HomeMy WebLinkAbout142-25ECEIVED
NOV 0 7 2025 Soil Test # 14
Bayfield County
Bayfield Co.
Planning and Zoning Agenq 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 WILLIAM A HOLM & CHRISLEE A JACOBS Contractor ED'S MECHANICAL LLC
Property Address 16535 BARK BAY RD
HERBSTER, WI 54844
Authorized Agent EDWARD J WROBLEWSKI
Agent's Telephone 715-209-4055
Telephone 612-394-3901 Written Authorization Attached: Y or NO
Accurate Legal Description is requested:
SW 1/4 of NE 1/4 Section 34 Township 51 N. Range 07 W. Town of CLOVER
I
Additional Legal Description: PAR N SW NE IN V.109 P.237
Govt. Lot Lot Block Subdivision
Lot CSM# Vol. Page CSM Doc #
Volume Page of Deeds Tax I.D# 35668
566'
6.51
Indicate reasoning for your determination: CLAY SOILS AND EVIDENCE OF SEASONAL HIGH GROUNDWATER
X3713
Signature of County Official
Date
Signature of Certified Soil Tester
rl/z/zS
Date
SP -72000013
Certification #
(Submit a Plot Plan & Fee)
u/form s/so i ltestwa ive r(KLK)
June 2018
EDWARD J. WROBLEWSKI, CST #SP -72000013
SOIL TEST PLOT PLAN
WILLIAM A HOLM AND CHRISLEE A JACOBS
16535 BARK BAY RD
HERBBTER, WI4844
PAR IN SW NE IN V.108 P.237
S34 T51N R07W
TOWN OF CLOVER, WI
SCALE 1" = 50'
BARK BAY RD
0 1t 0 + ZO JO 40 SOFT
SHEET 2 OF 2
l'ECEivErJ BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit l%%Fbllow ng (Use Permanent Ink):
sayfield Co.
Planning and Zoning Agency+
,Check List
❑ Index Page / Title Sheet (Optional)
Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
Original Plot Plan
El Cross Section Soil Profile Sheet (optional)
El Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
l Parcel Identification Number (must be 23 digit 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
i Complete Soil Boring / Pit Information
Date Soil Evaluation was conducted
5CST Name, Signature, Number, Address and Phone Number
O *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
O Bench Mark (Description, Elevation and Location)
O Contour Lines (Example = 98.0' /96.0' /94.0')
Property Location (Sec/Twp/Range/, Accurate Legal Description)
Borings (Locations and Elevations)
O Percent and Direction of Land Slope
El Well Location (Including Neighboring Wells, if applicable)
O Location of Wetland Areas, Floodplain and Navigable Waters
Buildings, Driveways, and Structures (Location and Descriptions)
Location of Property Lines
❑ Existing System Location
!lAP Address Number and Road Name
❑l Current Surface Elevation of Wetlands and Navigable Waters
CST, Owner and Property Information
North Arrow
Fee:
Certified Soil Tests - Review & Filing Fee $ 50.00
U/forms/sanitary/check) ist/checklistforests
FIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
HOLM, WILLIAM A
4210 21ST AVE S
MINNEAPOLIS, MN 55407
JACOBS, CHRISLEE A
4210 21ST AVE S
MINNEAPOLIS, MN 55407
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00359
Transaction Number:
SR -00359-38552
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 2817
Paid by: Ed's Mechanical, 1491 County Hwy C, Washburn WI 54891
Payment Type: Check
Transaction Date: 11/ 12/ 2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.