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Bayfield County / Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
I, A l / ctyl F) / f `' e S k't 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.
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Property Owner I)o n I f^e iC Contractor
Property Address !3 e vi 50— i k
t�J1
Telephone 7& 3 7O
Accurate Legal Description is requested:
/') 611/4 of NU! 1/4 Section Li' Towi
Additional Legal Description:
Authorized Agent
Agent's Telephone
Written Authorization Attached: Y or N
ishipN. Range W. Town of_________
Govt. Lot Lot Block Subdivision
Lot CSM# Vol. Page CSM Doc #
Volume Page of Deeds Tax I.D# IA SS S17 S Acreage Vo cc `/
Indicate reasoning foryour determination: W e l C lcy c7 So Is - i f s c 6l�
To c q i/ o f L -ter
Signature of Count Official
ev- c/L'
Si fiature of Certified Soil Tester
S -/-z�
Date
Certification #
(Submit a Plot Plan & Fee)
Date
u/form s/soi ltestwa iver(KLK )
June 2018
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RECEIVED
MAY 11 Z026
Bayfield Co.
Planning and Zoning Agency
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BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink):
0 Check List
acr-,VEO
MAY 112026
eayfield Co.
Planning and Zoning Agency
m Index Page / Title Sheet (Optional)
121 Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
i6 Original Plot Plan
❑ Cross Section Soil Profile Sheet (optional)
❑ Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
Z Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
d Property Owner's Information (not prospective buyer's name)
O Property Location (Accurate Legal Description with Sec/Twp/Range)
l Road Name (where driveway Is/will be coming off of)
m Floodplain Elevation, Flow Rate, Comments and Recommendations
El Complete Soil Boring / Pit Information
9 Date Soil Evaluation was conducted
d CST Name, Signature, Number, Address and Phone Number
O *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
l Bench Mark (Description, Elevation and Location)
U Contour Lines (Example = 98.0' /96.0' /94.0')
Z Pioperty Location (Sec/Twp/Range/, Accurate Legal Description)
Z Borings (Locations and Elevations)
LI Percent and Direction of Land Slope
Li Well Location (Including Neighboring Wells, if applicable)
Ll Location of Wetland Areas, Floodplain and Navigable Waters
Z Buildings, Driveways, and Structures (Location and Descriptions)
E6 Location of Property Lines
CI Existing System Location
Z Address Number and Road Name
Z Current Surface Elevation of Wetlands and Navigable Waters
I6 CST, Owner and Property Information
IFS North Arrow
Fee:
[A Certified Soil Tests - Review & Filing Fee $ 50.00
U/forms/sanitary/checklisr/checklistforests
Tracy Pooler
From: Tracy Pooler
Sent: Wednesday, May 13, 2026 9:22 AM
To: 'tony bearguidenorth.com'
Subject: RE: Tax 25875 - Felix soil test ?
Thanks
In the future please do it on a soil profile form.
Tracy Pooler - AZA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax:715-373-0114
Email: tracy.pooler@b je psi ty.wiTgov
I34YFIELD
Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have
received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our
office at zonThg@izayfi.eidcounty.wi.eov or 715 373-6138 with any questions or concerns.
From: tony bearguidenorth.com <tony@bearguidenorth.com>
Sent: Wednesday, May 13, 2026 8:23 AM
To: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov>
Subject: Re: Tax 25875 - Felix soil test ?
A few inches of black topsoil and the rest clay
Sent from my iPhone
On May 13, 2026, at 8:02 AM, Tracy Pooler <tracy poolerC�ba ieldcounty.wi.gov> wrote:
Tony,
What is the soil profile of the soil test that you did at Felix?
Tracy Pooler- AZA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
A TFj IELD 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:
DONALD & CAROLINE FELIX FAMILY
LAND TRUST LLC
13882 85TH ST NE
OTSEGO, MN 55330
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00411
Transaction Number:
SR -00411-458A1
Amount
$50.00
Total: $5U.UU
Payment Amount: $50.00
Reference: 6308
Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847
Payment Type: Check
Transaction Date: 5/13/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.