HomeMy WebLinkAbout032-539-34-2103-SAN-2023-116 Of�ice of ��
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� Sawyer County Zoning and j�`���
� Conservation Administration `�� �
10610 Main Street, Suite 49 � ��� j��,
Ha ard WI54843 CT �(%
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Tel:(715)634-8288 �/ �'liy �
Fa�c:(715)638-3277 �,q0 RC �0?� O
URL:http://sa�ti��crcount���o��.or� � O
Email:zonint;.scc.«sa�����ercount���o�_o� ��S'T��Ty
T'oll Free:Courthouse/General Information '`�TjO
1-877-699�110 ti
Sawyer County Zoning and Sanitation "As - Built" Form
Property Owner's Name �06eN�Ls��� V4.d Wi.J�/t
Fire Number and Road Name �9�"9 w �kv w:.J�t��Q�
Plumber's Name _�Ge tli{��.dd�
Date of Installation ]-/Z-� �
County Sanitary Pernut Number �;-//6
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12 Digit Parcel Number d,;,�t��y,�/a,�
Description and Elevation of Benchmark S W (,��,ur� /f�o���o��m 6i ,"�./Od.�,f
Tank Manufacturer and Capacit�� ��{ � S,�d��c f�j P t
Setback-Tank to Nearest Lot Line 3✓r�
Setback-Tank to Nearest Well 3 6 �
Setback-Tank to Building /D�
Cell Width "
Cell Length �
Number of Cells �
Setback-Cell to Nearest Lot Line �'
Setback-Cell to Nearest Well '
Setback-Cell to Building —
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Setback-Cell to Na��igable Water
Make and Model of Dispersal Unit "
Make and Model of Filter '
Make and Model of Pump V
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"As-Built Plot Plan" .
�l�e�.ation Data
Benchmark aa.z Please include the followin�:
Building Sewer 9'`.0'�,� cQft
Tank In 9�'. 9�_ • Location of observation and vent pipes
Tank Out 9�'.f7 • Feet of risers used on tank(s)
Dose Tank In • Location of benchmark and North arrow
Dose Tank Bottom • Location of all components
Header or Manifoid • Length of pipe between components
Distribution Pipe • Number of chamber units in each cell
System Elevation • Location of well, lot lines and road
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