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2023/11/29 - SANITARY - SAN - New HT - SAN-23-252
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2023/11/29 - SANITARY - SAN - New HT - SAN-23-252
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Last modified
1/8/2025 2:00:24 PM
Creation date
1/8/2025 1:43:43 PM
Metadata
Fields
Template:
Property Files v2
Document Date
11/29/2023
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New HT
County Permit Number
SAN-23-252
State Permit Number
656841
Tax ID
18810
Pin Number
07-028-2-40-14-34-5 05-002-024000
Legacy Pin
028413404800
Municipality
TOWN OF SCOTT
Owner Name
TINDELL LAKE CABIN LLC
Property Address
1890 DUBOIS RD
City
WEBSTER
State
WI
Zip
54893
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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> Index & Cover Sheet <br /> Component Manua!Design References: <br /> Holding Tank 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 Holding Tank Specifications <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map (if applicable) <br /> Holding Tank Pumping Contract if appiicable) <br /> Holding Tank Agreement if applicable) <br /> Project Name / Description <br /> Holding tank <br /> Owner Name(s): TINDELL LAKE CABIN LLC Phone: - - <br /> Owner Address: 8337 79TH ST S COTTAGE GROVE MN Zip; 55016 <br /> Project Address: 1890 DUBOIS RD <br /> Govt. Lot: 2 1/4 of 1/4, Section 34 , T 40 N-R 14 E❑or WWI <br /> Township: Scott County: Bumett <br /> Project Parcel ID #: 07-028-2-40-14-34-5 05-002-024000 <br /> Designer Information <br /> Designer Name: Luke Schmitz Phone: 715 -520 -2434 <br /> Designer Address: PO Box 160 Shell Lake WI Zip: 54871 <br /> E-mail: digupnorth@gmail.eom This space reserved for approval stamp. <br /> License Number: 884121 <br /> Remarks: <br /> PCL GOV LOT 2 (LOT 1) (TOGETHER WITH ESMT 393/264) <br /> Signature: �� Date: 11-22-23 <br /> Original si ure required on each submi py. <br />
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