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2005-03-17 WC Permit for Septic Tank Replacement
VE1as t Departme 11 Public Health and Environment 14,-,-+9 62nd Street North P© Box 6 Stillwater MN 55082-0006 Office: 651-430-6655 TTY: 651-430-6246 Fax: 651-430-6730 Communit Oak Park Hei Permit Number: 1700-05-1 Owner: Larr Philips 5272 Sta TR Oak Park Hei MN 55082 - Applicant: Larr Phillips PERMISSION IS HEREBY GRANTED 1 Permit Fee: $90,00 Total Fee: $90-00 Previous Pa $90.00 L_Balance Due $0.00 To execute the work. specified in this permit on the followin identified propert upon express condition that said persons and their a and emplo shall conform in all respects to the provisions of Ordinance #128, Washin Cou'nt Development Code, Chapter Four, Individual Sewa Treatment S Re This permit ma be revoked at an time upon violation of an of the provisions of said ordinance. Project Address: 5272 Sta TR Geo Code: 03-029-20-31-0005 Desi T of S Tank Replacement Tank Sizes Gm 1500 MM 11 \)Y17 Pz1 2: 1000 � � �� �_ r '�'� z � _' i C ti MAR 1 8 3: 0 Lift Station: 0 ucl CJ) ,n12) C Authorized Work/Special Conditions 1. Abandon old tank(s) properl 2. Minimum 50 feet from septic tankldrainfield to well. Permit Issue Date: 311712005 Pete Ganzel Permit Expiration Date: 311712006 Senior Environmental Specialist - NJ lol� L t-A NJ LA T z $t • ----------- CL SEMACK 1� IMN cl P-i a . rs CL I bL ma %P 4 - - - — - - - - - — - - - - — — _.r___.....,..... 30 I . _— r- -- ---- dop Ilk 4 ri, )ell 40 Aft IS% wa \ 94 -44.