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2021/12/13 - SANITARY - SAN - Repl Non-Press - SAN-21-350
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2021/12/13 - SANITARY - SAN - Repl Non-Press - SAN-21-350
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Last modified
12/16/2021 10:20:02 AM
Creation date
12/16/2021 10:09:33 AM
Metadata
Fields
Template:
Property Files v2
Document Date
12/13/2021
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-21-350
State Permit Number
640688
Tax ID
35923
Pin Number
07-008-2-38-14-17-2 01-000-011100
Municipality
TOWN OF DEWEY
Owner Name
MARK A KNOOP
Property Address
2825 LAKEVIEW CHURCH RD
City
SHELL LAKE
State
WI
Zip
54871
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PAGE 1 OF 5 <br /> In-Ground Dosed-Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10705-P (N.01/01, R. 10/12) <br /> Pg 1 of 5 Index & Cover Sheet <br /> Pg 2 of 5 Plot Plan <br /> Pg 3 of 5 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 5 Pump Tank Specifications <br /> Pg 5 of 5 Management Plan <br /> Attachments: Enclosures: <br /> Pump Curve POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): play A.©o) Phone: - - <br /> Owner Address: 29 3 0 ,( ,,,41.x,..) GK Kd 5 i7 kc.o.1- Zip: 51/g7/ <br /> Project Address: 225 ✓- /Lc& 54'7/ <br /> Govt. Lot: NE 1/4 of It}W 1/4, Section / 7 , T 3 N-R / ./ E [Dor w n <br /> Township: Oe_t,�r County: exAr'Ad/ <br /> Project Parcel ID#: 07- OD$- 2- /y- //-Z ©/ - - o//c�x:1 <br /> //�� Designer/ Information <br /> Designer Name: l-le root K.)e e Seri. Phone: WS - '4'6- a?yy <br /> Designer Address: Lc)93(,b weej y .54,J/43401 Zip: Sy87/ <br /> E-mail: ?hi,space reserved fot apps ov-ai stazp. <br /> License Number: 2,Z I <br /> Remarks: <br /> Signature: ��_ Date: J . /e Z <br /> Original signature required on each submitted copy. <br />
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