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1984/05/09 - SANITARY - SAN - New Non-Press - 11300
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1984/05/09 - SANITARY - SAN - New Non-Press - 11300
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Last modified
1/5/2023 10:51:12 AM
Creation date
1/5/2023 10:48:50 AM
Metadata
Fields
Template:
Property Files v2
Document Date
5/9/1984
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
11300
State Permit Number
52706
Tax ID
3295
Pin Number
07-008-2-38-14-18-5 05-007-014000
Legacy Pin
008211804300
Municipality
TOWN OF DEWEY
Owner Name
DANIEL & SUSAN LINDSTROM
Property Address
23721 BASHAW TRL
City
SHELL LAKE
State
WI
Zip
54871
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r • <br /> 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 section%must clearly indicaV 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 <br /> OTHER 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 your test locations. Drawing to scale is preferred. A <br /> separate sheet may be used'if desired; <br /> 8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; <br /> 9. Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- <br /> tion, if 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 your certification number; <br /> 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE <br /> LOCAL AUTHORITY WITHIN 30 DAYS OF CWPLETION. r <br /> ABBREVIATIONS FOR CERTIFIED SOIL TESTERS <br /> •t . • <br /> Soil Separates and Textures Other Symbols <br /> st — Stone (over 10") BR -- Bedrock <br /> cob Cobble (3- 10") SS — Sandstone <br /> gr -- Gravel (under 3") LS — Limestone <br /> "s — Sand HOW -- High Groundwater <br /> cs .- Coarse Sand _ • Pere • Percolation Rate • <br /> `. <br /> mud s -- Medium Sand V1J ell <br /> fs'-- Fine Sand • Bldttl - Building <br /> Is — Loamy Sand > -- Greater Than <br /> `_ sl Sandy Loam K'. Less Than • <br /> "I -_. Loam Bn Bro'wro <br /> sil -- Silt Loam BI -- Black <br /> si — Silt Gy Gray <br /> `cl Clay Loam Y -- Yellow <br /> scl --- Sandy Clay Loam R — Red <br /> sicl — Silty Clay Loam mot — Mottles <br /> sc -- Sandy Clay . w%-:-• with <br /> - tic --- Silty-Clay . ._ fff -- few, fine, faint, <br /> c ---. Clay €c cormmon,' oarse : . <br /> pt -- Peat trim — Many, medium <br /> nt -- Muck d — distinct <br /> p -- prominent .. <br /> HWL — High water level, <br /> x Six general soil textures surface water <br /> for liquid waste disposal BM — 8enchlVlark <br /> VRP -- Vertical Reference Point <br /> • <br /> • <br /> TO THE OWNER: r <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 <br /> sewage system and a permit application must be submitted to the appropriate local authority in order to <br /> obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction; -� <br />
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