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1984/06/05 - LAND USE - LUP - Dwelling/Principle Building - Single Family - 11378
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1984/06/05 - LAND USE - LUP - Dwelling/Principle Building - Single Family - 11378
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Last modified
11/15/2024 4:00:26 PM
Creation date
11/15/2024 3:02:37 PM
Metadata
Fields
Template:
Property Files v2
Document Date
6/5/1984
Document Type 1
LAND USE
Document Type 2
LUP
Document Type 3
Dwelling/Principle Building - Single Family
County Permit Number
11378
State Permit Number
52740
Tax ID
21628
Pin Number
07-032-2-41-15-26-5 05-003-028000
Legacy Pin
032522607000
Municipality
TOWN OF SWISS
Owner Name
MIKAEL K DAHLSTROM ANDREW K DAHLSTROM PETER K DAHLSTROM MADGALENE M FOSSAND
Property Address
4446 ROOKERY RD
City
DANBURY
State
WI
Zip
54830
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INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 <br /> To be a complete an13 accurate soil test,your report must include: <br /> 1. Complete legal description; <br /> 2. The use section must clearly indicate whether this is,"o r,esidencc 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,Iocations. Drawing tq 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 re<tuired. ALL SOIL TESTS MUST BE FILED WITH THE <br /> LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. <br /> . f <br /> ABBREVIATIONS FOR CERTIFIES? SOIL TESTERS <br /> Sopil Separates and.Textures Other Symbols <br /> st - Stone (over 10") BR Bedrock <br /> cols - Cobble (3 - 10") SS Sandstone <br /> gr - Gravel (under 3") LS Limestone <br /> �s - Sand HGW - High Groundwater <br /> cs. - Coarse Sarni Perc - Percolation Bate <br /> need s - Medium Sand W t l <br /> f's Fine Sand Bldg - Building <br /> Is Loamy Sand Greater Than <br /> "sl Sandy Loam < - Les; Than <br /> I - Loam Bra _ F3rca4°,rr <br /> sil Silt Loam Bi - BIacP, <br /> si _. Silt. Gy -._ (, ay <br /> p <br /> rl Clay Loam Y - YeII <br /> sci .-- Sandy Clay L i ,3t, P - Red <br /> sic, - SI,y Clay Loam mot - MiiotiWS <br /> 4c, ..- Sandy Clay w/ vvi0 <br /> sic - SiltY,Clay fff fe'v, €rnr=, t'!; t <br /> `c Clay ec t;tPIW1;rrr. rsa°r,:f= <br /> pt Pea Intl - Many, r1'-1W li=un1 <br /> rn - Mock ci - distinct <br /> p - prornirtE rrr <br /> HWL - High v,.ater love€, <br /> Six general soil textm- s s,I�riaco v",atet <br /> s for liquid waste disposal BM - Bench Nark <br /> VRP Vertical Reference Poiml' <br /> TO THE OWNER. <br /> This soil test report is the first stop in securing a sanitary permit.The county or the Department may rertuest <br /> verification of this soil test ill the field prior to permit issuance, A complete stet of plans for the privatr! <br /> sewage system and a permit application must be submitted to the approptiaie: local authority in order to <br /> attain <a perrnit. The sanitary permit must he obtained and posted pi iol to the start of any c0nstructi01I, <br />
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