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PAGE 1 OF <br /> Holding Tank Flan <br /> Index & Cover Sheet <br /> Component Manual;design References: <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Hoi'dinc Tank Speci ications <br /> Pg 4 of 4 Management Plan <br /> Attachments: i Enclosures: <br /> POVJTS 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 ! Description <br /> Owner Narne(s): Phone: e-.f I <br /> Owner Address: 339/ (�,;l a,,,,n s zip: <br /> Project Address:c'-£-c1 e 7 fit.A_,,e r <br /> Govt. Lot: 1/4 of .1A Section Z 0 , T 3 7 N-R /6� E or W <br /> Townshilm A, �C County: <br /> ProjectParcei iD#: g7-03V'�-3'7 1e-ZO-Jr 0/700 <br /> Designer Information <br /> Designer Nam,�1e: ct G 4 £ Gw�% ,J, f �a^;Crg: 7/Jf - w/ <br /> Designer Address. CO, a <br /> E-mail: �k c t h a wffi a!` S !(of(. la'rmq ` 45�0212 Tanis space r;.served for approval stamp. <br /> License Number: 2,2Z87Z <br /> Remarks: <br /> Signature t:�rorign_aj <br /> 1 Date: s-��- z j <br /> signature required cn e9ch suhmiited cony. <br />