HomeMy WebLinkAbout29-26RECEIVED
• APR 302026
5k- c7ONo ) Soil Test # 'n_a
Bayfield Co. 77 l0
EN 08 PlanningandzoningAgency Bayfield County
6111)-b Waiver of a Thorough Soil & Site Evaluation
/ (subject to 15-1 -1 0(d))
v� PO (k S GG a 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 G- V (<w° P 4/cxie&i Contractor
Property Address 8%OG L o.r•vtGIC Ra Authorized Age
1"t'�✓''T ly %r\G , W L S H 86 c Agent's Telephone
Telephone -7/5-- `i l3" l 1 ct t Written Authorization Attached: Y or N
Accurate Legal Description is requested:
AJljJ1/4 of S£1/4 Section 3_ Township SO N. RangeA_W. Town ofc1eT W
Additional Legal Description:
Govt. Lot Lot Block Subdivision
Lot CSM# Vol
Volume Page of Deeds
Page CSM Doc #
Tax I.D# a 5 3 _3 Acreage L/ 0
Indicate reasoning for your determination: Redoximorphic features are present within 4
inches of the A horizon. SPS 385.30(2)(b)1
Signature of County Official
Date
Signature o Certified Soil Tester
y -as -z6
Date
11068 -St
Certification #
(Submit a Plot Plan & Fee)
u/forms/soiltestwa ive r(KLK)
June 2018
PAGE 2 OF 4
System Plot Plan - Holding Tank Version 2.1
Owner: Luke P Naber
Site Address: 8700 Larvick Rd, Port Wing, WI 54865
Legal Description: NW1/4 OF THE SE1/4, Section 32,
Township 50N, Range 8W, Town of Port Wing, Bayfield County,
WI
Property boundaries are approximate and for reference only
Pipe Material /ASTM Standard
(Tables 384.30-3, & 384.30-5)
Wieser
Proposed
Addition
SB2 .Existing BM - Top of existing garage
S81 Garage +%oncrete floor. Elevation 100A'
SB3
Driveway
D 10 20 ft
LCEIVED
30 2026
Bayteld Co.
Planning and Zoning Agency
Larvick Road
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.-------------------------------------------- South Property Line 1320'------'
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink):
APR 307026
in Check List Bayfield Co.
14 Index Page / Title Sheet (Optional) Planning and Zoning Agency
f4I Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
1l Original Plot Plan
El Cross Section Soil Profile Sheet (optional)
❑ Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
Twc S
142@PeeVIdentification Number (must be digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
$1 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
F1 Complete Soil Boring / Pit Information
K Date Soil Evaluation was conducted
E CST Name, Signature, Number, Address and Phone Number
® *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
V Bench Mark (Description, Elevation and Location)
❑ Contour Lines (Example = 98.0' /96.0' /94.0')
10 Property Location (Sec/Twp/Range/, Accurate Legal Description)
ISi Borings (Locations and Elevations)
❑ Percent and Direction of Land Slope
K Well Location (Including Neighboring Wells, if applicable)
❑ Location of Wetland Areas, Floodplain and Navigable Waters
V9 Buildings, Driveways, and Structures (Location and Descriptions)
50 Location of Property Lines
El Existing System Location
$1 Address Number and Road Name
❑ Current Surface Elevation of Wetlands and Navigable Waters
EA CST, Owner and Property Information
IR North Arrow
Fee:
IF Certified Soil Tests - Review & Filing Fee $ 50.00
U/forms/sanitary/check] ist/checkl istforests
-13 -AFIELD 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:
NABER, LUKE P
PO BOX 185
PORT WING, WI 54865
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00401
Transaction Number:
SR -00401-45393
Amount
$50.00
Total: $50.00
Payment Amount:
Reference: 6302
Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847
Payment Type: Check
Transaction Date: 5/7/2026
$50.00
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.