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HomeMy WebLinkAbout020-1287-70-000 -0 0 Q o 3 o I p 6q b i c I N v' N I Y O 'Y I a V N N ~ O Y C 3 C f0 U. b 01 00 3 Cl) m Z E °o N w c. m N F Z O Z d d Z b N P m c N N b N _ ~ 0 d m N "i O © o (L) Q c Z co z O Z o N f6 ~6 y O1 O V) £ O 21 L m a c LL N_ i a) N .T d S] L I ~t N 0 N N E O O ri U) O •rv; a a a N N N y m ~ U a rn rn } I -0 o N O N N m O 00 a) O N J CL co (6 'd Q C O O O N C O LO E U) co 0 W N c c n- m O N V L 7 I" m O V) `rx') vOi N N Z N 0i 0 ~M n.l O' N -uo) E ~ L • N 3 N O U y„ O N 2 O - h 2 U) o C° I E d d ~a y a a a L a w • ce a m u N y c N tj E c c 3 A 0 n 2 0 V! 0 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER SQ rh /?7; //ate TOWNSHIP IAW' 6 n SECTION Z/ T 29 N-R_ff ADDRESS ,90A ST. CROIX COUNTY, WISCONSIN SUBDIVISION j,(Ja,//s Age$ce 17;7/'-- LOT_Z_LOT SIZE-2, 7,f PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I I i sr - ~s• o o 9g T ~rt NX 1~ ,Y~ . ~eX Yd DI ,V4~ VJaa wad/ f ~v INDICATE NORTH ARROW BENCHMARK: Elevation and description: Z"spa- 100"m Alternate benchmark- /op+~ µous '710 u..~ai•Oy~zaovrt 3G✓~e49w SEPTIC TANK:Manufacturer: I ac) s W Liquid Cap. /QdOa A / Rings used: _Manhole cover elev: `((Z Final grade elev: ? Tank inlet elev.:-Tank outlet elev.:- No. of feet from nearest road : Front , Side, Rear Ft . /7s " From nearest prop. line:Front Side, Rear Ft. /S No. of feet from: Well (o4' , Building: z3 (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE a ~ I i. PUMP CHAMBER ~~//~1~ Manufacturer:/'i/A Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front-, Side, Rear_Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed:4s4.d. ff o,,o/Trench: Seepage Pit: Width:/9" Length Yoe Number of Lines: -3 Area Built LO Exist. Grade Elev. -r'4-?r Proposed Final Grade Elev. 75 Fill depth to top of pipe: No. feet from nearest prop. line : Front , Side, Rear Ft . / ss- ' No. feet from well:_ZL_No. feet from building 7f HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: i INSPECTOR: DATE: PLUMBER ON JOB: LICENSE NUMBER: 6/90:cj T~CATI9ep$ N• H~p~ ON 21.29.19,NE SW PRAIRIE LN. LOT 7 Wisconsmrtrnenf"o OR PkivATE SEWAGE SYSTEM County: Labor-and Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No-: GE[~IERAL INFORMATION 171520 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: MILLER, SAM HUDSON CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /D0,0 TANK INFORMATION ELEVATION DATA A9200286 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark loqqy q y /00, 0 Dosing / /?v / 9 A',,2.3 Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St Ht Outlet g 7 S 10 t, Vent TANK TO P/ L WELL BLDG. Airito ntake ROAD Dt Inlet Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe ej,as /00, Holding Bot. System /U-~ 9q 9 PUMP/ SIPHON INFORMATION Final Grade 79 03 Manufacturer Demand Cre/ d /h "It Model Number GPM y fl,„_ TDH Lift Friction System TDH Ft 57 /6"'1 oss Forcemain Length Dia. H Dist. To well SOIL ABSORPTION SYSTEM BED / TRENCH width I Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~2/d DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Model Number: System: / /S_~ 75 OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) ,J x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length &L Dia. N Spacing (a SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center 7 Bed /Trench Edges T psoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code, discrepancies, persons pkesent, etc.) txG i~\A d cv;X5 Il~~ Plan revision required? ❑ Yes ❑ No 6 Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: e. , DIL` R SANITARY PERMIT APPLICATION COUNTY TDILH In accord with ILHR 83.05, Wis. Adm. Code co~, STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than E] j~~ 8% x 11 inches in size. Chec ire 8163 previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION F Y45u,) Y4, S Z-/ T 25, N, R ~J E (or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STAT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER S o / Gv1 S j 4, 7-766 egl/s 7a,- o 5%0c 11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned VILLAGE . oh 'Pj, t", ~ ~a =W RF: h ❑ Public ~ 1 or 2 Fam. Dwelling-# of bedrooms PARCEL XNUM ER( Ill. BUILDING USE: (If building type is public, check all that apply) Q 1 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. IX