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• SR-oo h Wisconsin De artment of Safety& Professional Services Page 1 of r'i Di.'J p ervices SOIL TEST # to ' 26 =p •' �� SOIL EVALUATION REPORT JUL 16 2026 In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size, Plan must include, r G 1 a but not limited to vertical adr@0ntal reference point (BM), direction and per t sloe.. Parcel I.D. TAX 1 O t 19 4'7 S scale or dimensip nt0.ogh,atr3W iaU on and distance to nearest road. pg. sw4a4 - O -3S - O- 00-Oa00 Please print all information. Reviewed /liv / 1051 Date Personal information you provide may be used for secondary purposes (Privacy L 4(1 )(m)). 1"ii111(1 1 1111 a II it/fTh 107/r�`hr� Property Owner Property Location v " J u fld Deas P1 t Ln'n; t\ QNc'cSn Govt. Lot SW '/. NC %533 T 4'7 N R 0 8 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: S3'1 os 11r r City, State, Zip Phone Number ❑ City ❑ Village ' Town Nearest Road y 7b S tR New Construction Use: Z Residential/ Numberof bedrooms 3 Code derived designflow rate 4' GPD ❑ Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable ft. Parent material OLACW4slSt.ndl General comments and recommendations: Non-QcCssur LCG In -&rounds 54'ern Boring # ❑ Boring ® Pit Ground surface elev.95.≤ ft. Depth to limiting factor 100 in. / elev. W SJft. 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' *Effg). o-1 1 pity/' -- i to n. Cr O -- J 7-� Io"(R4N — 1 O.77.54R41.4 — o.&0 -I00 7.YgRC/4 — 5 ml — o. FBoring # ❑Boring 1g]Pit Ground surface elev.95.76 ft. Depth to limiting factor t I00 in. / elev. 87.4Jft. Soil Application Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/FR •Eff#1 *Eff#2 1 o -G 1 YR 31Z IS CO (s- O.7 f. 4- 1 1o'R'11 — I 0 — 0.-1 '.c. 3 ZlI- `r&4 - 5 V m1 l 0.7 L4 fl —Soo 7,5'$R57 — 5 to r.l — o.7 s.c. CST Name (Please Print) Signature A CST Number !d A S rec4.15 Tr /v/� SP -04950000 Address Date valuation Con u d Telephone Number IY3Y61a3FRd77 bk ward t%=A843 0&/ / -63Y-817 Effluent #1 = BOD > 30 ≤ 220 mg/L and TSS > 30 5150 mg/L ` Effluent #2 = BOO, ≤ 30 mg/L and TSS 5 30 mg/L SBO-8330 (R03/22) Page . of y ❑ Boring ❑ 3 Boring # '� Pit Ground surface elev.gg•.iS ft. Depth to limiting factor} 1 a0 in. / elev.Ba rift. Soil Aoolication 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 O-4 1p41.31h - 1 144 0.7 1.1. J G' IOVA 1l4 — 1 O. 7 1.4 3 - O 7.5'(R 414 — 5 ft ml .1 1. W tea -1 yRsl — $ t — O. 1.4 ❑ ❑ Boring Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Anolication 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Anolication 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 > 30 s 220 mg/L and TSS > 30 5150 mg/L aECcii1ED JUL 16 2026 Bayfield CO. planning and 2enino M Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SCALE = 1:50 64765 W Bass Lake Rd SW 1/4, NE 1/4 Sec. 33, T47N, R08W Town of Iron River Bayfield County TAX ID: 19975 BM = Nail w/ ribbon in 11" Oak Tree ELEVATIONS BM - 100.00' B 1 - 95.25' B2 - 95.75' / B3 - 98.25' O T o O` `Q. N U'c ti r d QC, _ 9g rn —r C sP-ov4 o uS of, iazlfl. r Ae °°r aY ;tp3o 11c'\ yelr OWNER:Vsean P1* Lon»i SYSTEM ELEVATION: SOIL PROFILE M Rr'GKsan SOIL SHEET TESTER: I�eew'NA A SaetcK�_ SYSTEM RANGE: 91. a5 el6 Sr LOAD RATE: 0.7 1 1.(, to 93. ,a 5 99 -- --- -- --- --- 33 �t��6 98 III:: __ ___ - -- JUL 162026 -- I:-::: --- -- BaYteldC0. 