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2021/11/17 - SANITARY - SAN - New HT - SAN-21-334
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2021/11/17 - SANITARY - SAN - New HT - SAN-21-334
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Last modified
12/16/2021 11:09:49 AM
Creation date
12/16/2021 11:06:18 AM
Metadata
Fields
Template:
Property Files v2
Document Date
11/17/2021
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New HT
County Permit Number
SAN-21-334
State Permit Number
640672
Tax ID
2248
Pin Number
07-006-2-38-17-17-5 05-001-027000
Legacy Pin
006241702700
Municipality
TOWN OF DANIELS
Owner Name
CHAD & BRENDA ALDEN
Property Address
9915 N MUDHEN LAKE RD
City
SIREN
State
WI
Zip
54872
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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10855-P (N. 03/07; R 01/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 ' ` Holding Tank Specifications <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> AWL — POWTS Application for Review <br /> t.tvais MilmvAL Soil Evaluation Report & Site Map (if applicable) <br /> Holding Tank Pumping Contract Of applicable) <br /> Holding Tank Agreement (if applicable) <br /> Project Name / Description <br /> Owner Name(s); CHAD & BRENDA ALDEN Phone: - - <br /> Owner Address: 7265 C.T.H. B, SIREN, WI Zip: 54872 <br /> Project Address: 9915 N. MUD HEN LAKE ROAD <br /> Govt. Lot: -- 1/4 of 1/4, Section 17 , T 38 N-R 17 E r-or W L� <br /> Township: DANIELS County: BURNETT <br /> Project Parcel ID#: 07-006-2-38-17-5 05-001-027000 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: 715 _ 426 _ 1775 <br /> Designer Address: 28497 KING ARTHUR'S CT., DANBURY Zip: 54830 <br /> E-mail: hollisterdesign@outlook.com <br /> License Number: 1859 - 007 <br /> Remarks: <br /> Signature: it Q A "L Date: ' '(Y`-27;i' b 21 <br /> i�ginal •nature required •n .1 submitted copy. <br />
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