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- CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: KeV for C) <br /> Owner's address: 'SFj 70 old 3s <br /> .DAN�utf t�r�` <br /> vales <br /> o <br /> Site Address: <br /> Legal Description: 6 eti 6 /WA)'/1,1 e/6' <br /> Town: 4w( I, <br /> County: ecxwek <br /> Subdivision Name: Lot No. Block No. <br /> Parcel Identification Number: O7-X032--2-Y1/5 i -4' def"DdO-0//Ob0 <br /> Page Index <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: 44 /0! qfr" Credential No. $5I?tli <br /> Plumbe 4ddress: Ogi i 6v k-.gd <br /> ,ein/er t 1 ti 6/ ) <br /> Signature: <br /> Date: �2 2Z. Phone No. 7/51-6-6K—O.2C7Z <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01;R. 10/12) <br /> l'age I or_ <br />