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2022/08/15 - SANITARY - SAN - Repl Non-Press - SAN-22-131
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2022/08/15 - SANITARY - SAN - Repl Non-Press - SAN-22-131
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Last modified
11/22/2024 10:00:46 AM
Creation date
11/22/2024 9:14:52 AM
Metadata
Fields
Template:
Property Files v2
Document Date
8/15/2022
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-22-131
State Permit Number
646824
Tax ID
10257
Pin Number
07-014-2-38-15-04-5 15-685-016000
Legacy Pin
014906001600
Municipality
TOWN OF LAFOLLETTE
Owner Name
BRETT H & KELLY F SCHULTZ
Property Address
24754 SAND LAKE SHORES TRL
City
WEBSTER
State
WI
Zip
54893
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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 j QuMr spse.s POWTS Application for Review <br /> Tank Specs (2500 gallon Wieser) Soil Evaluation Report & Site Map <br /> Previous Inspection Report 7S <br /> Contour/Soil Map L-z s) <br /> Project Name / Description <br /> Owner Name(s): BRETT H. & KELLY F. SCHULTZ Phone: 651 - 248 - 1981 <br /> Owner Address: 24754 SAND LAKE TRAIL, WEBSTER Zip: 54893 <br /> Project Address: (SAME) <br /> Govt. Lot: _ 1/4 of 1/4, Section 04 T 38 N-R 15 E ❑or W❑✓ <br /> Township; LA FOLLETTE County: BURNETT' <br /> Project Parcel ID#: 07-014-2-38-15-045 15-685-016000 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: 715 - 426 - 1775 <br /> Designer Address: 25720 FIREFLY LANE, WEBSTER, WI Zi 0111;"5449 <br /> E-mail: hollisterdesign@outlook.com T ¢ _ <br /> 1859 - 007 <br /> License Number: •'c,1jkRY,f® ••,.. <br /> Remarks: <br /> - D 1359 <br /> RIVER FALL3, <br /> ti'!fy � .w••��.e'h� ��lv <br /> Signature: Date: 05 - 28, 2022 <br /> signature required o ach submitted copy. <br />
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