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2023/09/20 - SANITARY - SAN - New Non-Press - SAN-23-199
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2023/09/20 - SANITARY - SAN - New Non-Press - SAN-23-199
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Last modified
1/13/2025 9:00:43 AM
Creation date
1/13/2025 8:42:57 AM
Metadata
Fields
Template:
Property Files v2
Document Date
9/20/2023
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-23-199
Tax ID
6897
Pin Number
07-012-2-40-15-10-5 15-128-214000
Legacy Pin
012925021500
Municipality
TOWN OF JACKSON
Owner Name
MICHAEL S & TAMI J CLARK
Property Address
4337 DEERPATH RD
City
DANBURY
State
WI
Zip
54830
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PAGE 1 OF 4 <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 N/iew <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> s�;Rv:y POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> LCT 2Lc :, � ,P7mtj 7\ -. --- <br /> Owner Name(s): TIMBERLAND COTTAGES Phone: 952 - 994 _ 13924 <br /> Owner Address: 19200 COUNTY ROAD 40, BELLE PLAIN, MN Zip: 56011 <br /> Project Address: DEERPATH ROAD <br /> Govt. Lot: NA NVJ a1/4 of NE Ell/4, Section 10 T 40 N-R 15 E C or W ❑✓ <br /> Township: JACKSON County: BURNETT <br /> Project Parcel ID #: 07-012-2-40-15-10-5 15-128-214000 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: 715 _ 426 _ 1s775 <br /> Designer Address: 25720 FIREFLY LANE, WEBSTER, WI Zip: 5489;} <br /> E-mail: hollisterdesign@outlook.com <br /> License Number: 1859-007 ,- t <br /> Remarks: * :'• rMARY 40 <br /> G �ttat>$ E <br /> v <br /> '' W1 <br /> l { <br /> Signature: Date: <br /> -- <br /> Original sig ture required on each required copy. <br />
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