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Permit 3809 B 11
Drainfield Requ ,remenl: Minimum SCOTT COUNTY, MINNESOTA .~~\ _ _ _ _ _ _ _ _ _ _ -1- _~~~~I_~~ ~I_~~_ ~~~_~~=::~::::::N:~~_~;_~S~&~':;:::~F-1~~__ ' Date Received / () - {n - '1 'I Twp/City 5t l~ IN (-, / A-J<. ~ / Permit Number 3 ~ () q .- R. - II Project Address / }2" -3 s-/ Lr.; - ~.fiVOI /1/ ~ Receipt Number 3;.:gJ 'a City f'o't%r /o~_ Y - Zip .,..,~ 7-:;? Fee ."1ctQ. ~ K //70. Percolation Ratc s W. J:;?CJ. Old Depth to Restricung Lliyer <;/ ( Minimum ""......,... /5/?n. :z -r'_ gallon septic tank No. Potential Bedrooms 4/' Recommend I '>ocl - ,;1 C, gallon septic tank Garbage Disposal yes I no A" ;~ 2allon pump tank New Repair ~ /00./ J::-~:< fn </ !-Vj e~ ?r4J1- /L-" ~l"/ ~ ~0~. , ( ............... - Sd-~E ""- tor C ,{". Clr\ I C,5""I- LOW-- .], 11 '7 ,J:; '} r( (Work) /Ie \ate' Recommended On-site System nstaller 19-( A, IJ L,d ~ to.. ! Sec L Lot _ _ Block _ Subdivision This permit is VI lid fO~2 months from the date is :ued. A design of the : lewage Treatment System must a ompan: this application. PI se contact the Enviro complete list of i lems reqUired for permit approv . " \. Applicant herebl agrees th upon issuance of applicable towns lrip, city, an county ordinances Applicant Signal UTe f) a. f} ';I a~ Date ) () - t: - 17 ~~=:;~= ~:::"~.,;' n, nJ TOWN;:"'::: ..:::~::; ~=;~;.:n n, ';~.. m '~;n Wetland Replace ment Plan attached ~y" No LGU Exemption # Please attach copy of exemption. Recommend: Approval . pr 'Vai Signature of To" nship or City Clerk , Date Owner :r4 HI ~' Address} 7 :5 J-; \ 1{ -1.~n.l - v if (>-J- -- - -- IS" if - rell t ..-- r.-, '7 -; ZipJ ;;) .J .. ""-, - -- -- - - -- -- . -- -- -- - -- -- -- - -- APPLI ANT FILL be in compliance with any - - -- - - - - - - -. - - -- - - - - - - - -- - - - -- - "'- -- - -- COUNTY USE ONLY - - - - - - - - _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ Setbacks: Bnild ngs dO; Road If') '"if' cJ-v-./ Lot Lines I d ' Lake/Creek/Wetland ~ Wells'sC:J Approved A Denied By Scott County Environmental Health, subject to existing regulalions and the following condition:_~.l/io/.. ~v a-,c/ __d.<,.,-h/f1 ,/;/ -(~<--,,(n;.>/ _~f.l-eU'h-<, ...s:J:rld .6":/;.. va /,~ <:: . ;::z:; .s/C( ; / ?7e....C-hc-> C n-.--> C...0 70.....;- - -.0, vt'Y" T #/1 .5........... ~e t...vo k A...-CI v/ &17</_-/ '77@../"7/"'h c:N ~ - /ro.h-,-./ .!C!V"/~r 'i~l"'''.../-~YSy;:.->.. );:: -..,I::;",c- :z..........., . S~ 0:-< -~c.c;;l ~ ' .~Ac., ~.s.!"/J,6 u~ r<7>--.o/p~~_ . / / / , ./ .... tiignature-X~~ ~c ~,:"t_) _ .' . s.uQ~ .A'"\-€.~ d".-4-~(f""l-"'-.. C)a..JJ1{~e~ White - County Yellow -township Pink - Applicant Gotd - Township Date /~-/"? - ';T '7 / -;7- t?...s Phone Log '111 I~~ I / eJf c, V'l'"\~JJt..fe: cM~ . . Cc. 1./ Jo I Cv(..( (.I ""1/1<. 11 i'^-' i J- h;J /'7/k.-......, ~,./ JVt~'""'-~"". S'l.f . Ic.d\~h (.,":,-\-;;24'jj'-~8'2.1 ~,... 7'o'Z.~ P<..-Q a-ot- v.-l{ ~....... JA-~LAI1 dk_ r~M'{.",L,. ~ u,t.".t i:-tv.t- i. , ' , I"..U.J r5\'\ ~~ 1.e 1~\A:\lt& \:''t 'X- --02., He.S4.J2NLl.b WO~k.,I.,..I,-l,Jl. ~()\.-Vf ",in (N;Jcg _ LAI~ 4;nt n~+ .1... 19<;'1 liJktl-" 5~t:{S-h.{,.~ ve!v(....J)~'''--\ oJ"' , _-h> ~fl.A..c..e InS lr>(; 10/LA-Q, &-.L f,. (J-M ~(/CoJ.t(lTNLf'. Lkt~1 c.l..M...y-& ~ N-.<; t V~, f,...u ~ l.-....Cl.II ~Wl... ol.", utft t...r fJ/vt't. .r J2..R.Ct /l,{J -1-0 Iv:.>"-x:>Y t-k I I";{ d I ' en ~ ~t s,,,t..€. &.~^ ,-/.({ 1"'''ol~J1 L . ]c<.-()/ L.<:.,11r h-e /' /"'''J 1b * i.. If., (( '8-7~(~~\R v-J/. 1)('",,,,&', SI'1<-e.LII,\\" 5c..D (Sok"",-wc,,,.-to.bl...'s (ftvl::.,J]IlIvl.f- ~r · () 0 I . -H.....lA-\. Skt.. 5jl, ,Q G,C;N Lu~k+-k1\. 0-* {.., rnkP~ &-e, , (/ 9'-/1-() ~- ')~.f c;( "" / If ....\ (AI l,. U<. ~ '. ,,p {" ",/1 t. t.( AhV1L'?<..,.i... ~(jJI.( <:/ /..,{ .4 l20 . I J/d J2J vJi." ,f--<'\ I '.dzr", ,biO /" iI,6Jo.G:'1';;' s10J: ~11 <.-n--'l'.., N<iW;V'-1 f Ac;u,D ~J (..'3 l<.IlJ! 111M. f" <AU ~..Jlcl....Iu",,~~, ,~{( fl"i T'j oo.fcV. L.. lr'l1.s jo'-/ ~ 1/ f