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Home My WebLink About83-24 Kreuser Trust-CookSoil Test # Q^^ Bayfield County Waiver of a Thorough Soil & Site Evaluation (subject to 15-1-10(d)) \^ S^l l^iA _jl~€> ^ ^"as ^ i 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 eyalyation is not needed to make such a determination. p^,r Lc\^\ ^/\n/\^ i^^^ }/M^^ "iTl/'ST^^ Y^L^-^1- F^WL'f T/^LST" Property Owner ^c'l-^-t-^ (_e»o ^ _ Contractor. Property Address ^<1l/^° 'B<s^^ f>c,^j-^<i Authorized Agent__ •f4 ^ ^ ^'5 ^-&- r ^3 T Agent's Telephone./ Telephone ^^ ^/^<:fo2-3 _ Written Authorization Attached: Y or N Accurate Legal Description is requested: J /4 of _1 /4 Section ^ Township ^V N . Range_7__W. Town of ^c^^^ ^^r~^ , J_~~_ ^:Additional Legal Description: <$-D'J T L'^~ts ^ ^ (' Govt. Lot _Lot _Block _Subdivision Lot _ CSM#_ Vol. _ Page _ CSM Doc # Volume_Page_of Deeds Tax I.D#_J_2_L£L£_Acreage ^3 Indicate reasoning for your determination: tJ^'t' cl^^'e-^ S o ' ^- A^3 c^^e^ ^LOT$ ^c.^ i^ ^-rf<7/^i 4-^ -T'^-r /oc^-/,^-</^<c^ Signature of Certified Soil Tester ^/-2./ Date LS:T Z2floc?o Certification # ?^^$0 -71Z4ZM R^Hof County Official (Submit a Plot Plan & Fee) Date u/forms/soiltestwaiver(KLK) June 2018 I » ' w " tS l F - T? p IS •c . & r t ~; K ' 7 8 >? - - D t f t tf t ^ W • • _ ' :J ' o ^ ^ - . 1' ? ^ .. - > 5 ^ ^ ^ ^ - ' «< " J L £> ~ T l 0~ - 0 £^~ < ' c Y ; 06 ^ IV i ^. h . O ^ '• n p ° ~ 3' S 11 ° L , ' * ft ^ S ( 6 f r < >^ - ' f - '? . » . -v ^ P ( i ?i<6^p ^ ^ y ^. t^^& ~ - !i - a- ? a • (f t 5- ?^^r.f^ tA r\ '< A ~u <c * .^a®^ ^? ? ^ i a ^ %s s ? . ?' ( / ) ^ ^ S 2 ^ - s ' ~ ? ~ ? :~ v ? ^ o- . ^ . .^ " ^ ^ "3 K i ^- a f t 0i J ? ^ & _ m^ ? - ^) ? ^ ' ' r< » A < - Q Te ' V, 's S - R - JL ' I W ts ? ? ' ^ c» ^§^"^ ^s — & ?i T ' r 6 > ©^. ^ 0' i00 ^_ ^ k ^ ^" A . " " ^ " ^^ ? ^ /^ , -^ ^ s r- ~ ^ f ' ^ y yU ^ - ^ ^ - °^ ? * ~ G - ~ n w ? y ^ ^ f t ^ ~ ^i p — c 4 - .^ 1 : - ^?!^ ^i W ° Je - e . . k . ' . - \ - e t ^. b : : ^ ^ ' : ' : y i ^! J ^ ^ ^ n t^ - f A F . 6 ~ . ^ u\1. z^ / c? "0 -f - Uv ) ^ -Y -h » &_ . - ^ - ' ^ ^ ' ? > ^ ^ .? a < - ? ~ r ^ ' % ^[ j c s ^ ? ' r " s t e ? 5 S - ' h " , ^ • ^- n s — 1 " ^ ^ 0 ' ^ ^ ' + ^ c - ? ^ ^• s r- f t ^1 5 ° .^ ^ J J\ f ^ j^ s l ^< S - \ J ^ ^[ £ ; o < s-< » ^> , * ^ & ! ?r r ^ i< 4 »^ (t t V * . i^ ' X l ^ O a S °^ J . I w? ^ -• ^ - < BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): 13 Check List [0 Index Page / Title Sheet (Optional) El Original Soil Evaluation Report (Submitted in Deed Holders Name - not prospective buyers) El Original Plot Plan D Cross Section Soil Profile Sheet (optional) D Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) E] Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used E Property Owner's Information (not prospective buyer's name) El Property Location (Accurate Legal Description with Sec/Twp/Range) 0 Road Name (where driveway is/will be coming off of) 1Z! Floodplain Elevation, Flow Rate, Comments and Recommendations 0 Complete Soil Boring / Pit Information El Date Soil Evaluation was conducted [3 CST Name, Signature, Number, Address and Phone Number D *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) gS Bench Mark (Description, Elevation and Location) EJ Contour Lines (Example = 98.0f/96.0794.0') 12 Property Location (Sec/Twp/Range/, Accurate Legal Description) 0 Borings (Locations and Elevations) E3 Percent and Direction of Land Slope 0 Well Location (Including Neighboring Wells, if applicable) ri Location of Wetland Areas, Floodplain and Navigable Waters IZt Buildings, Driveways, and Structures (Location and Descriptions) @1 Location of Property Lines @f Existing System Location El Address Number and Road Name £1 Current Surface Elevation of Wetlands and Navigable Waters 0 CST, Owner and Property Information North Arrow Fee: Sl Certified Soil Tests - Review &. Filing Fee $ 50.00 . . u/forms/sanitary/checklist/checklistforcsts