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Soil Test #
Bayfield County
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1 -1 0(d))
I _i3. J;tm / a certified soil tester determine that in my professional
judgment the following site kee 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 OwnerA&( T/D✓e/l Contractor _
Property Address '13C 13C eo. '/.C Authorized Agent ?X.d, "/%
fIJI Agent's Telephone
Telephone 7J3 —S2 77 Written Authorization Attached: Y or N
Accurate Legal Description is requested:
≤LJ 1/4 of 1/4 Section_ 9 Township N. Range W. Town of a o
Additional Legal Descri
Govt. Lot Lot Block Subdivision
Lot CSM# Vol. Page CSM Doc #
Volume Page of Deeds Tax l.D# c 33')SAcreage 90
Indicate reasoning for your determination:
)r311. nm
Signature of Certified Soil Tes er
Date
61LE° 22 X939
Certification #
Signature of County Official
(Submit a Plot Plan & Fee)
Date Q 1
JU1V 1 LO� u/farms/soiltesRvaiver(KLK)
Bays Z c04meacl June 2018
P%rx0o and
SUPERIOR
PLUMBING MECHANICAL
(715)278-3456
Sf3�
CST# 221939
Nof T sc,le
PIN: 23375
40 Acres
SW SE S9 T46N R6W
Town of Mason
Bayfield Co.
Customer Name: Chase Hoven
Adress: 63770 Franciskovich Rd.
Ashland, WI 54806
SITE: 621335 co Hwy E Mason
Phone #: 715-209-5097
Email: @chaseh1486@gmail.com
No Well on site
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13-4--YFIELD I E LD Bayfield County
Planning & Zoning Department
117 E 5a, Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
HOVEN, CHASE SR -00427
63770 FRANCISKOVICH RD
ASHLAND, WI 54806 Transaction Number:
SR-00427-47CFC
Description Amount
Certified Soil Tests - Review & Filing Fee $50.00
Total: $50.00
Payment Amount: $50.00
Reference: 10756
Paid by: Superior Plumbing & Mech Inc, 1015 11th Ave E, Ashland WI 54806
Payment Type: Check
Transaction Date: 6/ 16/ 2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.