HomeMy WebLinkAbout53-23RECEIVi--.:
JUN 052023 soil Test # _ o — O
Bayfield Countysayfield Co.
Waiver of a Thorough Soil ite-Evaluation
(subject to 15-1 -1 0(d))
I R .&C -t t/ 'i$ 1 -K( y0 -'/V 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 f'1kTrk- 7# //lMM tLANOSKZ Contractor
Property Address// 6 50 SLGKSCN Rai Authorized Agent
M�so,t/ , W i S4 gS(o Agent's Telephone
Telephone 7/5 -9a-0 78S Written Authorization Attached: Y or N
Accurate Legal Description is requested:
SW 1/4 of S iti71/4 Section a° Township `/7 N. Range W. Town of C zLSFA/
Govt.
Lot Lot Block Subdivision CSM#
Volume Page of Deeds Parcel I.D# ��808 Acreage 29. -S
Additional Legal Description:
Indicate reasoning for your determination: 'A
A {-}D(Ltzoiu IL -Si 7 (n,v L/
To Sfr5oN1tL 51tlyR4-I on/.
^Y, �E�'trirz
Signature of Certi ied Soil Tester
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Date
'7oV VF
Certification #
Si n ture of County Official
Date
(Submit a Plot Plan & Fee)
u/forms/soiltestwa iver(K LK)
February 2005
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