New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 N Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 130 Seepage Pit Pressure 430 Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 72-0 7 ZO Q, 417-5 3 I aZ9i OO Feet 0 Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank d S -e f El Lift Pump Tank/Si hon Chamber I F1 El F1 1-1 1 F1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No S ps) MP/M SSW~No.: Business Phone Number: 2-- 1) j ors S l o bm.a. Plumber% Address (Street, City, state, zip Code): IX. COUNTY/DEPARTMENT USE ONLY Groundwater a e Issued Issuing A nat o ps) ❑ Disapproved S nitary Permit Fee (Includes Surcharge Fee) Approved r_1 Owner Given Initial S- Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. , 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to <3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains./water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; (lose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. --7-------------------------------------------------- Owner of property 5,x,j /jj; //e,,~ Location of property,/E 1/4 Sul 1/4, Section zl , T z9 N-R /f W Township ~.Ju~ so Mailing address _1 ok * 2gz 1 Address of site ,,-tom W 1 s ~4~ c S taf -'o h Subdivision name- Waj. , 40I'To St,,-t,*6K Lot no. 7 Other homes on property? Yes X No i Previous owner of property Total size of parcel 2 . -79 X L, Date parcel was created 7 a~/~ L Are all corners and lot lines identifiable? -X Yes No Is this property being developed for (spec house)? ~./Yes No Volume-61-510-and Page Number ~X3.Y' as recorded. with the Register of Deeds INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available', would be helpful so as to avoid delays of the reviewing process. If the deed description references to a certified survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 9, Z Q~ , and that I (we) presently own the proposed site f~ the sewage disposal system or I (we) obtained an easement, to run the above described property, for the cc~o~nstruction of said system, and the same has been duly Noc ~f(o, , the office of County Register of deeds as Document s gnature'of applicant Co-applicant Date of Signature Date of Signature v3' S' l" ■ .1 t~' y 1~ ,ter}' s ,psi- s.," f;y •M h 4 r -law 16 v{, IE NNW' r t: v SEPTIC TANK MAINTENANCE AGREEMENT 00 St. Croix County OWNER/BUYER A/I~l MT L~ E 1~ o r ROUTE/BOX NUMBER Fire Numberw o r~ CITY/STATE ZIP PROPERTY LOCATION:'LV E k, SW k, Section z/ TAN, R /9 d Town of St. Croix County, Subdivision Lot number -7 Improper use and maintenance of your septic system could result in -u. its premature failure to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licens'ed' 's~'ep t'ic tank pumper. What you put into the system can affect the tunct on or t e•septic tank as a treat- ment-stage in the waste disposal system. St. Croix Count residents-may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, whit was in operation prior to-July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new 'sys't'ems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2).after inspection and pumping (if nec- essary), the septic'.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H I/WE, the undersigned have read the above requirements and agree o to maintain the private sewage disposal system in accordance with the standards set forth, herein, as.set by the Wisconsin Depart- r ment of Natural Resources. Certification form must be completed a and returned to the St. Croix County Zoning Office within 30 days of the three year expiration-date. SIGNED DATE I ' f St. Croix County Zoning Office 911 4th St. Hudson, WI 54016. 386-4680 Sign, date and return to the above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR PERCOLATION TESTS (115) MADISO I W 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHI /MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: /S+ ~4 Z ( /Tz9 N/R 19 E (or) W /.~v 'T W COUNTY: OW ER'S BU/Y~E(R'S NAME: MAILING ADDRESS: &pj:x j4M 1`IILLEk USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: IPROFI DE IPTIONS: ER LAT N TESTS: Residence LA N) V, „New ❑Replace L 7 ~Z6 9Z -7 Z~ R7- 5o)Ls ic. G S$ S~r~ ~r2.K.Np !