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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> • <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10855-P (N. 03/07; R 01/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Holding Tank Specifications <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map (if applicable) <br /> Holding Tank Pumping Contract (if applicable) <br /> Holding Tank Agreement (if applicable) <br /> Project Name I Description <br /> Owner Name(s):re.,4k coS erf ir,nfks, ,r� Sct.-,Phone: - - <br /> Owner Address: /24651 /.,i//e fi`rk4e, Rt4 620,Ln is cv Zip: 5'YYYO'+ <br /> Project Address- G-vp-w- <br /> Govt. Lot: `t 1/4 of 1/4, Section / , T v9/N-R t8 E or W k\- <br /> Township: /r't_de k County: & rn&f <br /> Project Parcel ID #: o 0-31 2 - 3 3 /ee <br /> Designer Information <br /> Designer Name: %,4^S �. ��5�� Phone: '11S <br /> Designer Address: 36 r2 i/ �� �`✓ .� ��.° 5 '� ip: <br /> E-mail: ris s }act reerveci for a pprovai 5tam . <br /> License Number: /3.34 -S <br /> Remarks: <br /> Signature: Date: ? /3-2 <br /> Original signature required on each submitted copy. <br />