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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> f� <br /> Owner's Name: l i 05 e- T Z?Z�-7 �,5_e t2 <br /> Owner's Address: 9 <br /> Site Address: <br /> Legal Description: CL,) <br /> Town: <br /> County: <br /> Subdivision/C-SM: q)A)e-- �/�r K Lot No. lock No. <br /> PIN: 07 03a, a y 16 33 ,5- <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: WADE RUFSHOLM Credential No. 227691 <br /> Plumber Address: P.O. BOX 513 SIREN Wl 54872 <br /> Signature: a 6z r% - <br /> Date: � 7 /� _ 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 />