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Home My WebLink About143-26SR-OOSV li Wisconsin Department of Safety and Professional Services 5U IL I Lb I IF I /12 1 Page 1 of 3 Division of Industry Services / 5-2 6 SOIL EVALUATION REPORT 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. scale or dimensions, north arrow, and location and distance to nearest road. 4632 Please print all information. Reviewed bym C Property Owner Property Location J U J ❑ PATRICIA L BRYAN & DUANE BOHNERT Govt. Lot SE Y, NW '% S 14 T 50 N R 04 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 35335 WHITETAIL AVE City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road ® New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial — Describe: ENTERED Parent material SANDY OUTWASH Flood Plan elevation if applicable NA ft. Q / 94A6 General comments and recommendations: SITE SUITABLE FOR A HOLDING TANK OR MOUND SYSTEM 1❑ ❑ Boring Boring # ® Pit Ground surface elev. 99.9 ft. Depth to limiting factor 13 in. 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 5YR 3/2 NA sl 2mbk dfr cw 2m 0.6 1.0 2 7-13 5YR5/3 NA Is Osg dl cw if 0.7 1.6 3 13.18 5YR 5/3 c2d 5YR 6/8 Is Osg dl NA if 0.0 0.0 ❑ Boring 2❑ # Boring ® Pit Ground surface elev. 101.7 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eft#1 tEft#2 1 0-7 5YR3/2 NA sl 2mbk dfr cw 1m 0.6 1.0 2 7-18 5YR 5/3 NA Is Osg dl cw if 0.7 1.6 3 18-25 5YR5/3 c2d 5YR 6/8 Is Osg dl NA 1f 0.0 0.0 Fffb.ant tti = Rnn > 3n < 99n mnn and TSS > 30< 15n mn/I ` Fffluent dt9 a Rf !] >30< 770 mnn and TSS > 30141 RLmtLULu CST Name (Please Print) I Signature CST Number Bayfield Co. EDWARD J WROBLEWSKI SP -72000013 Planning and Zoning Agenc Address I Date Evaluation Conducted Telephone Number 84805 HATCHERY RD, BAYFIELD, WI 54814 8/31/2026 715-209-4055 SUD-8330 (R04/15) 3❑ Boring # ❑ Boring Z Pit Ground surface elev. 99.6 R. Depth to limiting factor 13 in. 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 5YR 3/2 NA sl 2mbk dfr cw 2m 0.6 1.0 2 7-13 5YR5/3 NA Is Osg dl cw if 0.7 1.6 3 13-17 5YR 5/3 c2d 5YR 6/8 Is Osg dl NA if 0.0 0.0 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor _ in. 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 5 220 mg/L and TSS>30 30 s 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L RECEIVED SEP 212026 Bayleld Co. Planning and Zoning Agency EDWARD J. WROBLEWSKI, CST#SP-72000013 SOIL TEST PLOT PLAN PATRICIA L BRYAN AND DUANE BOHNERT 35335 WHITETAILAVENUE BAYFIELD WI, 54814 PAR IN SE NW IN V.946 P.116 TOG WITH EASE 215A IM 2005R-498876 IM 2003R 487470 S14 T50N R04W TOWN OF BAYFIELD, WI SCALE 1" = 50' 8% SLOPE #3� - 99 6' FUTURE GARAGE W&IVING QUARTERS I O Co SHARED WELL LOCATED APPROX 240 FT FROM SW CORNER OF PROPERTY NORTH LOT LINE C N Cv U'c � � N !iJ C-4 'c9 tJ m m a w #2 /101 7' O. C2 EXISTING HOME DRIVEWAY EXISTING SEPTIC TANK AND DRAIN FIELD WHITETAIL AVENUE SOUOI LOT LINE i A = BM 14" MAPLE, NAIL IN BASE = 100' +� 0 10 20 30 40 SOFT SHEET 3 OF 3 BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): X Check List ❑ Index Page / Title Sheet (Optional) Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) \� Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) Parcel Identification Number (must be 23 di it Tax ID#) DO NOT USE 12 digit, they are no longer being used Property Owner's Information (not prospective buyer's name) Property Location (Accurate Legal Description with Sec/Twp/Range) Road Name (where driveway is/will be coming off of) Floodplain Elevation, Flow Rate, Comments and Recommendations Complete Soil Boring / Pit Information J�] Date 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) Bench Mark (Description, Elevation and Location) Contour Lines (Example = 98.0' /96.0' /94.0') Property Location (Sec/Twp/Range/, Accurate Legal Description) Borings (Locations and Elevations) Percent and Direction of Land Slope Well Location (Including Neighboring Wells, if applicable) ❑ Location of Wetland Areas, Floodplain and Navigable Waters )(O Buildings, Driveways, and Structures (Location and Descriptions) Location of Property Lines Existing System Location Address Number and Road Name Current Surface Elevation of Wetlands and Navigable Waters ` CST, Owner and Property Information L�North Arrow RECEIVEtT SEP 212026 Bayfield Co. Planning and Zoning Agency Fee: Certified Soil Tests - Review & Filing Fee $ 50.00 u/forms/sanitary/check) ist/checklistforests BAFIELD 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: BOI-INERT,DUANE 35335 WHITETAIL AVE BAYFIELD, WI 54814 BRYAN, PATRICIA L 35335 WHITETAIL AVE BAYFIELD, WI 54814 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00514 Transaction Number: SR-00514-56EC5 Amount $50.00 Total: $bu:Uu Payment Amount: $50.00 Reference: 3106 Paid by: Ed's Mechanical, 1491 County Hwy C, Washburn WI 54891 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.