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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: 09 c?f qly- i 1Cer; J <br /> Owner's Address: 36,�l 4 Nqew .4iie- <br /> Site Address: r,2887 l y f�- <br /> Legal Description: Sap 7"yoN,P �/ <br /> Town: <br /> County: BURNETT <br /> Subdivision/CSM: OAK 4 4ke- 14cl A),-% Lot No E�lock No. <br /> PIN: o7 o;2,3 a elo IjK ao S /.5- oozynE)0 <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: �- D <br /> Date: — - J <br />