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2008/06/16 - SANITARY - SAN - Other
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TOWN OF LINCOLN
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10647
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2008/06/16 - SANITARY - SAN - Other
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Last modified
3/6/2020 12:07:10 AM
Creation date
9/29/2017 5:14:38 PM
Metadata
Fields
Template:
Property Files v2
Document Date
6/16/2008
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
10647
Pin Number
07-016-2-39-17-15-3 04-000-013000
Legacy Pin
016341502820
Municipality
TOWN OF LINCOLN
Owner Name
PAULA MARIE DOLL
Property Address
26065 LHOTKA RD
City
WEBSTER
State
WI
Zip
54893
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INSTRUCTIONS FOR COMPLETING FORM 115- SBD - 6395 <br /> To be a complete and accurate soil test,your report must include: <br /> 1. Complete legal description; <br /> 2. The use suction must clearly indicate whether this is a residence or commercial project; <br /> 3. MAXIMUM number of bedrooms or commercial use planned; <br /> 4. Is this a new or replacement system; <br /> 5. Complete the suitability rating boxes.A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER <br /> SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; <br /> 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; <br /> 7. MAKE A LEGIBLE diagram accurately locating yourtest locations.Drawing scale is prefered.A separate sheet <br /> may be used if desired; <br /> S. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; <br /> 9. Complete all apropriate boxes as to dates, names,addresses,flood plain data, percolation test exemption,if <br /> appropriate; <br /> 10. If the information (such as flood plain,elevation)does not apply,place N.A.in the appropriate box; <br /> 11. Sign the form and place your current address and yur certification number; <br /> 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL <br /> AUTHORITY WITHIN 30 DAYS OF COMPLETION. <br /> ABBREVIATIONS FOR CERTIFIED SOIL TESTERS <br /> Soil Separates and Textures Other Symbols <br /> at — Stone (over 10") BR — Bedrock <br /> cob — Cobble (3 - 10") SS — Standstone <br /> gr — Gravel (under 3") LS — Limestone <br /> 'a — Sand HGW — High Groundwater <br /> cs — Coarse Sand Parc — Precolation Rate <br /> meds — Medium Sand W — Well <br /> 1s — Fine Sand Bldg — Building <br /> Is— Loamy Sand > — Greater Than <br /> 'sl — Loamy Sand < — Less Than <br /> '1 — Loam Bn — Brown <br /> 'sil — Silt Loam BI — Black <br /> sl — Slit Gy — Gray <br /> cl — Clay Loam Y — Yellow <br /> act — Sandy Clay Loam R — Red <br /> sicl — Silty Clay Loam mot — Mottles <br /> sc — Sandy Clay w/ — with <br /> sic — Silty Clay fff — few, fine, faint <br /> 'c -- Clay - cc — common, coarse <br /> pt — Peat mm — Many, Medihm <br /> m — Muck d — distinct <br /> p — prominent <br /> HWL — High water level, <br /> surface water <br /> Six general soil textures RM — Bench Mark <br /> for liquid waste disposal VRP — Vertical Reference Point <br /> TO THE OWNER: <br /> This soil test report is the first step in securing a sanitary permit. The county or the Department may request <br /> verification of this soil test in the field prior to permit issuance.A complete set of plans for the private sewage system <br /> and a permit application must be submitted to the appropriate local authority in order to obtain a permit.The sanitary <br /> permit must be obtained and posted prior to the start of any construction. <br />
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