HomeMy WebLinkAbout88-26Soil Test #
l) a D Bayfield County U 1p
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 PAYNE FAMILY REV LIVING TRUST
Contractor ED'S MECHANICAL LLC
Property Address
93195 LITTLE SAND BAY RD Authorized Agent EDWARD J WROBLEWSKI
Telephone
BAYFIELD, WI 54814
406-431-1345
Accurate Legal Description is requested:
Agent's Telephone 715-209-4055
Written Authorization Attached: Y or ND
SE 114 of SW 1/4 Section 04 Township 51 N. Range Q4 W. Town of
RUSSELL
Additional Legal Description: PCL IN SE SW DESC IN V.847 P555 IN DOG 2021R-589283
Govt. Lot Lot Block Subdivision
Lot CSM# Vol. Page CSM Doc #
Volume Page of Deeds Tax I.D#28954 Acrea 9a 9.969
Indicate reasoning for your determination: CLAY SOILS
RECEIVED
JUL 092026
Bay5nld Co
Planning and Zonm9 Agency
Signature9J Coun fficial
iW 61l (61p0aC floe
Date
Signature of Certified Soil Tester
G /Z /2 (m
Date
SP -72000013
Certification #
(Submit a Plot Plan & Fee)
u/forms/soittesMraiver(KLK)
June 2018
EDWARD J, WROBLEWSKI, CST #SP -72000013
SOIL TEST PLOT PLAN
PAYNE FAMILY REV LIVING TRUST
93195 LITTLE SAND SAY RD
BAYFIELD, WI 54814
PCL IN SE SW DESC IN V.847 P.555 IN
DOC 2021 R-589283
S04 T51N RO4W
TOWN OF RUSSELL, WI
SCALE 1" = 80'
0 0 0 s eD T
S EXISTING PRIVY
5 11
O
8
O501L BORING
1
NW'TO SOUTH LOT LINE 2
V'Y
aC
n
CC
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iii
2
z
>100' TO NORTH LOT LINE
I
EXISTING
POLE BUILDING
OWELL
DRIVEWAY
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
rEVED
Submit the Following (Use Permanent Ink):
Check 0 9 2026
heck List
BaYfield Go.
❑ Index Page / Title Sheet (Optional) planning a," A5enc/
'\ Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
Original Plot Plan
❑ Cross Section Soil Profile Sheet (optional)
❑ Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
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
❑ Complete Soil Boring / Pit Information
Date Soil Evaluation was conducted
CST Name, Signature, Number, Address and Phone Number
*Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
❑ Bench Mark (Description, Elevation and Location)
❑ Contour Lines (Example = 98.0' /96.0' /94.0')
Property Location (Sec/Twp/Range/, Accurate Legal Description)
Borings (Locations and Elevations)
❑ Percent and Direction of Land Slope
X Well Location (Including Neighboring Wells, if applicable)
❑ Location of Wetland Areas, Floodplain and Navigable Waters
Buildings, Driveways, and Structures (Location and Descriptions)
Location of Property Lines
❑ Existing System Location
Address Number and Road Name
El 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/checklist/check) istforests
..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 i Submission Number:
PAYNE FAMILY REV LIVING TRUST, SR -00462
136 TUKE LN
TWIN BRIDGES, mt 59754 Transaction Number:
SR-00462-4A0AD
Description Amount
Certified Soil Tests - Review & Filing Fee $50.00
Total: --------- --- $50.00
Payment Amount: $50.00
Reference: 3037
Paid by: Ed's Mechanical, 1491 County Hwy C, Washburn WI 548911.
Payment Type: Check
Transaction Date: 7/16/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.