The URL can be used to link to this page

Home My WebLink About136-26S+R-oo51S D Wisconsin Department of Safety & Professional Services PageIofDivision of Industry ServicesSOIL EVALUATION REPOR'$OIL TEST#In accordance with SPS 385, Ws. Adm. Code County aQy t 1 d. 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. TA7r 'O t 341 S 13 scale or dimensions, north arrow, and location and distance to nearest road. OY-OI - .YY • - 8' -340- 11000 Please print all information. Reviewed by �t I Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). CJf% f /�Bk Property Owner I Property Location ❑ A] Gupi-a..ae. OWo f t,t;t n V;ris Govt Lot Y. Y. S .B T 43 N R 07 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: City, State, Zip Phone Number ❑ City ❑ Village 0 Town Nearest Road 15955 GL/ ,.... D_ -V M&I CCL,\/ /QC 1A5A.s.o sw i'...\.1n SFne•.ry.niA /r K NewConstruction Use: Residential/Numberofbedrooms 3 Code derived designflow rate y5DGPD ❑ Replacement ❑ Public or commercial -Describe: Flood Plan elevationnLable-ft. Parent materialSos, . [].,4wa611 General comments commendations: it C \'es. Boring # r��'� ❑g Prong Ground surface elev-95-611 ft. Depth to limiting factor 1 Ob in. / elev. ft. Soil Application Rate Horizon QE4& QIn. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 •Eff#2 o-7 s —M 2stcbt n...aCraGA o. 1. -so IoYRYI — SIJ o.a 1.0 3 trM4 7.SYRY — n. O.'i I.C. /.I -lob 7.5 5/ — m — -7 1. r k 7 Boring # ❑Boring 2gPit Ground surface elev. %59 R Depth to limiting factor (CC) in. / elev. ft. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FI2 •Eff#1 •Eff#2 o- Y _/A -- .J(r 3rrG o.t 1.b J O Y S ,.-L 3 .y -Y Y — S 0.7 1.C. gg-itO 7,SY25/ — 5 1 1 a.? 1.4 CST Name (Please Print) Sign CST Number Trav;s of r : P-Ro00000 Address Da Evaluation Conducted I Telephone Number v39 W WI5Y o9 101/fl I 7/5•G3q-817C. • Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L • Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Page . of ® Boring # ❑ Boring SPit Ground surface elev.4&331t. Depth to limiting factor 1�in. I 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 GPDIFt' *Eff#1 `Eff#2 6-4. 3 — St Qsa tin- a1 O. I.O Y/ a ?i o.c, 1.0 3 Jt-45 7.5YA'f — Ml r.7 1F ,-, I. fr Y - ob .s&/, — 0 ryt 1 F o.'7 WF; ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I 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 GPDIFt2 '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 Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz ,Eff#1 -Eff#2 * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 £150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L 0 40 Proposed 3 Bdrm Dwelling SCALE = 1:40 15855 Stormoen Ln Lot 2 Telemark Hills Phase 1 Sec. 28, T43N, R07W Town of Cable Bayfield County Tax ID: 39513 BM = Nail w/ ribbon in 12" Oak ELEVATIONS BM - 100.00ft B 1 - 95.67ft B2 - 94.58ft B3 - 95.33ft Property Owners: Gustave Otto & Julie Mae Virkus 8730 Westmoreland Ln St Louis Park, MN 55426 (952) 300-0924 CST: Travis Butterfield 14346W State Road 77 Hayward, WI 54843 (715) 634-8176 BM 96.50' 95.50' 5%\ Slope B2 94.50' B1 • ■ B3 a9/ol/aL Page 3 of 4 SOIL PROFILE SHEET OWNER: GusFave ON0*SU)k MAC V;r-gu SOIL TESTER: TrG.a (3t}arF t lc+ SYSTEM ELEVATION: WAD RATE: 0.7 /{.t. SYSTEM RANGE: 40.3 3 to q a. li 9-7 -- -- --- -- --- -- -- 9s.(0'1 - -- --- -- -- -- -- -- -- -- 9 S .3 3 95 -- - -- -- -- 9y -- -- -- --- -- -- 93 -- -- -- -- -- -- 9a -- -- -- -- -- 9( Eieuctcr.R :: ::o33 - �9 )fl -- __ -- S`P 2�101� -- -- -- SoL -- -- _- z\G°' P9enG'i-- -- Ba1dZ�n9 -- — -- n S LC — Y ynn. an - - -- 8.33 -- - -- -- -- 8,1 g7. oo -- -- -- -- Sc -- 8S -- -- --- -- -- 2H-- -- -- -- -- -- Page ofd BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): C/ Check List -Index Page / Title Sheet (Optional) E'Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) C'Original Plot Plan 'ross Section Soil Profile Sheet (optional) 13' Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) i�Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used g'Property Owner's Information (not prospective buyer's name) S"Property Location (Accurate Legal Description with Sec/Twp/Range) E7 Road Name (where driveway is/will be coming off of) .8-Floodplain Elevation, Flow Rate, Comments and Recommendations N �/Complete Soil Boring / Pit Information Date Soil Evaluation was conducted d SST Name, Signature, Number, Address and Phone Number L7'*Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) L(Bench Mark (Description, Elevation and Location) Contour Lines (Example = 98.0' /96.0' /94.0') IS"Property Location (Sec/Twp/Range/, Accurate Legal Description) Cv(Borings (Locations and Elevations) dPercent and Direction of Land Slope 13 Well Location (Including Neighboring Wells, if applicable) •8 -Location of Wetland Areas, Floodplain and Navigable Waters Buildings, Driveways, and Structures (Location and Descriptions) Location of Property Lines et fisting System Location VAddress Number and Road Name -ff Current Surface Elevation of Wetlands and Navigable Waters LICST, Owner and Property Information EdNorth Arrow RECEIVED SEP 212026 Bayfield Co. Planning and Zoning Agency Fee: mm CK Certified Soil Tests - Review & Filing Fee $ 50.00 u/forms/sanitary/ch ecklist/checkl istforests IE3&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: VIRKUS, GUSTAVE OTTO & JULIE MAE 8730 WESTMORELAND LN ST LOUIS PARK, MN 55426 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00515 Transaction Number: SR-00515-55FB3 $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 5582 Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843 Payment Type: Check Transaction Date: 9/23/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.