|
�iNF 3RMATION «i INSTROCTiONS FOR COMPLETING A SANITARY PERNII
<br /> APPLICATION
<br /> TO THE APPLICANT:
<br /> i. This sanitary permit is valid for two (2) years
<br /> 2. 'air sanitary permit rma, 5, rem w r alar, ty t exp ration date, and at the time of •enevfal anv neva
<br /> -iter!a In the Wisconsin Aar inistrative Code wiP be ap,,lica 'f-
<br /> _ Hr, JV J rl i'n -. inlS I.PI � ,St 2r. f,r . v-.. �/ - LI"y .� •��,a .= r' -
<br /> r.
<br /> rd ,
<br /> oo; t Fic ). 3< Q of syr Y> of Jit , _
<br /> -.,g�
<br /> ry. v, . ..
<br /> rrdr
<br /> f., r, _ _. , At
<br /> sit `.o`i,unciior wt, Jr; versty
<br /> Absorption sysien, nformabon� r-:o'. ne all informatior: requcatec it >ll-e
<br /> `r 'ark nformaio q i? 4e a acit : e'.eq net arab �.
<br /> ' - p exsting t li: to r. y,_'�.l is N. be s rue_
<br /> will of tanks ancmanuta.uvr, main In1c"te irrei -t e site clahstirmwea are «aniin ate- _. Con ie
<br /> Il - a septic. !if! S pf or :: ta" be' ar h„ me os this system Clrec-. esperime,ta v, p ._a' oniv if
<br /> tanks received expertmenta produe: appruva': ..,.
<br /> .. ResfoeybiliP: - to ten'. Irs•all:,rg p umoer v u 'I' name license « r-De- wa; app,oF sate proflx E,
<br /> rAP, etc.;, address and prone number Pwmber mus' sigT: apolicatlor, form Fil! in des'gne, narme :.
<br /> applicable; -
<br /> e' •.i. SW OW :nfo-.- on. CeMe.i sal te::;e0 name ?w Amo .ucrb_ ad j_; >.f phor, r,..-,,.b._..
<br /> IX. CountylDepartment Use Only,
<br /> .err, nenf ar. f s by sw rly ;r ._sd i g'« wn Cyii at - r jw,,�
<br /> Ind spec: ratio-:': in s.r v„k t` r -, _cr,,_ 51' : .7 w , A. 0,
<br /> p;ar> m-,st incl, the fc!lov,ing A) Not Platd- wr s a e • . ^e ,i; at : n .
<br /> c.oia-rg
<br /> tank,-,) sep..-. tank!s` or r,th f =atr, —f «eels ifo:. sewer r- ,:I, wror , ovate, e.,,, ,.
<br /> strea os anc lake, Josw,-, or puI cf,amoer,, a a,l boxes soy: a.,6crot«tn sys,to rep'lacii
<br /> Sys-,ia ad.L d . ,-:,it ,,a [i the t `«ver R'
<br /> _ zonta'' a z a'. mevatia refa-ence point
<br /> WITID We specificabons for pumps and cont ols, dose voIume; eevabo dlftc"rence=r. fri,-uo, ions pump
<br /> WA. rr -rce cu 'e'. Pumn model and pur-p n a r aK.m t CMOs Selva . W 1h, S' -All sten:
<br /> equ"ea by the county; c) soil test data on a `'S `orm:
<br /> 35l UUSV':::1`l':;W .:JyR44 ARGL
<br /> n
<br />
|