HomeMy WebLinkAbout104-24 PearsonBayfield County
Soil Test #
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
I EDWARD J WROBLEWSKI _ 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.COLE W & JENAYE L PEARSON
Property Address 30535 WEDAL RD
WASHBURN, Wl 54891
Telephone.612-810-6326
Contractor EDIS MECHANICAL LLC
Authorized Agent_EDWARD J WROBLEWSKI
Agent's Telephone.715-209-4055
Written Authorization Attached: Y or IN I
Accurate Legal Description is requested:
Nw 1/4 of SE 1/4 Section 13 Township 48 N. Range °5 W. Town of BARKSDALE
Additional Legal Description: PAR IN N1/2 SE IN Doc 2024R -603424
Govt. Lot Lot Block Subdivision
Lot_CSM#_
Volume_Page.
Vol.Page CSM Doc #
of Deeds Tax I.D# 35966
Indicate reasoning for your determination:CLAY SOILS
.Acreage.10.0
^-....-
Signature of County Official
7./zz/^y
Date
€^^-Signature of Certified Soil Tester
7///z.^
Date
072000013-SP
Certification #
(Submit a Plot Plan & Fee)
u/forms/soiltestwaiver(KLK)
June 2018
104-24
EDWARD J WROBLEWSKI, CST )?SP-72000013
SOIL TEST PLOT PLAN
COLE W & JENAYE L PEARSON
30535 WEDAL RD
NWSEPARINN1/2SE
IN DOC2024R-603424
313 T48N R05W
TOWN OF BARKSDALE, Wl
SCALE 1"= 50'
N
SOILBORING
^.OT LINE
FUTUREBUILDINGSITE
>100'TO SOUTH LOT LINE
16 20 3D 40 SHEET 2 OF 2
BAYFIELD COUNTYCHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink):
Check List
D Index Page / Title Sheet (Optional)
Original Soil Evaluation Report (Submitted in Deed Holders Name - ngt prospective buyers)
Original Plot Plan
D Cross Section Soil Profile Sheet (optional)
a Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
Parcel Identification Number (must be 21^igit Tax ID#) DO NOT USE 12 digit, they are no longer being used
Property Owner's Information (no£ prospective buyer's name)
\ /(I Property Location (Accurate Legal Description with Sec/Twp/Range)
y^ Road Name (where driveway is/will be coming off of)
D Floodplain Elevation, Flow Rate, Comments and Recommendations
^Complete Soil Boring / Pit Information
'^ Date Soil Evaluation was conducted
^ CST Name, Signature, Number, Address and Phone Number
^*Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
D Bench Mark (Description, Elevation and Location)
a Contour Lines (Example = 98.0796.0794.0')
^p Property Location (Sec/Twp/Range/, Accurate Legal Description)
Borings (Locations and Elevations)
D Percent and Direction of Land Slope
H Well Location (Including Neighboring Wells, if applicable)
D Location of Wetland Areas, Floodplain and Navigable Waters
Buildings, Driveways, and Structures (Location and Descriptions)
Location of Property Lines
D Existing System Location
Address Number and Road Name
D Current Surface Elevation of Wetlands and Navigable Waters
^ CST, Owner and Property Information
fi^ North Arrow
Fee:
Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklisVchecklistforcsts