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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> WITH DOSE CHAMBER <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: K /12/1 <br /> Owner's Address: 7‘6 rf 3/51-5 f 1 J <br /> 0 A led 47 <br /> Site Address: v'F:5-0,2 LHS 7 I 1 7 19- 1) Rd <br /> Legal Description: ,c_j 4,1 1.3 -S A „5'/$'i-y 2,d4/6, ,„/ <br /> Town: C ) k`,q.,,Cd <br /> County: BURNETT <br /> Stfidivision/CSM: 0,2 p 1/ Lot No. / Block No. --- <br /> PIN: ,'7 ,aZQ 2 4'O /6 /1_320;z Odic' O/8600 <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 Dose Chamber Cross Section(with ST & filter specs) <br /> Page 5 Pump Curve and Specs <br /> Page 6 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No.227691 <br /> Plumber Address: P.O. BOX 514, SIREN, WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: �- <br /> Date: <br />