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2023/05/15 - SANITARY - SAN - New Non-Press - SAN-22-229
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2023/05/15 - SANITARY - SAN - New Non-Press - SAN-22-229
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Last modified
10/25/2023 11:56:30 AM
Creation date
10/25/2023 11:52:05 AM
Metadata
Fields
Template:
Property Files v2
Document Date
5/15/2023
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-22-229
State Permit Number
648622
Tax ID
6887
Pin Number
07-012-2-40-15-10-5 15-128-204000
Legacy Pin
012925020500
Municipality
TOWN OF JACKSON
Owner Name
MDWST LLC
Property Address
29075 DEERPATH PASS
City
DANBURY
State
WI
Zip
54830
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Wisconsin Department of Safety and Professional Services a_I 75, <br /> Division of Industry Services (��v! oG^ <br /> SOIL EVALUATION REPORT page 1 of 4 <br /> in accordance with SPS 383,Wis. Adm. Code <br /> County BURNETT <br /> Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must <br /> include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 07-012-2-40-15-10-5 15-128-204000 <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. <br /> Please print ail information. d by Date <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s 15.04(1)(m)). I (11/'/1 n <br /> Property Owner Property Location <br /> MDWST LLC(KEVIN BREISTER) Govt.Lot --- 1/4 1/4 S 10 T 40 N R 15 EE((or© <br /> Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# <br /> 112 FAIR MEADOWS LANE 195 -- DEERPATH ADDN.TO VOYAGER VILLAGE <br /> City State Zip Code Phone Number City 0 Village []Town Nearest Road <br /> FOREST CITY, I IA 1 50436 1 1 515) 777-5325 JACK.SON 1 DEERPATH PASS <br /> 0 New Construction Usep Residential/Number of bedrooms 2 Code derived design flow rate 300 GPD <br /> 0 Replacement 0 Public or commercial-Describe. <br /> Parent material SANDY OUTWASH Flood Plain elevation if applicable NA ft <br /> General comments CONVENTIONAL INGROUND TRENCHES--0.5 LOADING RATE <br /> and recommendations: <br /> PROPERTY ADDRESS: DEERPATIIPASS <br /> 1 Boring# �D Boring <br /> El pit Ground surface elev. 103.40 ft. Depth to limiting factor 65 in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff <br /> in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2 <br /> 1 0-6 7.5YR.2.5i2 -- Is Osg dl cs 3vf-co 0.7 1.6 <br /> 2 6-16 7.5YR3/3 -- Is Osg dl gs 2vf=co 0.7 1.6 <br /> 3 16-58 7.5YR4/4 -- s Osg dl. as I of-m 0.7 1.6 <br /> 4 58-65 5YR4/4 - Ifs Om dsh -- -- 0.5 1.0 <br /> some gr/few cobs <br /> 2 Boring# 0 Boring 100.10 55 <br /> Q Pit Ground surfaceelev. ft. Depth to limiting factor in. <br /> Soil Application Rate <br /> Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f <br /> in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 <br /> 1 0-6 7.5YR2.5/2 — Is Osg dl es 3vf-co 0.7 1.6 <br /> 2 6-50 7.5YR4/4 -- s Osg dl as I of-co 0.7 1.6 <br /> 3 50-55 5YR4/4 -- Ifs Om dsh -- __ 0.5 1.0 <br /> some gr.%few cobs <br /> 'Effluent#1=BOD,>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD,�<30 mg/L and TSS<30 mg/L <br /> CST Name(Please Print) Signature T Nut be <br /> MARY JO HUPPERT(HOLLISTER'S SOIL TESTING& DESIGN � N�' it, 224832 <br /> Address at#Evaluation Condl Telephone Number <br /> 25720 FIREFLY LANE,WEBSTER,WI 54893 09- 19,2022 715-426- 1775 <br /> S13D-8330(R07/13) <br />
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