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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: ` arroct Wasd bvro <br /> Owner's address: /0003 0/111ger Koao( <br /> WCbSter WI 54893 <br /> Site Address: 5,24-0 Wen-6 Cake )Poaal <br /> Legal Description: Nf24- ,S V14 Sec-bon /1, 730A) A)51 <br /> Town: /.d FD IIettc <br /> County: B u rh e-tf. <br /> Subdivision Name: — Lot No. — Block No. <br /> Parcel Identification Number: 0/'t 2.21 jj O2 80D <br /> Page Index <br /> Page 1 Index and Title <br /> Page 2 Plot Plan (May include septic tank and filter specs) <br /> Page 3 Distribution Cell(s)Cross Section <br /> Page 4 Maintenance,Management and Contingency Plans <br /> Page 5 SFFLyen{ Iter SkGiFi Gab ons awd .San.ice Infcrvll <br /> Plumber Name: 111Gh2,d HoP1)14 Credential No. 225851 <br /> Plumber Address: 977&C) -466-- giejti wa/ 35 <br /> t�ebs�er Wj S�i893 <br /> Ste: tea _ <br /> Date: ,farcy 19. Zoog Phone No. (710 <br /> Designed Pum to the: <br /> In-ground Soil Absoipbon Manuel for POWTS Version 2.0 SBD-10705-P(N.01101) <br /> Page 1 of 5 <br />