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Barnett County Zoning Administration <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K,#102 Phone(715)349-2138 <br /> Siren, Wisconsin 54872 <br /> SYSTEM EVALUATION REPORT FORM <br /> NAME Robert Rutledge <br /> ADDRESS 24785 Owl Lake Rd <br /> FIRE #/ROAD NAME same <br /> LEGAL DESCRIPTION PcI in GL 3 bb 138N R15W <br /> COMPUTER # <br /> - TANKS <br /> MFG unknown TYPE SIZE <br /> BAFFLE CONDITION <br /> MANHOLE COVER CONDITION <br /> COMMENTS one pipe coming up to ground surface <br /> - DRAINFIELD/DRYWELL <br /> SIZE TOTAL SQUARE FEET <br /> SYSTEM ELEVATION <br /> BENCHMARK <br /> NO evidence of drainfield or dry well <br /> - IS SYSTEM: <br /> BACKING UP INTO STRUCTURE YES/NO no <br /> DISCHARGING TO SURFACE Z YES/NO no <br /> DISCHARGING TO GROUNDWATER OR SURFACE WATER YES/NO unknown <br /> - SOIL BORING VERIFICATION (provide on CST Soil Report) <br /> - PLOT PLAN (must provide plot plan showing location of existing septic tank, <br /> drainfield, well, lot lines and other related setbacks. <br /> - If the existing system is undersized, indicate whether or not a replacement <br /> area is available. <br /> Name Joan E Daniels Lic. # CSTMO 3431 <br /> (please print) <br /> Signatur Date 6/30/93 <br />