HomeMy WebLinkAbout43-24 WeisharMAY n 3',024 'n^Soil Test #
Bayfield County
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
I EDWARD JWROBLEWSKI _ 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 JOANNA WEISHAR _ Contractor EDIS MECHANICAL LLC
Property Address 20235 STAR ROUTE _ Authorized Agent EDWARD j WROBLEWSKI
BAYFIELD.WI 54814 _ Agent's Telephone 715-209-4055
Telephone 262-622-3284 _ Written Authorization Attached: Y or |N]
Accurate Legal Description is requested:
Nw 1/4 of NW 1/4 Section 20 Township 50 N. Range 05 W. Town of BAYFIELD
Additional Legal Description: E1/2E1/2 NWNwiNv.9i3p.26n iNDoc2024R-6oi589
Govt. Lot _Lot _Block _^Subdivision
Lot _ CSM#_ Vol. _ Page _ CSM Doc #
Volume_Page_of Deeds Tax I.D# 5273 _Acreage 10°
Indicate reasoning for your determination: HIGH GROUND WATER & CLAY SOILS
4-
Signature of Certified Soil Tester
Lt^( (2^
Date
SP-72000013
=^2-^Certification #
Signature of County Official
(Submit a Plot Plan & Fee)
Date
u/forms/soiltestwaiver(KLK)
June 2018
y $^ 54-^ ^
EDWARD J WROBLEWSKI, CST#SP-72000013
SOIL TEST PLOT PLAN
JOANNA WEISHAR
26235 STAR ROUTE RD
BAYFIELD, Wl
E1/2 E1/2 NW NW IN V.913 P.2 611
INDOC-2023R-601589
S20 T50N R05W
TOWN OF BAYFIELD, Wl
SCALE 1"= 50'
N
^
STAR ROUTE RD
C'";
>100'TO WEST LOT LINE
EXISTINGHOUSE
>100'TO SOUTH LOT LINE
20 30 40 50FT SHEET 2 OF 2
^W^ BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
MAy ;^;;1/;,r- ^,";.^- • ^ • ;.);/T
Submit the Following (Use Permanent Ink): ^' /
/Che'Check List
,,..-.--EHndex Page / Title Sheet (Optional)
- -Q'original Soil Evaluation Report (Submitted in Deed Holders Name - not prospective buyers)
"Original Plot Plan
___D-Cross Section Soil Profile Sheet (optional)
..-B-'Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
B-Property Owner's Information (not prospective buyer's name)
B-Property Location (Accurate Legal Description with Sec/Twp/Range)
J^-Road Name (where driveway is/will be coming off of)
,D/Plbod plain Elevation, Flow Rate, Comments and Recommendations
D Complete Soil Boring / Pit Information
)ate Soil Evaluation was conducted
1ST Name, Signature, Number, Address and Phone Number
a *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
Mark (Description, Elevation and Location)
-B-Contour Lines (Example = 98.0' ,96.0' ,94.0')
Q^roperty Location (Sec/Twp/Range/, Accurate Legal Description)
)rings (Locations and Elevations)
-0-Percent and Direction of Land Slope
./-E'TWell Location (Including Neighboring Wells, if applicable)
-EKocation of Wetland Areas, Floodplain and Navigable Waters
3s, Driveways, and Structures (Location and Descriptions)
Location of Property Lines
./"OExisting System Location
''Address Number and Road Name
..-S"Current Surface Elevation of Wetlands and Navigable Waters
'CST, Owner and Property Information
IMorth Arrow
Fee:
Certified Soil Tests - Review &. Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforcsts