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Home My WebLink About1-27RECEIVED SR-oo3RS Wisconsin Department of Safety & Professional Services DEC 262025 Page of 3 W Division of IndustryServices Bayfield Co. SOIL EVALUATION REPO"fn9andZ°mnbAge cy EST# "` In accordance with SPS 385, Wis. Adm. Code I 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. I 04-004-2-44-09-20-1 05-001-10000 Please print all information. I ReviNejy b42I D. Property Owner Property Location L-1 L I Brown Living Trust (Wayne & Dianna M. Brown Trustees) Govt. Lot v. V s 20 T 44 N R 09 E (or) Property Owner's Mailing Address Site Address or CSM and Lot #: 620 Doar Dr 3380 South Shore Rd City, State, Zip I Phone Number ❑ City ❑ Village ® Town I Nearest Road New Richmond, WI 54017 (651 1 440-0667 Barnes I South Shore Rd [( 'NewConstruction Use: Residential/Numberofbedrooms 3 Code derived designflow rate 450 GPO —Tones AE ❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable (EL 11281 ft. Parent material Outwash Sands 55007C0792D eff. 12/16/2011 General comments and recommendations: wetland elev = 94.2' ----- Eli Boring# ❑Boring ® Pit Ground surface elev. 102.8 ft. Depth to limiting factor 84 in. / elev. 95.8 ft. Soil Aoolication 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 1 0-8 10YR 3/2 — Is Osg ml ab 1m/1f 0.7 1.6 2 8-27 10YR 4/3 - (GR 30%) s Osg ml aw 2m/2f 0.7 1.6 3 27-84 10YR 5/4 — s Osg ml — 1f/1vf 0.7 1.6 Horizon 3 has bands of lamell 2❑ Boring # ❑Boring ®Pit Ground surface elev. 102.8 ft. Depth to limiting factor 84 in. / elev. 95.8 ft. Anolication 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 0-8 10YR 3/2 — Is Osg ml ab lco/2m/1f 0.7 1.6 2 8-24 10YR 4/3 — (GR 30%) s 0sg ml aw 2m/2f 0.7 1.6 3 24-48 10YR 5/4 — s Osg ml aw 1f 0.7 1.6 4 48-60 10YR5/4 — GR15%)co 0sg ml aw 1vf 0.7 1.6 5 60-84 10YR 6/4 — s Osg ml — — 0.7 1.6 Horizon 5 has bands of lamell e CST Name (Please Print) Signatu� C Number y.. ey Wile ' G' !/ 654921 Address Date Evaluation Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 11/16/2025, 11/22/2025 218-451-2611 Effluent #1 = BOO > 30 5 220 mg/L and TSS > 305150 mg/L • Effluent #2 = BOO, s 30 mg/L and 155 5 30 mg/L SBD-8330 (R03/22) ❑❑ Boring 3 Boring # ® Pit Page 2 of 3 Ground surface elev. 103.9 ft. Depth to limiting factor S4 in. / elev. 96_9 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 0-9 10YR 3/2 — Is Osg ml as lco/2m12 0.7 1.6 2 9-29 10YR 4/3 — S Osg ml aw 1co/lm/1 0.7 1.6 3 29-43 10YR 5/4 — GR2o%) s 0sg ml aw lf/lvf 0.7 1.6 4 43-65 1 0YR 5/4 — s 0sg ml as 1f 0.7 1.6 5 65-84 10YR 6/4 — s Osg ml — — 0.7 1.6 F Boring # ❑ Boring ® Pit Ground surface elev. 106.8 ft. Depth to limiting factor 108 in. / elev. 978 ft. SoilAnolication Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. ConL Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/F1' -Efr#1 'Eff#2 1 0-3 10YR 3/2 — Is 0sg ml as lf/lvf 0.7 1.6 2 3-6 7.5YR4/1 — s 0sg ml as lf/lvf 0.7 1.6 3 6-10 7.5YR 6/1 — s 0sg ml as 2c0/2f/1 0.7 1.6 4 10-35 10YR 5/4 — FGR5%)s 0sg ml aw 1m/1f 0.7 1.6 5 35-68 10YR 5/6 — s Osg ml aw — 0.7 1.6 6 68-108 10YR 6/4 — s Osg ml — — 0.7 1.6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. It. Depth to limiting factor in. / elev. ft. Soil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/F1' Eff#1 -Eff#2 • Effluent #1 = BOD > 30 s 220 mg/L and TSS > 305150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS 5 30 mg/L RECEIVED DEC 262025 Bayfield Co. Planning and Zoning Agency Brown Living Trust (3 bedroom) Soil Report Plot Plan North Brown Living Trust �o J Wayne & Dianna M. Brown Trustees 3380 South Shore Rd PAR IN GOVT LOT 1 IN DOC 2023R-6011898 TOG WITH EASE 722A R 26, 2023) a (BROWN LIVING TRUST DATED OCTOBECD Town of Barnes _ 04-004-2-44-09-20-1 05-001-10000 ® ' m 2.130 acres > o a c Ills w o C C a. a Middle Eau Claire Lake Scale 1:40 x Wetland elev = 94.2' x Bench Mark = Nail in 11"DBH red pine w/ yellow ribbon •Elev = 100.0' NOTES: - No well - Property lines not shown > 50' from tested area - OHWM a 93.5' CSTi�0002-SP Page 3 of 3 BAYFIELD COUNTY Brown Living Trust CHECKLIST FOR CERTIFIED SOIL TESTS Wayne & Dianna M. Brown Trustees Submit the Following (Use Permanent Ink): 2' Check List ❑ Index Page / Title Sheet (Optional) 6' Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) 9 Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) Ed" Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used Ge'Prooerty Owner's Information (not prospective buyer's name) l2' Property Location (Accurate Legal Description with Sec/Twp/Range) l7' Road Name (where driveway is/will be coming off of) Ca' Floodplain Elevation, Flow Rate, Comments and Recommendations 12' Complete Soil Boring / Pit Information U' Date Soil Evaluation was conducted EX CST Name, Signature, Number, Address and Phone Number U' *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) @'Bench Mark (Description, Elevation and Location) t2Contour Lines (Example = 98.0' /96.0' /94.0') 'Property Location (Secjrwp/Range/, Accurate Legal Description) la' Borings (Locations and Elevations) rD'Percent and Direction of Land Slope EX Well Location (Including Neighboring Wells, if applicable) L2' Location of Wetland Areas, Floodplain and Navigable Waters 12' Buildings, Driveways, and Structures (Location and Descriptions) 17'Location of Property Lines Gd' Existing System Location 12' Address Number and Road Name U' Current Surface Elevation of Wetlands and Navigable Waters 57 CST, Owner and Property Information 'North Arrow RECEIVED DEC 26 2025 Bayfleld Co. Planning and Zoning Agency Fee: 57 Certified Soil Tests - Review & Filing Fee $ 50.00 u/forms/sanitary/checklist/checldistforests II3YFIELD 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: BROWN LIVING TRUST 620 DOAR DR NEW RICHMOND, WI 54017 BROWN TRUSTEES,WAYNE AND DIANNA M 620 DOAR DR NEW RICHMOND, WI 54017 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00375 Transaction Number: SR-00375-3AE19 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1102 Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849 Payment Type: Check Transaction Date: 1/5/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.