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2023/12/05 - SANITARY - SAN - Repl HT - SAN-23-256
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2023/12/05 - SANITARY - SAN - Repl HT - SAN-23-256
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Last modified
2/16/2024 11:43:52 AM
Creation date
2/16/2024 11:41:01 AM
Metadata
Fields
Template:
Property Files v2
Document Date
12/5/2023
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl HT
County Permit Number
SAN-23-256
State Permit Number
656845
Tax ID
33270
Pin Number
07-042-2-38-18-15-1 02-000-011100
Municipality
TOWN OF WOOD RIVER
Owner Name
SCOTT GADEN
Property Address
11549 N FORK DR
City
GRANTSBURG
State
WI
Zip
54840
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Hopkins Sand and Gravel <br /> 27760 State Rd 35 Webster WI 54893 <br /> Phone(715)866-4157 <br /> Fax(715)866-81.04 <br /> INDEX SHEET <br /> PROPERTY OWNER(S)= 5C(011- <br /> PROJECT NAME= _S f}vh <br /> PROJECT LOCATION= J / `/S 9 ✓i- J`o r/C 1��^ <br /> Street Address <br /> LI" j 3 k A/ <br /> 1/4 /4,Section,Town, Range(for POWTS submittals) <br /> Wood Riticv <br /> Municipality <br /> County <br /> CONTENTS PAGE 1: P(o+ P/G v <br /> PAGE 2: <br /> PAGE 3: 7-6 (C GraSS SZ`G <br /> PAGE 4: 014 4K ,pyy1-co'`t" P14 v) <br /> PAGE 5: / <br /> PAGE 6: <br /> PAGE 7: <br /> PAGE 8: <br /> PAGE 9: <br /> PAGE 10: <br /> PAGE 11: <br /> PAGE 12: <br /> PAGE 13: <br /> A <br /> PAGE 14: <br /> PAGE 15: <br /> NAME: Richard Hopkins SIGNED: 74"1714 <br /> DATED: A J" 7��2 <br /> CREDENTIAL NUMBER: 225851 <br /> COMP.MANUAL USED—Holding Tanks SBD- 10855-P(N <br /> Mound SBD- -P 01/01; R. 10/12) <br /> In-Ground BD- 10705-P(N.01/01; R. 10/12) <br /> P re Sys SBD- 10706-P(N.01/01;R. 10/12) <br />
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