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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10855-P (N. 03/07; R 01/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Holding Tank Specifications <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map (if applicable) <br /> Holding Tank Pumping Contract (if applicable) <br /> Holding Tank Agreement (if applicable) <br /> Project Name I Description <br /> Owner Name(s): A l.eKS col, A Q d;c 1 Phone: t2 [ - SeI - t/ <br /> Owner Address: 12..OZ 3( t/g egAi114i•p: s'_S <br /> Project Address: S 1,''ile1 11 SOO k CP <br /> Govt. Lot: 4 1/4 of W 1/4, Section ?S, T 3' N-R <br /> ) E or Wl1 <br /> Township: NJV00 4 K VP_i/ County: SK <br /> Project Parcel Parcel ID#: 07-0 7,-�-3E`' )? c- S OS -007-6)S 006 <br /> Designer Information <br /> Designer Name: Pat Kissack Phone: 715 -520- -2335 <br /> Designer Address: W7003 Rappy Lake Rd., Trego WI 54888 Zip: 54888 <br /> E-mail: patkissack@yahoo.com <br /> License Number: 881072 <br /> Remarks: <br /> 4( l <br /> Signature: Date: i 0 <br /> Original signature required on each submitted copy. <br />