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02/05/2004 15:54 17158668104 HOPKINS SAND/GRAVEL PAGE 01 <br /> Burnett County Zoning Administration <br /> BURNEfT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K,#102 Phone(715)349 2138 <br /> Siren,Wisconsin 54872 <br /> SYSTEb1I MUT&U-0 U20RT FORM <br /> NAME <br /> ee- <br /> ADDRESS 2A4 <br /> FIRE #/ROAD NAME—j1--)fl04 _ygLww Lk &2 <br /> LEGAL DESCRIPTION <br /> COMPUTER # <br /> _ TANKS <br /> MFG IM11C TYPE � � SI2E_7SU <br /> BAFFLE CONDITION <br /> MANHOLE COVER CO ITION <br /> COMMENTS <br /> - DRAIWPTRT i]IDRYVVRi r <br /> SIZE I TOTAL SQUARE FEET 432 <br /> SYSTEM ELEVATION <br /> BENC <br /> - I ' <br /> MK- <br /> BACKING UP INTO STRUCTURE YES/NO <br /> P- <br /> DISCHARGINGRF <br /> TO SUACE - <br /> DISCHARGING TO GROUNDWATER OR SURFACE WATER �/NOO�1p <br /> - SOIL BOR1Na RWXATION (provide on CST Soil Report) <br /> dra�nflelT W lot lines and Provide <br /> elatedpsetbacicslan o�$ location of existing septic tank, <br /> If the existing system is undersized, indicate whether or not a replacement <br /> area is available. <br /> Name �cNf�ab q[%lS <br /> (please print) Lic. #_17.59.51 <br /> Signature <br /> Date_2• S•0'�' _ <br />