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2017/04/28 - SANITARY - SAN - Repl Non-Press - SAN-17-42
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2017/04/28 - SANITARY - SAN - Repl Non-Press - SAN-17-42
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Last modified
10/6/2021 8:42:10 AM
Creation date
10/5/2017 2:28:07 PM
Metadata
Fields
Template:
Property Files v2
Document Date
4/28/2017
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-17-42
State Permit Number
594488
Tax ID
18492
Pin Number
07-028-2-40-14-24-5 05-005-015000
Legacy Pin
028412406300
Municipality
TOWN OF SCOTT
Owner Name
DOUGLAS & PAMELA LUNDELL
Property Address
1130 ROBERTS RD
City
SPOONER
State
WI
Zip
54801
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PAGE 1 OF 5 <br /> In-Ground Dosed-Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10705-P (N.01/01, R. 10/12) <br /> Pg 1 of 5 Index & Cover Sheet <br /> Pg 2 of 5 Plot Plan <br /> Pg 3 of 5 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 5 Pump Tank Specifications <br /> Pg 5 of 5 Management Plan <br /> Attachments: Enclosures: <br /> Pump Curve POWTS Application for Review <br /> Tank spec Soil Evaluation Report & Site Map <br /> Filter spec <br /> Project Name / Description <br /> 3 bedroom septic <br /> Owner Name(s): DOUGLAS & PAMELA LUNDELL Phone: - - <br /> Owner Address: 4215 EVERGREEN LN N PLYMOUTH MN Zip: 55441 <br /> Project Address: 1130 ROBERTS RD <br /> Govt. Lot: 5 1/4 of __f1/4, Section 24 T 40 N-R 14 E F-Jor W ✓0 <br /> Township: Scott County: Burnett <br /> Project Parcel ID#. 07-028-2-40-14-24-5 05-005-015000 <br /> Designer Information <br /> Designer Name: Luke Schmitz Phone: 715 -468 -2434 <br /> Designer Address: PO Box 160 Shell Lake WI Zip: 54871 <br /> E-mail: digupnorth@gmail.com Fhis sp,ce resm,cd fo approval stamp. <br /> License Number: 884121 <br /> Remarks: <br /> Signature: " � ��� Date: 4-18-17 <br /> Original signatur on ea submitted copy. <br />
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