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2025/06/18 - SANITARY - SAN - New Non-Press - SAN-25-53
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2025/06/18 - SANITARY - SAN - New Non-Press - SAN-25-53
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Last modified
10/20/2025 8:49:25 AM
Creation date
10/20/2025 8:47:20 AM
Metadata
Fields
Template:
Property Files v2
Document Date
6/18/2025
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-25-53
State Permit Number
662199
Tax ID
6907
Pin Number
07-012-2-40-15-10-5 15-128-224000
Legacy Pin
012925022500
Municipality
TOWN OF JACKSON
Owner Name
SM WOLF HOLDINGS LLC DBA TIMBERLAND COTTAGES
Property Address
4353 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 View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> Tank Specs POWTS Application for Review <br /> Filter Specs Soil Evaluation Report & Site Map <br /> Tax Statement <br /> "12 PAGES TOTAL"* <br /> Project Name / Description <br /> Owner Name(s): AJAY KHOBRAGADE Phone: - - <br /> Owner Address: 19388 HARMONY AVENUE, ROGERS, MN Zip: 55374 <br /> Project Address: DEERPATH ROAD (, <br /> Govt. Lot: NA 1/4 of_ 1/4, Section 10 , T 40 N-R 15 E C or W LO. <br /> Township: JACKSON County: BURNETT <br /> Project Parcel ID#: 07-012-2-40-15-10-5 15-128-224000 TAX ID: 6907 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: 715 _ 426 _ 1775 <br /> 25720 FIREFLY LANE, WEBSTER, WI 5893,:,;.,. <br /> Designer Address: Zip: �,�,4 � �,�,� <br /> hollisterdesign@outlook.com �,:, ' ei Yo1I1 44., . <br /> E-mail: ' o" <br /> License Number: 1859-007 <br /> ` C . . <br /> Remarks: 1 f:.. s OW R ‘ <br /> fi . , <br /> Signature: '7 � ptEditi Date: 04-26, 2025 <br /> On9inal na ture requirach submitted copy. <br />
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