97 1111-- Punning and Zoning Ag I -- ------ --- -- -- -- -- --- --- --- --- --- -- -- -- -- 9� --- -- --- -- -- gs.7s ------ 5sCl -- -- --- --- -- -- -- 9y --- -- -- 1111-- --- --- --- -- -- 93 --- :1111 ---- c&o N t =- --- III 91.as- ------ -- 90 -- --- -- --- ------ --- -- --- 1 rs 5��� - --- ------ -- 8S --- -- --- ------ --- -- ------ --- _ __ _= a7.4a =1111-= $c.qa - --- -- --- - ac -- --- -- --- -- --- Page 4 ofL Real Estate Bayfield County Property Listing Today's Date: 7/1/2026 t 9 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: I Tax Districts 1 04 024 163297 001700 Property Status: Current Created On: 3/15/2006 1:15:34 PM 5/5/2026 48 Ownership Updated: 5/5/2026 19975 DEAN M & LONNI M BRICKSON HERMANTOWN MN 04-024-2-47-08-33-2 03-000-02000 024109001000 (024) TOWN OF IRON RIVER S33 T47N R08W PAR IN SW NE IN V.1012 P.954 711A (RAYMOND A KUBISTA FAMILY TRUST CREATED UNDER KUBISTA LIVING TRUST DTD 08/15/2002) 8.700 9.490 0 No (R-1) Residential -1 118 4 Recorded Documents ® WARRANTY DEED Date Recorded: 3/10/2026 ® TRUSTEES DEED Date Recorded: 9/14/2009 © CONVERSION Date Recorded: 3/15/2006 Updated: 3/15/2006 STATE COUNTY TOWN OF IRON RIVER SO -IL -MAPLE TECHNICAL COLLEGE Billing Address: DEAN M & LONNI M BRICKSON 5378 ROOSEVELT DR HERMANTOWN MN 55811 Mailing Address: DEAN M & LONNI M BRICKSON 5378 ROOSEVELT DR HERMANTOWN MN 55811 11 Site Address * indicates Private Road 64765 W BASS LAKE RD ® Property Assessment IRON RIVER 54847 Updated: 8/11/2024 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 8.700 136,300 0 2 -Year Comparison 2025 2026 Change Land: 136,300 136,300 0.0% Improved: 0 0 0.0% Total: 136,300 136,300 0.0% Is Property History Updated: 10/7/2009 N/A 2026R-611373 2009R-528750 1025-789 475871 229-552;833- 597;833-597 © WARRANTY DEED Date Recorded: 12/4/2002 20028-477770 840-459 RECEW ED JUL 16 2026 Bayfield Co. Planning and Zoning Apwwy tcF-lVED BAYFIELD COUNTY JUL 16 Z0Z6 CHECKLIST FOR CERTIFIED SOIL TESTS SubmitjtWTMl owing (Use Permanent Ink): planfltfl9 pud LL.n 1!?/Check List ❑-hidrx-Page Tif cl r (C fl 'Ln—al) C3'Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) /Original Plot Plan NCross Section Soil Profile Sheet (optional) E Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) R/Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used P( Property Owner's Information (not prospective buyer's name) 'property Location (Accurate Legal Description with Sec/Twp/Range) B" Road Name (where driveway is/will be coming off of) ❑ Roud�ciu i Elevalkn i, Flow Rdle, Lornrnents dnd Recommendations H Complete Soil Boring / Pit Information V/DDate Soil Evaluation was conducted /cST Name, Signature, Number, Address and Phone Number Cy'*Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) 0 �B nch Mark (Description, Elevation and Location) ; C ntour Lines (Example = 98.0' /96.0' /94.0') HProperty Location (Sec/Twp/Range/, Accurate Legal Description) '/ L I rings (Locations and Elevations) P PPercent and Direction of Land Slope Q��Well Location (Including Neighboring Wells, if applicable) C�3'Lgcation of Wetland Areas, Floodplain and Navigable Waters Q�Buildings, Driveways, and Structures (Location and Descriptions) Ef Location of Property Lines LAddress Number and Road Name ❑c a ece Elevatiorr Waters 19'CST, Owner and Property Information E'North Arrow —Fee: C� Certified Soil Tests - Review & Filing Fee U/forms/sanitary/checklist/checklistforests IE3AYFIELD 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: BRICKSON, DEAN M & LONNI M 5378 ROOSEVELT DR HERMANTOWN, MN 55811 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00469 Transaction Number: SR-00469-4A31A Amount $50.00 Total: $5U.UU Payment Amount: $50.00 Reference: 5429 Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843 Payment Type: Check Transaction Date: 8/4/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit.