HomeMy WebLinkAbout154-26RECEIVED EHr R
0CT 142026
Bayfield co. I Soil Test #
R4ltming 8.-A Zoning Agency /9-2
Bayfield County
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
I 11m Qy tTr a certified soil tester determine that in my professional
judgment the following site (see below) is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
Property Owner ItheiP L"AperAra Contractor
Property Address 6a17c /1k_0n J)e.WA (:d Authorized
Mcon w.r S5856 Agent's Telephone
Telephone Written Authorization Attached: Y or N
Accurate Legal Description is requested:
1/4 of 1/4 Section Ia Township 'YE N. Range 0? W. Town of eI f e —
Additional Legal Description:
Govt. Lot Lot Block Subdivision
Lot oZ CSM#o? S Vol. Page CSM Doc # 0?O0261e'6/Ow
Volume Page of Deeds Tax I.D# 3'g/0 Acreage1O
Indicate reasoning for your determination: Si \t r. oed /I./OT lj'1QGf /A IV
Signature of ertified Soil Tester
'Date
Certification #
Signature of Coun O icial
Date
(Submit a Plot Plan & Fee)
ulfonnslsoi ltestwaiver(KLK)
June 2018
� Wisconsin Department of Safety and Professional Services
.
' Division of IndustryServices
If
- SOIL EVALUATION REPORT
•r.,,�„µ+f In accordance with SPS 385, Wis. Adm. Code
Attach complete site plan on paper not less than 8 112 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.
Please print all information.
lt
Pageof
Parcel I.D.
04-016-246-07-12-4 04-000-14000
Reviewed by I Date
Property Owner Property Location I__I LvJ
Renee L'Esperance Govt. Lot 'A Y s 12 146 N R 07 E(or) W
Property Owners Mailing Address Site Address or CSM and Lot #:
908 6th Ave W 62175 Mason Delta Rd
City State Zip Code Phone Number ❑ City ❑ Village I9 Town Nearest Road
Ashland WI 54806 ( ) Delta Mason Delta Rd
01 New Construction Use: Residential/Numberofbedrooms 2 Code derived designtlow rate 300 GPO
D Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable 8.
Parent material Loamy deposits ovelte
General comments and recommendations: Site does NOT meet A+4. Holding tank recommended.
1 Boring # ❑Boring
[]Pit
99.7 4
Ground surface elev. ft. Depth to limiting factor in. / elev. ft.
Soil Annliration 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
A
0.4
5YR 3/2
CL
2-cpr-c
dh
as
3f -1c -2m
0.4
0.6
B
4-6
5YR 3/2
c -2-d 2.5YR 5/8
CL
2-cpr-c
dh
as
3f -lc -2m
0.4
0.6
C
6-12
5YR 5/3
C
3-abk-vc
dvh
-
-
0.2
0.3
Boring #
Bo ring
tilPit Ground surface elev. ft. Depth to limiting factor in. / elev, ft.
Soil Aoollcation 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
EC
in a
•zoning Agency
CST Name (Please Print)
Sig naI r
CST Number
Tim Dykstra
_�
1213855
Address
Date Eval tlon Conducted
Telephone Number
10620 Eagle Lake Rd Iron River WI
8 a S a6
1715-209-5748
Effluent #1 = ROD' 30s 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOO. 530 mg/L and TSS 5 30 mg/L
SBD-8330 (R04121)
Page..?....... of.?....
❑ Boring
Boring # N Pit
Ground surface elev.f. Depth to limiting factor in. / elev.f.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sr. Sh.
Consistence
Boundary
Roots
GPO/Ft'
'Eff#1
Eff#2
❑ Boring #
❑ Boring
❑ Pit Ground surface etev. ft. Depth to limiting factor in. I elev. ft.
Soil Anollcation Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu, Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/F1'
*Eff#1
Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev.ft. Depth to limiting factor in. / elev.f.
Soli Annilcation Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sr. Sh.
Consistence
Boundary
Roots
GPD/Ft'
Eff#1
Eff#2
Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L
Rt\:
OCT 1 4 U Lu
Bayfield Co.
Planning and Zoning Agency
Effluent #2 = BOD, S 30 mg/L and TSS 530 mg/L
Rev ee t C eyo-r ewe
62t7S m11)e(4G Rcl
Ifl0.wo ws sNB s6
TxlO 38810
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N
sc4LC )":30'
IT ?o
PL
RECEIVED
OCT 47026
�t x
Bayfieid CO.
planning and Zoning Agent/
n
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051 t t21Bs s
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, YYFIELD 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:
L'ESPERANCE, RENEE A
908 6TH AVE W
ASHLAND, WI 54806
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00532
Transaction Number:
SR-00532-57CD6
Amount
$50.00
Total: $50.00
Payment Amount: $51.95
Reference: 3881515165
Paid by: Tim Dykstra
Payment Type: Credit Card
Transaction Date: 10/14/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.