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2025/12/02 - SANITARY - SAN - Repl Non-Press - SAN-25-258
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2025/12/02 - SANITARY - SAN - Repl Non-Press - SAN-25-258
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Last modified
12/8/2025 1:58:20 PM
Creation date
12/8/2025 1:56:23 PM
Metadata
Fields
Template:
Property Files v2
Document Date
12/2/2025
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-25-258
State Permit Number
670405
Tax ID
5226
Pin Number
07-012-2-40-15-11-5 05-007-016000
Legacy Pin
012421102630
Municipality
TOWN OF JACKSON
Owner Name
DAVID A & LYNN A GRACE NELSON
Property Address
28949 MITCHELL 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 /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> y .L <br /> Project Name / Description <br /> Owner Name(s): j'<.vs,/ -C yr,+, A 4rI ge" Phone: - - <br /> Owner Address: ,,10'9 5 1Wfct,c// /?d/�ea.S .-, Zip: -51- 0 <br /> Project Address: 5/7 '" f <br /> Govt. Lot: 7 1/4 of 1/4, Section /l , T N-R 1s"E nor MU <br /> Township: %.A.c,(c s cf-, County: /34A- {w <br /> Project Parcel ID #: - 1© "!S= /1-5— c`,3' OP7 — G /Gocw <br /> Designer Information <br /> Designer Name: , - Phone: - <br /> Designer Address: • - Zip: <br /> E-mail: f: - z . ' . .. <br /> License Number: , . • `' - <br /> Remarks: <br /> Signature: Date: <br /> Original signature required on each submitted copy. <br />
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