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°`rN1T1° r Wisconsin Departmentof Safety& Professional Services Page 1 of 3
(tfDivision of IndustryServices �L TEST # f12—.t�p
S SOIL EVALUATION REPOR
�d
,, In accordance with SPS 385, Wis. Adm. Code County
Bayfield
Attach complete site plan an 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. 04-024-2-47-08-22-3 05-001-21000
Please print all Information. 9ewed by I 'I I I Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). W 1
Property Owner Property Location ❑ ❑
Carol M. Miller Govt.Lot 1 '/ /. S 22 T 47 N R 08 E (or)®
Property Owner's Mailing Address Site Address or CSM and Lot #:
PO BOX 217 Lot #1 CSM #1666 in V.10 P.14
City, State, Zip I Phone Number ❑ City ❑ Village ® Town I Nearest Road
Iron River, WI 54847 ( ) Iron River 10245 Pine Lake Rd
❑ NewConstruction Use: l'Residential/Numberofbedrooms 3
® Replacement ❑ Public or commercial — Describe:
Parent material Outwash sand (Sayner series)
General comments and recommendations:
derived deslgnflow rate 450 GPD
Plan.�elevation if applicable N/A ft,
01 Zo42s
U eonn9 Planning and Zoninn QE
[ii Boring # NE Pg Ground surface elev. 103.5 ft. Depth to qq 96 95.5
® p llrrnun g11'adorin. / elev._R.
enn Annie
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•Eft#1
,ER#2
1
0-2
7.5YR 3/2
—
S
Osg
ml
as
14
0.7
1.6
2
2-5
7.5YR4/3
—
s
0sg
ml
cw
1vf
0.7
1.6
3
5-14
7.5YR 4/4
—
Osg
ml
aw
1m/2f
0.7
1.6
4
14-47
7.5YR 4/4
—
5%cR)r<o.
Osg
ml
cw
1vf
0.7
1.6
5
47-68
7.5YR 4/4
—
vcos
0sg
ml
as
—
0.7
1.6
6
68-96
5YR4/4
—
cos
Osg
ml
—
—
0.7
1.6
BoIing
2❑ Boring # SW OPit Ground surface elev. 101.8 ft. Depth to limiting factor 96 in. / elev. 93_8
Sell Annlicatian Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•ER#1
•Eff#2
1
0-10
7.5YR 3/2
—
Is
0sg
ml
aw
3f
0.7
1.6
2
10-20
7.5YR 4/4
—
Is
Osg
ml
cw
2f/1vf
0.7
1.6
3
20-50
5YR414
—
(30%GR)ms
Osg
ml
aw
2vf
0.7
1.6
4
50-57
5YR 4/4
—
cos
0sg
ml
aw
1 m
0.7
1.6
5
57-96
10YR 5/4
s
osg
ml
—
1f
0.7
1.6
nds of lamellae in
Horizon
CST Name (Please Print)
Signature
- CST Number
Keith Wiley
654921
Address
Date E aluation Conducted
Telephone Number
11623 E Larson Dr. Lake Nebagamon, WI 54649
- 8/24/2024
I 218-451-2611
Effluent #1 = BUD > 30 5 220 mg/L and TSS > 30 5150 mg/L • Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L
SBD-8330 (R03/22)
Page 2 of 3
❑ Boring
7 3 Boring # mid ® Pit Ground surface elev. 101.4fl, Depth to iimiting factor 96 In. I elev. 93.4 ft.
Snil Annliratinn Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cant. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•Eff#1
E11#2
1
0-4
7.5YR 3/2
—
s
Gag
ml
aw
icoflvf
0.7
1.6
2
4-10
7.5YR 5/4
—
s
Osg
ml
•Cw
lmmron
0.7
1.6
3
10-57
5YR4/4
—
ortlycos
Osg
ml
aw
14
0.7
1.6
4
57-96
5YR 4/4
—
cos
Osg
ml
—
—
0.7
1.6
❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev.ft.
Soil Anal
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ftr
•Etf#1
•E11#2
.0
UIL
Planning
-. -'ngA
4ency
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev.ft.
SoilAnol
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cant Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft'
•Eff#1
Eff#2
Effluent #1 = BOD > 305 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOO, 530 mg/L and TSS 5 30 mg/L
Miller (3 bedroom)
Soil Report Plot Plan
+'
LOT 1
M #1666
IN V.10 P.1
S22 T
7N R08W
JUN
°
A
Town
if Iron Rive
$
04-02
-2-47-08-2
-3 05-001-
1000
Pla
ling and Zonin
4.030
icres
as ,•
01'
,,.
Qy
2
aun
lak
Mil
y
.00
Septic tank&
rainfleld to be
abandoned p
r .
—wr_____
______
__
______
_
__
-
______
Scale
1:60
_______
NOTES:
x
Bench Mark = Duplex nail w/ yellow ribbon in 11" DBH Maple tree
- Lake Millicent elev z 80'
Elev =100.0'
I
I
I
- Propertylines not shown > 100' from tested area
CST # 654921
Page 3 of 3
3 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:
MILLER, CAROL M SR -00425
PO BOX 217
IRON RIVER, WI 54847-0217 Transaction Number:
SR-00425-4A4EF
Description
Certified Soil Tests - Review & Filing Fee
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 10179
Paid by: Belknap Plumbing & Heating Co Inc, 1414 Belknap St, Superior WI
Payment Type: Check
Transaction Date: 10/2/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.