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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: 1 ` <br /> Owner's Address: <br /> 466k e�2 XZ __�—/,27 <br /> Site Address: <br /> Legal Description: <br /> Town: <br /> County: t�y r Aj C' <br /> Subdivision/C'S•N-. GW Z-/} e �i9� ��i Lot No. 5 Block No. <br /> PIN: <br /> Page Index <br /> Page I 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. BOX 513 SIREN WI 54872 <br /> Signature: <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 />