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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10705-P (N.01/01, R. 10/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): !/d'i `f OCe Phone: C.S7 - 'Z- cg '2 <br /> Owner Address: (� 5)26g hit / '`/S U,v/4 u' Zip: SZ/Ol/ <br /> Project Address: )(ST bQ rl '_rJ7' , 4 Lit <br /> Govt. Lot: 1/4 of 1/4, Section 2 , T .gyp N-R E❑or W ❑ <br /> Township: County: /, yh� <br /> Project Parcel ID #: 67-CAS- ?- '-/ ,-Z$- S / - <br /> Designer Information <br /> Designer Name: (Liy Jac YI / Phone: 7!S -_�L- 'x <br /> Designer Address: 9'..• gfack / � 4.ft - Zip: S2/�f? <br /> E-mail: Caer Ilnt j Sci,?pAy. co,y) I`his space reserved for approval tatop. <br /> License Number: McS.T9 <br /> Remarks: <br /> Signature: A/./ Date: g-/?.ZV <br /> Original srequired on each submitted copy. <br />