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2019/01/30 - SANITARY - SAN - Repl Non-Press - SAN-17-176
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2019/01/30 - SANITARY - SAN - Repl Non-Press - SAN-17-176
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Entry Properties
Last modified
3/6/2020 8:00:53 AM
Creation date
1/30/2019 1:57:09 PM
Metadata
Fields
Template:
Property Files v2
Document Date
1/30/2019
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-17-176
State Permit Number
602622
Tax ID
17824
Pin Number
07-028-2-40-14-09-5 05-002-021000
Legacy Pin
028410902700
Municipality
TOWN OF SCOTT
Owner Name
ARDELLE F FERRIS REV TRUST DTD NOV 15 2012
Property Address
29089 BROZIE RD
City
DANBURY
State
WI
Zip
54830
Previous Owners
ARDELLE F FERRIS REV TRUST DTD NOV 15 2012
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PROPERTY OWNER (S) _ <br />PROJECT NAME = <br />PROJECT LOCATION= <br />Hopkins Sand and Gravel <br />27760 State Rd 35 Webster WI 54893 <br />Phone(715)866-4157 <br />Fax(715)866-8104 <br />INDEX SHEET <br />rd-eI(e- t -e "',1.5 <br />Street Address <br />4'a,1 q w <br />'/4 1/4 , Section, Town, Range (for POWTS submittals) <br />SC 61 -1174 - <br />Municipality <br />43 vi <br />County <br />CONTENTS PAGE <br />1: <br />So i %? e -p ° <br />PAGE <br />2: <br />PAGE <br />3: <br />PAGE <br />4: <br />PAGE <br />5: <br />���� C✓��s scC <br />PAGE <br />6: <br />PAGE <br />7 <br />C k N v 'e- <br />ePAGE <br />PAGE <br />8 <br />* tf C_ <br />PAGE <br />9: <br />� T� <br />PAGE <br />10: <br />PAGE <br />11: <br />PAGE <br />12: <br />PAGE <br />13: <br />PAGE <br />14: <br />PAGE <br />15: <br />NAME: Richard Hopkins SIGNED: /Z -4_.,a h' <br />DATED: 4K "l <br />CREDENTIAL NUMBER: 225851 <br />COMP.MANUAL USED—Holding Tanks SBD- 10855-P (N. 03/07; R 01/12) <br />Mound SBD- 10691-P (N.01/01; R. 10/12) <br />In -Ground Sys SBD- 10705-P (N.01/01; R. 10/12) <br />Pressure Sys SBD- 10706-P (N.01101; R. 10/12) <br />
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