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87/23/2015 16:18 6088484869 PHCST PAGE 02 <br /> • <br /> ri_ C, <br /> I Safely and BUlldings bivit;ton Dane <br /> •'.• a Ir _ 201 W.Washington Ave.,1):0.la <br /> x 7162 k,y p a Numbertro brake mil C.91) <br /> `h, <br /> Madison.WI 53707 7162 <br /> •" ,/1'2- 13- 20 S= G02S -( <br /> :sane rranSae3tateNUtabnr <br /> Sanitary Permit Permit Applcation <br /> ra aaerdnnee <br /> with 5P531133112).Win.Adm.Cude;su rmmssion-orlbir ions to the appeoprime govenearlml nrilt <br /> .4 nCgalmet perrurnblaoiring s.lwtilteq VII1V1ii.Nara AppAdatk n Cony:Rif stete•owned PC tvr'S aro.snbmltled 14 ?toilet Addrasr•(If different flea ane[iieg address) <br /> •the beperilireh►°MSdfdy and kreFesOl n 1 Se & Pawed inlbn aiIon you provide may be toad Cot s c ndery <br /> L.:J..--in severamme..rlkniePr • •tor s.15.oi .m:stets, Spring Hill Drive <br /> I.'Applies fitiiInraiinotino-Please•PrIat Mint, 1' <br /> PritpertyCl na'9Nome I E • puma# <br /> Christopher&Cassibdra Erickson 0611-171-7642-9 <br /> prorotlYOrrnet•S*111Ringaadien JUL Z W ZUJ5 Pc rtrimeoen <br /> . 200 Cory Lane . Coot.Lt)1 <br /> r:ity,slek `.• •T$. Pubht r'g4+lllibra9ilier _NE ri, NE )G.scowl. 17 <br /> e <br /> Cottage Grove,WI bonn 3$ alth T 6 M R 11(drrtE.W <br /> 11.Tj pe arBailding(ebedk ill tltat.npp�r.) r Lot A • • <br /> Ili 1 nr.IY7ntlly,twnnbng-Afumberdranevoats 4 52 . ;SabdivhdenNotos <br /> ' � S:ring Hill <br /> 0 Pebliefamade Li • <br /> m oo .Q•city • <br /> 0•srtnOwnne'-tionmitie ton • CSM Number '•0 Village-of . _ <br /> DI own or Pleasant Springs <br /> III.Typo cif Permit: (Cheek oWy iie hart ot11'fhd.A. Compieteihre BIT applicable) <br /> _ <br /> �A' 12I.14nrSyaten 0 Itopieermeea system '0 S t-nnet Rcpucancm Only 0 Oltenidcdllka lumto ExiiiinsVreati inepldai <br /> a. 9-pj ilarcnrel 0 paring ROW*,Ion , 0 t olloluarbcr 0 Permit'(lsnsfcra Now ta9t Previous Paatirrlmobm mod We htatted• <br /> 11hrti atpirdlid i ; Owner <br /> •IY.7 ltc-of POSYTS Sysioor/Conrtanent/Apvien: (Cheek all tkjpP 1) <br /> i3 Nee;Pressur fed ind7.00nti 0 Piteata+.ct1 in•Orannd 0 tA>.(bade 0 bioat3?24 to otsedtoblcsoil 0 Atmmd-c241n,of;ruflobk soil. <br /> 0 Holding Tank 00tber Dhows,'Component.(rnpinin) 0 tteteotmein Devfo tenpleii) . <br /> Y.;Dlsppstl[lf evhlhndst fleet Ittfoimtitlortt . ... ... ' ; <br /> Deer:Row(god) Deign Soil ApplicationU:slggpdal) 1:611nersol Arat.Rbgalred(si) Dispersal Atee.lroposed(so •SystebaiyksMii)on <br /> 600 0.4 1500 I 1500 Equiy. ,, 91.6' - <br /> VI.Tank iota CCoyid Gallons halts Mmefeeturer <br /> Nr»TUtxs ROOT Tom+ 41 i A B <br /> . Ilv' Al p to ai. <br /> sr prrcert!texa4Tnafr 1250 — 1250., 1 Crest x •�,_ <br /> Deem potable 750 -- 750 1 Crrest X <br /> wit.lieSponsititl1tyStnMaleatr rteaadanlgaedrSituate • :, -.o <br /> p�'Ct .-t- W4fflt) , ptaddxe'a5rgns % , i I"2 )t(e 9h" I.6 P`'O / m 4 lOJ. <br /> Phanber•r Addrrxt(Sua\d,,Lily,,Sisk:Zip Codd <br /> ' PO Oe L t , 4a� f7 ., 'w-- s° iJY, <br /> VII.Connty/Depati a Use <br /> .rte.. ©O VA anon to 0a 711 oaielaned rSsairey �'ore� /� a.PjgZ-"-- <br /> J"`er's OYQ1 .0 Owner Given Renma rat Denial s-L f 1 / -?P/� fly �✓/ `'� <br /> L<f.Conditions otApprovaNReaama Cur•Dicnppravn( <br /> --->Ez—FcowcUJ E./.r.A, _ /5700 fCz, Fr, <br /> Mtodn In annpl.to pLnv,br Illy rtes nod Moon to Ise Coolly only on peer erot 2KS 01,1111 iii-2 11 limbo In she <br /> SBL 5393(R.1111l) <br />