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HomeMy WebLinkAbout81-24 Twedt-•^ \ "Y ']"/'/ Bayfield County Soil Test # 0 1— v.i/' Waiver of a Thorough Soil & Site Evaluation (subject to 15-1-10(d)) ctyt PD / 1^0 S 1^ t1, Mll^m ro/f^OSl<.t _ 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 ^U^ Mc.^^KeT^^Contractor Property Address 8)1 5^ ^ A i -^ s rt 7U Authorized Agent. Agent's Telephone. Telephone.^(<^ 310 Ip-ro^Written Authorization Attached: Y or N Accurate Legal Description is requested: ^^ 1/4 of $^ 1/4 Section -i Township ^^ N. Range. Additional Legal Description:. _W. Town of C> ri -^^{~<\^ Govt. Lot Lot Block Subdivision Lot _ CSM#_ Vol. _ Page. Volume_Page. CSM Doc # of Deeds Tax I.D#^^ ^ Go .Acreage.^0 Indicate reasoning for your determination: ^<--^ C.i<^^e-^ ^o//— ?LJO &' y^T^ ^^^:^s^//^ ^-1-^5 ^^^°^( ^/y.^ Signature of^ounty Official-^72^/2^ Date Signature of Certified Soil Tester (^-( -~^y Date C^T ^Z.Zoo^o Certification # (Submit a Plot Plan & Fee) Po^A * SO ^2-(2^ P.^ ».-,.".- -^ -•!"" I *"•"'"u/forms/soiltestwaiver(KLK) June 2018 .$b.-l-$ o^cT^K^i ^'^-^- •+ I •4 J *4 u^s f . "( h - ~ ^ f <, u > 5 : J ' "; ? ' 7 0 ?> f ~ ' ° ^ <A < l » ^o n - i ->m^ £: . . ^. K 6. « J L p. ^ ^ ^ 0- £ 0 <-D <» s^ : c? o 0 ^1 ^ ^ . 0 , p ? ^ & 1° L , ir (8 > r , 9- - i - ^. 0 ^' 5 <& l i ?i<6'? ^ ? ^~^ -V - h { & o i " ~ v p ^f- ^ ^^ '5^^ i a ^ ?. s £ ?^ -! ? : £^^•<^'M ^ ^ ^- t 3 "~ ~ < ~^ ! _ t 'r i 0- . ^ . 1^ ' v- a n 0i ^ (f t 5- r~pr.r^ <A /^Vf S -y i^ - tw°»^VJ ^0 ^ 7 &~ 5 /? & & "^ ^ . ^) ? ^ ' .F A * - ^ . .^ c ~ - <T ^ w li t H I T Q> - ~ s ^ " ^ ? 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BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): 12] Check List 10 Index Page / Title Sheet (Optional) El Original Soil Evaluation Report (Submitted in Deed Holders Name - jwt prospective buyers) IZf Original Plot Plan D Cross Section Soil Profile Sheet (optional) n Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) B Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used 13 Property Owner's Information (not prospective buyer's name) EZ1 Property Location (Accurate Legal Description with Sec/Twp/Range) El Road Name (where driveway is/will be coming off of) El Floodplain Elevation, Flow Rate, Comments and Recommendations 0 Complete Soil Boring / Pit Information El Date Soil Evaluation was conducted 12 CST Name, Signature, Number, Address and Phone Number a *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) ES Bench Mark (Description, Elevation and Location) G Contour Lines (Example = 98.0' ,96.0' ,94.0') 0 Pioperty Location (Sec/Twp/Range/, Accurate Legal Description) IZ] Borings (Locations and Elevations) Q Percent and Direction of Land Slope 0 Well Location (Including Neighboring Wells, if applicable) ri Location of Wetland Areas, FIoodplain and Navigable Waters 13 Buildings, Driveways, and Structures (Location and Descriptions) [^ Location of Property Lines Ef Existing System Location IZI Address Number and Road Name 13 Current Surface Elevation of Wetlands and Navigable Waters ^ CST, Owner and Property Information North Arrow Fee: S5 Certified Soil Tests - Review & Filing Fee . $ 50.00 u/forms/sanitar//checklist/checklistforcsts Ruth Hulstrom From: Allan Polkoski <bearguidenorth@icloud.com> Sent: Tuesday,July 2, 2024 4:26 PM To: Ruth Hulstrom Subject: Re: 81590 Airport Rd Ruth. It's done all the time. Just cross out the old fire # and replace it with the new. Do on plot plan, soil test waiver, sanitary permit app, and the holding tank cover sheet. Thanks. Tony Sent from my iPhone > On Jul 2, 2024, at 4:17 PM, Ruth Hulstrom <ruth.hulstrom@bayfieldcounty.wi.gov> wrote: > > Tony, > > Can the department update the Twedt sanitary application with the 81590 Airport Rd? > > Ruth Hulstrom, AICP | Director > Planning and Zoning Department > 117 E 5th Street, PO Box 58 > Washburn, Wl 54891 > Phone: 715-373-3514 > Fax: 715-373-0114 > Email: ruth.hutstrom@bayfieldcounty.wi.gov >—-Original Message-— > From: Allan Polkoski <bearguidenorth@icloud.com> > Sent: Tuesday, July 2, 2024 3:36 PM > To: Ruth Hulstrom <ruth.hulstrom@bayfieldcounty.wi.gov> > Subject: 81590 Airport Rd > > Chad Twedt new fire # is 81590. He said they applied for it but the > sign hasn't been placed yet. Hope this helps!! Tony Sent from my > IPhone