HomeMy WebLinkAbout137-26SR- oo5(a-
Soil Test #/j7 .Z ;
Bayfield County
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1 -1 0(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.
ENTERED
q/jg4t
Property Owner CAROLYN SNEED Contractor ED'S MECHANICAL LLC
`7f50
Property Address - gG -EODIN RD
WASHBURN, WI 54891
Telephone 715-373-2537
Accurate Legal Description is requested:
Authorized
Agent's Telepho
EDWARD J WROBLEWSKI
715-209-4055
Written Authorization Attached: Y or N)
SE 1/4 of NE 1/4 Section 21 Township 49 N. Range 04 W. Town of.
BAY VIEW
Additional Legal Description: LOT 1 CSM #1640 IN V.9 P.368 (LOCATED IN GOVT LOT 2 SEC 21 & GOVT LOT 1 SEC 22)
Govt. Lot 1 Lot Block Subdivision
Lot CSM# 1640 Vol. Page CSM Doc #
Volume Page of Deeds Tax I.D# 34069
Indicate reasoning for your determination: CLAY SOILS
ge 3.15
q 2@26 Signature of Certified Soil Tester
Date
SP -72000013
(m(\
Signature Cu ty Offi�il
ST l ( S
Certification #
(Submit a Plot Plan & Fee)
Date - "
u/forms/soi Ileslwaive r(K LK)
June 2018
EDWARD J. WROBLEWSKI, CST #SP -72000013
SOILT
CAROI
78650
WASH
LOT 1
2 SEC
S21 T4
TOWN
SCALE
SHEET 3 OF 3
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink):
! Check List
❑ Index Page / Title Sheet (Optional)
4 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
Prooerty 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)
O 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
K*Date Stamp*
SEP 14 2026
Bayfield Co.
Planning and Zoning Agency
Plot Plan: (Include the following information drawn to dimension or to scale)
O Bench Mark (Description, Elevation and Location)
O 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
Well Location (Including Neighboring Wells, if applicable)
Location of Wetland Areas, Floodplain and Navigable Waters
Buildings, Driveways, and Structures (Location and Descriptions)
IP(Location of Property Lines
kExisting System Location
Address Number and Road Name
❑ Current Surface Elevation of Wetlands and Navigable Waters
CST, Owner and Property Information
1North Arrow
Fee:
Certified Soil Tests - Review & Filing Fee $ 50.00
U/forms/sanitary/checklist/checklistforests
B-�YFIELD
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: Submission Number:
SNEED, CAROLYN SR -00512
78650 BODIN RD
WASHBURN, WI 54891 Transaction Number:
SR -00512-5622F
Description Amount
Certified Soil Tests - Review & Filing Fee $50.00
Total: $50.00
Payment Amount: $50.00
Reference: 3102
Paid by: Ed's Mechanical, 1491 County Hwy C, Washburn WI 54891
Payment Type: Check
Transaction Date: 9/24/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.