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INSPECTION REPORT
GENERAL INFORMATION (ATTACH TOPERMIT)
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TANK INFORMATION
ELEVATION DATA
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CONVENTIONAL COMPONENT DESIGN
Reerentlal Fpplaeaeon
INDE%ANDTRLEPAGE
Pmlect Name
JIM BUXULER
Onww Name
SAME
6+meeS Address
156884M STAEET
NEW RICHM( ND WI
Legar Deauipten SEI/4 WI/4 SEC13 T30 R 19W
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SOMERSET
County
ST CROIX
SubENielon Name
STONEWOOD
Lot Number
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Parcel ID Number
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Page 1
Index and ut@
Paget
Plot Plan
Page
SPatem Nng& :meaSeclmn
Page
Ftler Spew
Page
Maintenance ln(mmatlpr
Page
_ ManaOement Plan
Pagel
St Groix Cm Sepdc Tank Maintenance Farm
Fege 0
Warranty Dead
Page
CSMwPet
Atladiments Sal Test& Hwae Plans
Designer/Plumber KE OEE� ucense Number 2NI99
Date 0'I/3 R020 Pnone Number RI5)9624155
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For new cammutti o pior to p, of no doer damage
y Impar wklA Iw the presence 01 fill p,cEUL1s a oIDx tiran'Ictls
of tmar impMe the a loy a MipercgeM/o,Oyal IMe to use cell el.I!nPon concmtmlione me EeteMm Mae Me mnWrY
o e,m a dineel aot nvepwhe wmem opinea mythrar to at
S}nemoath op vnen not nee ,winnancoralem ernes Neel, When
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Iffirl tl tnry anunim nerd uw wnanar of Ne pomp ornamwM er . opus. smlena the Pm m MwND
Wwa to [M1e NPown pump a Pump
t : plumter o: Po1VT3 Menwiria to aue n mnlrelry opaalvq the pu,rp mlEoh ro
reform nwrw kwW worm", me onmp taso.
wo rent emue n owk vendor twee babymood
area rope,wl ceua. .pen two, nr nm...iv elgw5 n ®rrp.a no ed
wrwn 15 or mM .doe w mr manna of n ywa Wu ewater amm, a
dirrinardi of for Intoning m fine wastewater mein mayabs Idherw Ne pnwrmne• me pnMp the she M the
founfi n baby w min d be erase,, tleli hop eMel Nme, tl mrap elenb¢ww; fee
one.opr ducedi jump W,^o�l w xeb passage, 9evolln., a nerEloay.: men cnm, molloNnn.. nll,
vi p,Muae; pnnlcleee, vmhary oaptlns� [empanq and water vjtunv bred aw
ABANDONMENT
one,
no Pon WFB Isle Ian, Iv osmmer team our of earl No mamm a; at" Fruit be asset by home hthat no rynyn IForegM and w0my, abandoned n Sonar u with Am,v (jmm 133, Wervur lbnmrvueeve Ccej
• upMw9mtma. arm star Mwu sear erwAmr.wW War w.narndm.e vea pp.,.N. added.
• The cme[ejw of W tare, aA part, axes be rmwed and properly OOWSM of by a BMNe Bevffiq Opsev
• After Wml AM forks and on, Jns be mmvnee and amass[ a Nek a IMo eM no wN mace IRA Was
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COMINOFNCY PLAN
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vms, Tlie repl... mm,mmtl abbe pmc,M M1mr elerrrtbnu vd WmpWLL:h a-0,MrM nor be MM1T9sl rpv. by
rwwm aemwk, mmr, Plans and win vas m, let 6 Arab was, F+ w smut. ma,w.«juer or" we
eaonm now voll v9 Mmw mm to vt,LPofr a ardfN rg9 Tarm th pNwwe rya„ra n
,nmpnwool the nude m. .aat firmmore.
O A barrel rme,wor a net volume doe toFill mul aN IimnnWn. BVMartyrdomsM1Tv am ROSS
�/ tecMobry abjs tent maybe aemellad AS e Wt, m repem Nems� POWTS,
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IXIEfl A SEPTIC, PUMP OR OTHER TIt,AT TW1x UNDER Al1Y CMCUM.SFAMM. DFl MAY R T. r6ECr1E OF A
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