HomeMy WebLinkAbout16-25S>^-oo2Z\
Soil Test # 1(^7-^5
Bayfield County
Waiver of a Thorough Soil & Site Evajuatipi^ f , ,
(subject to 15-1-10(d)) ^ ll
•.PR 1 ^ <?025 Ll;
I EDWARD JWROBLEWSKI _ a certified soil tester determine that in my professional
judgment the following site (see below) is unsuitable for any treatment compbneirit otHer than; holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
Property Owne r LUKE w & MIRANDA M GROSSKREUTZ _ Contractor ED'S MECHANICAL LLC
Property Address sosao BARK POINT RD _ Authorized Agent EDWARD j WROBLEWSKI
HERBSTER. wi 54644 _ Agent's Telephone 715-209-4055
Telephone_715.607.0194 _ Written Authorization Attached: Y or [N1
Accurate Legal Description is requested:
_1/4 of_1/4 Section 24 Township 51 N. Range °7 W. Town of CLOVER
LOT 1 CSM #2097 (LOCATED IN GOVT LOT 3) IN DOC 2020R-583483Additional Legal Description:.
Govt. Lot Lot Block Subdivision
Lot _ CSM#_ Vol. _ Page _ CSM Doc #.
38084 A^^^^-a 1.225Volume_ Page_of Deeds Tax I.D# ww _Acreage
Indicate reasoning for your determination: CLAY sotLS & EVIDENCE OF SEASONAL HIGH OROUNDWATER
Signature of Certified Soil Tester
^/f^/z<-3
Date
SP-72000013
v1f2,.'/ fi /i/-i Certification #
'til^l.'^
Signature <bf County Official
, 1 (Submit a Plot Plan & Fee)^^J7.S
Date u/fonns/soitleslwaiver(KLK)
pc^^So.oo 4^ 12.S R^H June2018
SR< 0021)
B(TER% Bayfield Countylp2/2^
Soil Test #
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
W ' 7 ^OZ5
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.
Owner LUKE w & MIRANDA M GROSSKREUTZ Contractor ED'S MECHANICAL LLC
Property Address sosso BARK POINT RD _ Authorized Agent EDWARD J WROBLEWSKI
HERBSTER, wi 54844 Aaent's Teleohone 715-209-4055
Telephone_715-607-0194 _ Written Authorization Attached: Y or |N]
Accurate Legal Description is requested:
_1/4 of_1/4 Section 24 Township 51 N. Range °7 W. Town of CLOVER
LOT 1 CSM #2097 (LOCATED IN GOVT LOT 3) IN DOC 2020R-583483Additional Legal Description:.
Govt. Lot Lot Block Subdivision
Lot _ CSM#_ Vol. _ Page _ CSM Doc #
38084 A^-o^-^ 1.225Volume_Page_of Deeds Tax I.D# Muw _Acreage.
Indicate reasoning for your determination: CLAY SOILS & EVIDENCE OF SEASONAL HIGH GROUNDWATER
Signature of Certified Soil Tester
^\\^\^C5
Date
SP-72000013
Certification #
Signature of County Official
(Submit a Plot Plan & Fee)
Date
u/forms/soiltestwaiver(KLK)
June 2018
EDWARD J WROBLEWSKI, CST^SP-72000013
SOIL TEST PLOT PLAN
LUKE. W& MIRANDA MGROSSKREUTZ
90530 BARK POINT RD
LOT 1 CSM #2097 (LOCATED IN GOVT
LOT 3) IN DOC 2020R-583483
S24 T51 N R07W
TOWN OF CLOVER, Wl
SCALE 1"= 50'
N
DRIVEWAY
LAKE
SUPERIOR
HOLDING
TANK
SOIL BORING
0
40 501^T SHEET 2 OF 2
i"l?c
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink):
\^ Check List
^Index Page / Title Sheet (Optional)
Original Soil Evaluation Report (Submitted in Deed Holders Name - not prospective buyers)
Original Plot Plan
a Cross Section Soil Profile Sheet (optional)
D Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
Parcel Identification Number (must be Z3_diait Tax ID#) DO NOT USE 12 digit, they are no longer being used
Property Owner's Information (not prospective buyer's name)
Property Location (Accurate Legal Description with Sec/Twp/Range)
Road Name (where driveway is/will be coming off of)
Floodplain Elevation, Flow Rate, Comments and Recommendations
D 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')
Property Location (Sec/Twp/Range/, Accurate Legal Description)
Borings (Locations and Elevations)
D Percent and Direction of Land Slope
Well Location (Including Neighboring Wells, if applicable)
Location of Wetland Areas, Floodplain and Navigable Waters
Buildings, Driveways, and Structures (Location and Descriptions)
Location of Property Lines
Existing System Location
Address Number and Road Name
^ Current Surface Elevation of Wetlands and Navigable Waters
I? CST, Owner and Property Information
North Arrow
Fee:
D Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforcsts