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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): Do no M ( 1 Q f Z M q - 7//- T39'" <br /> Owner Address: z,3 (1c U l-!/y de, 1 ► if <br /> p: -.C6367 <br /> Project Address: Ta /( A100777 (1; r- <br /> Govt. <br /> 1; VGovt. Lot: f1/6. 1/4 of 514/1/4, Section , T 'IO N-R 16-E n or W,j <br /> Township: Zei c K 50 Yi County: ef.,r y(� <br /> Project Parcel ID#: 07-0/a— //-,6" LS- 72 S 06.) 000 <br /> Designer Information <br /> Designer Name: Pat Kissack Phone: 715 _520 _2335 <br /> Designer Address: W7003 Rappy Lake Rd., Trego WI Zip: 54888 <br /> E-mail: patkissack@yahoo.com <br /> License Number: 881072 <br /> Remarks: <br /> . i2-1;Signature: Date: ) ) Zo' <br /> riginal signature required on each submitted copy. <br />