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Home My WebLink About2-26RECEIVED SR-oo3RS *EST DEC 262025 1 Wisconsin Department of Safety&ProfessipnalServices Page_? Division of IndustryServices Bayfield Co. SOIL EVALUATION REPOR�°IningandZoningAgency # �—�� 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. 04-004-2-44-09-20-1 05-001-10000 Please print all Information. Re Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)).at Property Owner Property Location ❑ ❑ Brown Living Trust (Wayne & Dianna M. Brown Trustees) Govt. Lot / % 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 Phone Number 0 City ❑ Village ® Town Nearest Road New Richmond, WI 54017 (651 1 440-0667 Barnes South Shore Rd 3 5f New Construction Use: FS1 Residential/Numberofbedrooms 3 Code derived designflow rate 450 GPD ZoneAE ❑ 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' OHWM-elev =93.5' . _ ._. Boring# ❑Boring ® Pit Ground surface elev. 102.8 ft. Depth to limiting factor 84 in. / elev. 95.8 ft. Soil Application 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 10YR3/2 — Is Osg ml ab Im/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 1OYR5/4 — s Osg ml — 1f/tvf 0.7 1.6 Horizon 3 has band of lamell FE Boring # Boring Pit ®Pit Ground surface elev.102.8 ft. Depth to limiting factor 84 in. / elev. 95.8 ft. I 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 0-8 10YR 3/2 — Is Osg ml ab lco/zm/tf 0.7 1.6 2 8-24 10YR 4/3 — (GR 30%) s Osg ml aw 2m/2f 0.7 1.6 3 24-48 10YR5/4 — s Osg ml aw if 0.7 1.6 4 48-60 10YR 5/4 — GRIS%)car 0sg ml aw lvf 0.7 1.6 5 60-84 10YR 6/4 — s Osg ml — — 0.7 1.6 Horizon 5 has band of lamell e CST Name (Please Print) Signatur C T Number Keith Wiley C/ 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 = BOD > 30s 220 mg/i. and TSS > 30 s 150 mg/L ` Effluent #2 = BOO, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Paget of 3 ❑❑ Boring 3 Boring # ® Pit Ground surface elev. 103.9 ft. Depth to limiting factor 84 in. / elev. 96_g 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 312 — Is Osg ml as lcol2ml2 0.7 1.6 2 9-29 10YR 4/3 — $ 0sg ml aw lco/1m/1 0.7 1.6 3 29-43 10YR5/4 — GR20%)s Osg ml aw if/ivf 0.7 1.6 4 43-65 10YR 5/4 — s Osg ml as 1f 0.7 1.6 5 65-84 1 0YR 6/4 — s Osg ml — — 0.7 1.6 4❑ Boring# ❑ Boring 106.8 108 Pit Ground surface elev.ft. Depth to limiting factorin. / elev. 97.8 I SoilA0DI Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft' *Eff#1 'Eff#2 1 0-3 10YR 3/2 — Is Osg ml as 1f/1vf 0.7 1.6 2 3-6 7.5YR4/1 — s Osg ml as 1f/1vf 0.7 1.6 3 6-10 7.5YR 6/1 — s 0sg ml as 2co/2f/ln 0.7 1.6 4 10-35 10YR 5/4 — FGR5%) s Osg ml aw lm/1f 0.7 1.6 5 35-68 10YR 5/6 — B Osg ml aw — 0.7 1.6 6 68-108 1 0YR 6/4 — s 0sg ml — — 0.7 1.6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Annlination 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 Effluent #1 = BOD > 305 220 mg/L and TSS > 305150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS s 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 foZ4 Wayne & Dianna M. Brown Trustees 3380 South Shore Rd PAR IN GOVT LOT 1 IN DOC 2023R-6011898 TOG WITH EASE 722A (BROWN LIVING TRUST DATED OCTOBER 26, 2023) Town of Barnes 04-0-0 04-2-44--2-44-09-20-1 05-001-10000 2.130 acres Middle Eau Claire Lake Scale 1:40 E3 Wetland elev= 94.2' x Bench Mark = Nail in 11"DBH red pine w/ yellow ribbon Elev = 100.0' 0 CD w Lfl o a 0 co N s W ' m co • 9 a - No well - Property lines not shown >50' from tested area -OHWMz93.5' CST 11�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): B'Check List ❑ Index Page / Title Sheet (Optional) % Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) l 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 diciit Tax ID#) DO NOT USE 12 digit, they are no longer being used ( 'Prooerty Owner's Information not prospective buyer's name) El Property Location (Accurate Legal Description with Sec/Twp/Range) IV Road Name (where driveway is/will be coming off of) Er Floodplain Elevation, Flow Rate, Comments and Recommendations El Complete Soil Boring / Pit Information c' Date Soil Evaluation was conducted ECST Name, Signature, Number, Address and Phone Number 7 *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) G} 'Bench Mark (Description, Elevation and Location) I�'Contour Lines (Example = 98.0' /96.0' /94.0') 'Property Location (Sec/Twp/Range/, Accurate Legal Description) El Borings (Locations and Elevations) 'Percent and Direction of Land Slope El Well Location (Including Neighboring Wells, if applicable) El Location of Wetland Areas, Floodplain and Navigable Waters EBuildings, Driveways, and Structures (Location and Descriptions) 'Location of Property Lines f2' Existing System Location 'Address Number and Road Name ci Current Surface Elevation of Wetlands and Navigable Waters I3'CST, Owner and Property Information 'North Arrow Fee: 12' Certified Soil Tests - Review & Filing Fee $ 50.00 RECEIVED DEC 26 2025 Bayfield Co. Planning and Zoning Agency U/forms/sanitary/checklist/checklistforests B-YFIELD 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 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 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.