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2022/04/15 - SANITARY - SAN - Repl Non-Press - SAN-22-39
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2022/04/15 - SANITARY - SAN - Repl Non-Press - SAN-22-39
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Last modified
4/26/2022 4:22:26 PM
Creation date
4/26/2022 4:18:16 PM
Metadata
Fields
Template:
Property Files v2
Document Date
4/15/2022
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-22-39
State Permit Number
643432
Tax ID
35598
Pin Number
07-012-2-40-15-13-5 15-270-037500
Municipality
TOWN OF JACKSON
Owner Name
ALAN L & JULIE A ELLEFSON
Property Address
28571 HALF MOON TRL
City
DANBURY
State
WI
Zip
54830
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Hopkins Sand and Gravel <br /> 27760 State Rd 35 Webster WI 54893 <br /> Phone(715)866-4157 <br /> Fax(715)866-8104 <br /> INDEX SHEET <br /> PROPERTY OWNER(S)= A4an E//efson <br /> PROJECT NAME_ ,SG nt e <br /> PROJECT LOCATION= 1357/ iledfmosh 7/?(- <br /> Street Address <br /> /3 yoy �s <br /> x/4'/4,Section,Town,Range(for POWTS submittals) <br /> Jac/csa <br /> Municipality <br /> &tone <br /> County <br /> CONTENTS PAGE 1: 3®j <br /> PAGE 2: /1 <br /> PAGE 3: /741- /'/A <br /> PAGE 4: G-c // Cro/j <br /> PAGE 5: /=/ /1TY Spec. <br /> PAGE 6: i►ra n a.f,c ///A <br /> ii <br /> PAGE 7: <br /> PAGE 8: <br /> PAGE 9: <br /> PAGE 10: <br /> PAGE 11: <br /> PAGE 12: <br /> PAGE 13: <br /> PAGE 14: <br /> PAGE 15: <br /> NAME: Richard Hopkins SIGNED: /04.t. <br /> DATED: yam// <br /> CREDENTIAL NUMBER: 225851 <br /> COMP.MANUAL USED—Holding Tanks SBD- 10855-P(N.03/07;R 01/12) <br /> Mound SBD- 10691-P(N.01/01;R. 10/12) <br /> In-Ground Sys SBD- 10705-P(N.01/01;R. 10/12) <br /> Pressure Sys SBD- 10706-P(N.01/01;R. 10/12) <br />
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