((I,QpT RATING: S= Site suitable for system U= Site unsuitable for system - )/~l DT r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: ISYSTEM-1 N-F I LLIHOLDI NG T K: RECD MENDED SYSTEM: (opt nal) s ❑u Ys ❑u Ws ❑u Zs ❑u E] S cu /~161J1A>,~ S GN RATE: If Percolation Tests are NOT required DE If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: LxSs Floodplain, indicate Floodplain elevation: D~T_r PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH M11, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 40'' $ a~.yh5 B I os . c$ c > 8 ,9Z, ~"~uTS Z4''$2,.+ L 30 $ fCA6 B- Z ,ZS X03.9 o r,( 2S p$urS Z31$0-N L -m'Aa.m MS Tegaw MSS B- 9.'75 /63.10 4 E > 4.7 S 7 p&cTS ib"$ w,1 L 3ri&" fhS S?"Ba>v AiS4 Gle Jceb 6uT5 ~3 " 6~ BRw M B- A 6 p2 ~3 0 > S~ 26IM--►Ms~t4~a. co R"SCLI-S I BaN C IY' aH SL 22"$a~ ~'~iSY R cal B- 164./6 QN 47" Oki. All B- O PERCOLATION TESTS TEST DEPTj-l WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERS ELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P R D PER INCH ? 2 T P_ S.c)0 NewLt /ljos-ocl 43 P_ 2 3.9C Nma /a3.9o >Z > > < 3 P- 3, d 13 /03.90 >Z c P- P- E A O N P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM _ 3 m,. l . 00_..-.0j 4 ~ ttiEtdLRElt VATIOqN .++~__~~-E41~►w~"L opu AYE . E , .F _ , L E 3 -3 P E ~ E 3 E I. CD ACA Q A 1 L I, the undersigned, hereby certify that the soft-MstSTejadPils'8 6W71ris form were made by me in accord with the procedures and methods specified in the Wisconsir Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME print): TESTS W E COMPLETED ON: IjLy 27 ADDR U: Q CERT~CATI NNUMBER: P NlMF 1IJJ~~/l CST SI A RE: 9 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - UCTION R COMPLETING (-11 - SBD - 61395 To Ite a cc~ ° and accurate soil r°~st , yoi.ti rep rt r nss_ 1. Complete leg £ cription; ideiTs~'c, or commercial C3 t; "£?S pi ~ 1 .'IiClS1 clearly;, '3 JthP . S is u 2. The use Se£i.iC3¥. 'ect 3. MAXIMUM riurnt= .r of bedioo ',r € ~'nr7tei ~ planned, 4. Is this a new of tlei ITABLE FOR A HOLDING TANK ONLY I ALL 3. Complete the s£ A SITE OTHER SYSTE. BASEL' 'O' L CONDFtIONS; 6. PLEASE use -he abl, tr t;carr~ fi.3i, ',t ' ~=a des£;rii:aticans and completing the plot plan; 7., LEIBL.. rely locatiriy yc locations. Di-awing to scale is preferred. A may I,- B, ~4: Jr b. l I elevation refs, nt are clearly "sown, and are permanent; 3. Co p a_ appiopria I a dot(.,s, names, addf lood p[a'n r ,rcolation test exemp- tio i6 c uriate; 10. If the ~ rs flood 9tion) does rat valace ~ the ;appropriate box; 11. Sign , _ Ic;ill ~.iJ I. ;ce, your cur c.Iress and your c n nur- 12. Make le;.ible copi and distrib£, t+,~ requiie£:I. ALL SC L TESTS FUST BE FILE[ WITH THE LOCAL AUTHORITY WITHIN 30 BAYS OF COMPLETION, ABBREVIATIONS OR CERTIFIED OIL TESTERS S1 rarates and Textures Other Symbols si: - Stone (over 10") B Bedrock cob Cobble (3 - 10") SS - Sandstone gr ' (under 3") LS Limestone I11' High n ~ ,ter and - 1' , date Sand ~stct iffch? ~ L: s, Loan) '-J t Lo n BI n Y lion uJ~.dy C'. y wi"I sic - Silty Clay few, fine, faint X'c Clay - cOmrsrora, coarse, pt Pe, It Many, medium m Muck ~ <fisrinci. P prominew HWL High water level, sud: 3ce water e d:Sx} BM 13a;nch Mark •VRP Vei-tical l _ce Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must he obtained and posted prior to the start of any construction. D of • 'j, -d co IV U1 0 P ° Pct P ~ ~ N m~ o P N \ Q m p 2 l1 1 II in - P ~ Q 1~ r 0 o - o A # i r~ N O h P~ w /v tiro ^ j 9 I+ O N N sl w t) 41, 1" ~ A I 'I I 'I i Z 1 i , o\ I m E 1 1 7 P o~ .d 1 I I 7l7 0 \ ro ' o ` I ~ I I o ~ I 00 ~ 1 LAJ o - i all 4 5*fl6 CoAC T/'AIL 01 - A4.1 d ~ ,~I ~ ~ I11I' If ~f m d r, ~ ~ I~ ~ 'I ~ I ~ ~ Ind dI I,~ I -A ~ ~ ~ dl d ~m d p 7J ~ ~f I'i ~ + , m d I I f~ q Id ~j~ d d . ~ d o 1 ( ,Pa I' rn ' ' ~ d( T z O I i I ~C i I 1 a i d d -v m I ~ d d ; O G. ( I CA n j 7 z rrI z -A-1 i o g o h' ~ 7C~ V S rte,, X o m b -o m T7~7 z0 '0 o L~ c r~ n f F 1 , N ~-S mC w A p F o . s REPT131 HUDSON ST. CROIX COUNTY ZONING PAGE 1 09/22/92.11:46 REQUESTS FOR INSPECTION WORK SHEETS FOR: 9/22/92 AREA: MJ Activity: A9200286 9/22/92 Type: CONVSEPT Status: PENDING Constr: Address: HUDSON 21.29.19,NE,SW,PRAIRIE LN.,LOT 7 P&rcel: - - - Occ: Use: Description: 171520 Applicant: MILLER, SAM Phone: Owner: MILLER, SAM Phone: Contractor: STROHBEEN, DOUG Phone: Inspection Request Information..... Requestor: STROHBEEN, DOUG Phone: Req Time: 14:09 Comments: ,1;66 Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION