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2024/10/08 - SANITARY - SAN - New Non-Press - SAN-24-249
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2024/10/08 - SANITARY - SAN - New Non-Press - SAN-24-249
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Last modified
3/6/2025 10:00:44 AM
Creation date
3/6/2025 9:15:47 AM
Metadata
Fields
Template:
Property Files v2
Document Date
10/8/2024
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-24-249
State Permit Number
662105
Tax ID
6290
Pin Number
07-012-2-40-15-11-5 15-458-018000
Legacy Pin
012912001800
Municipality
TOWN OF JACKSON
Owner Name
VENESSA DECOSSE
Property Address
29091 MAJESTIC WAY
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 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 /> .__..... . . <br /> Tank Specs Soil Evaluation Report & Site Map <br /> Filter Specs - <br /> **12 PAGES TOTAL* <br /> Project Name / Description <br /> Owner Name(s): _TODD & VENESSA DECOSSE Phone: _612 __743 _ 7163 <br /> Owner Address: _823 106TH STREET, ROBERTS. WI Zip; 54023 <br /> Project Address: �29091 MAJESTIC WAY <br /> Govt. Lot: NA 1/4 of 1/4, Section 11 T 40 N-R 15 E❑of WWI <br /> Township: JACKSON County: BURNETT <br /> Project Parcel ID #: _07-012-2-40-15-11-5 15-458-018000 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: _715 __426 __1775 <br /> Designer Address: 25720 FIREFLY LANE, WEBSTER WI zip }B93 <br /> E-mail: hollisterdesign@outlook.com �,•N� a� <br /> License Number: <br /> 1859-007 s• <, <br /> Remarks: <br /> t <br /> frj/flit pI F+13t;" <br /> A ��� � -� <br /> Signature: �, � '/ Date: 09-17 2024 <br /> origin signature requir6d odefach submitted copy. <br />
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