BOD > 30 ≤ 220 mg/L and TSS > 30 5150 mg/L ' Effluent #2 = BUD, ≤ 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04/21) Page _2_ of _3_ Boring #' ❑ Boring t] Pit Ground surface elev. 98.4 ft. Depth to limiting factor 120 in. / elev_88.4_ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 *Eff#2 1 0-7 7.5 Y/R32 LS 2MGR MVFR GW 2COVFF .7 1.6 2 7-14 7.5 Y/R4/3 S OSG ML GW 1COVF .7 1.6 3 14-48 7.5Y/R4/4 GRS OSG ML GW IV!' .7 1.6 4 48-120 7.5 Y/R 5/4 S OSG ML -- 1VF .7 1.6 ❑ 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 Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft' *Eff#1 'Eff#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 Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 Eff#1 'Eff#2 * Effluent #1 = BOD>30 30 5 220 mg/Land TSS > 30 5150 mg/L &T7 OI2IC9r7a/ * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L RECEWED AUG 2 7 2026 Barb Co. Plararinp and Zoning Apenq w 30-3 RECEIVED LI AUG 272026 It Bayfield co. Planning and Zoning AgencY 1 /e Ins A\ 2W -1 i (114 ttr 83 s)ePG • a� �{(eL;st4 $ GicstClit \ /t1C S/crte fiMe DA Goble U1 ,rlge \ �g,l Lej4( f8.'/ 9 ►d wx. town O -f Coale 7-4 x tcL* /6657 S (f! 1 -oft' RO7 t✓ ffone /J;ne s'K6J:✓ise'a�! C,or,1S /ice Doc Zo: cR SQSOh'7 i265 601 i4 . to o 4 t+• Teat' a_5/a6 @.e<i s7-Joor EA h'' LW Yg.y Ga. 9.1 3 90,6/ tt. e ?r'I sis ..o )'r-61 -I(9a veij BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): 2<heck List RECEIVED AUG 272026 Bayfield Co. Planning and Zoning Agency ❑ Index Page / Title Sheet (Optional) C'Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) R'6riginal Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) larcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used l -Property Owner's Information (not prospective buyer's name) L?Property Location (Accurate Legal Description with Sec/Twp/Range) 1 Road Name (where driveway is/will be coming off of) ❑ Floodplain Elevation, Flow Rate, Comments and Recommendations 12tomplete Soil Boring / Pit Information Cbate Soil Evaluation was conducted ❑CST Name, Signature, Number, Address and Phone Number ❑ *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) LTBench Mark (Description, Elevation and Location) Contour Lines (Example = 98.0' /96.0' /94.0') E -Property Location (Sec/Twp/Range/, Accurate Legal Description) 2'Borings (Locations and Elevations) R'percent and Direction of Land Slope Well Location (Including Neighboring Wells, if applicable) El Location of Wetland Areas, Floodplain and Navigable Waters la'Buildings, Driveways, and Structures (Location and Descriptions) la'Location of Property Lines 2'Existing System Location l3�Address Number and Road Name ❑ Current Surface Elevation of Wetlands and Navigable Waters ItST, Owner and Property Information C 'forth Arrow Fee: R'Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistfarests 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: GIESREGEN, MELISSA S SR -00501 16895 STONE PINE DR CABLE, WI 54821 Transaction Number: SR -00501-55548 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 5519 Paid by: A -Z Enterprises, Nor -Pines Plumbing, PO Box 196, Drummond WI 54832 Payment Type: Check Transaction Date: 9/15/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.