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2024/04/30 - SANITARY - SAN - Repl Non-Press - SAN-24-66
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2024/04/30 - SANITARY - SAN - Repl Non-Press - SAN-24-66
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Last modified
1/22/2025 1:00:38 PM
Creation date
1/22/2025 11:57:25 AM
Metadata
Fields
Template:
Property Files v2
Document Date
4/30/2024
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-24-66
State Permit Number
658521
Tax ID
7974
Pin Number
07-012-2-40-15-11-5 15-650-037000
Legacy Pin
012952503800
Municipality
TOWN OF JACKSON
Owner Name
JUDITH P BALDERSON REV TRUST
Property Address
3828 RAINBOW CIR
City
DANBURY
State
WI
Zip
54830
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In-Ground Gravity Plan <br /> j�e sl®1 Index & Cover Sheet <br /> see __ Component Manua!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 /> Tax Statement POWTS Application for Review <br /> Previous Sanitary Permit Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> KIM SOLLIE <br /> Owner Name(s): JUDITH P. BALDERSON TRUST Phone: 651 _ 394 - 5907 <br /> Owner Address: 7884 TAYLOR STREET NE, SPRING LAKE PARK, MN Zip: 55432 <br /> Project Address: 3828 RAINBOW CIRCLE <br /> Govt. Lot: NA 1/4 of 1/4, Section 11 T 40 N-R 15 E❑or W a <br /> Township: JACKSON County: BURNETT <br /> Project Parcel ID #: TAX ID: 7974 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: 715 _ 426 - 1775 <br /> Designer Address: 27520 FIREFLY LANE, WEBSTER, WI Zip: 54893 <br /> E-mail: hollisterdesign@outlook.com <br /> License Number: 1859 -007 <br /> Remarks: t <br /> Tt <br /> D1 ; <br /> TANK TO BE INSPECTED AND ELEVATION VERIFIED AT OUT11 <br /> Signature. Date: 04 - 07, 2024 <br /> ngignature required one subm d copy. <br /> nal k <br />
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