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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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rnv1-. <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: _ <br /> Contour/Soil Map POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): MDWST LLC (Kevin Breister) Phone: 515 - 777 -5325 <br /> Owner Address: 112 FAIR MEADOWS LANE, FOREST CITY, IA Zip: 50436 <br /> Project Address: DEERPATH PASS <br /> Govt. Lot: NA 1/4 of 1/4, Section 10 , T 40 N-R 15 E❑or W C <br /> Township: JACKSON County: BURNETT <br /> Project Parcel ID#: 07-012-2-40-15-10-5 15-128-204000 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: 715 _ 426 _ 1775 <br /> Designer Address: 25720 FIREFLY LANE, WEBSTER, WI Zip: 54893 <br /> E-mail: hollisterdesign@outlook.com • <br /> License Number: 1859 - 007 "' <br /> Remarks: u w <br /> Ci t ?a1. <br /> WI <br /> Signature: i7/ t Date: 09 - 24, 2022 <br /> nal st natlire required on e bmitted copy. <br />
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