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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page t L <br /> Owner's Name: 41 Kfro r— ro-d e r i c kS <br /> Owner's Address: S6 go 6n��ek <br /> Site Address: IDC) O ( -�- o /,j <br /> Legal Description: S/6 Tyo J416 LJ <br /> Town: L11tk b� - o d <br /> County: !J Gs-N Q'-1 / <br /> l <br /> Subdivision/CSM: � A,IJbo j LR-IGe Lot No. ac BlockNo.= <br /> PIN: 07 Dao d yo / 6 /E5 iS os/ 03 ` O66 <br /> Pagelndex <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 /> Plumber Name: WADE RUFSHOLM Credential No. 227691 <br /> Plumber Address: P.O.' ' <br /> .'BOX 513, SIREN WI 54872 <br /> Signature: (N cu Z�s <br /> Date: Phone No.715-349-7286 <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01),and <br /> SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br />