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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owners name: cA7 h Waskc/ <br /> Owner's address: 2359'6' SQCW Age, O/ <br /> 4(5 ,t2 i T5374/ <br /> Site Address: 44Z/ /ydi Ikea <br /> Legal Description: 'fCG 3 N 4Q/V ,1gO <br /> Town: dgWaive <br /> County: 000Veit <br /> Subdivision Name: Lot No. D Block Nu. <br /> Parcel Identification Number: O7'67.014-104•03-"5" /5'—ZDO—0/10000 <br /> Paoe 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: ef24 /0 ffgAJ€r Credential No. 85`5-ii <br /> Plumbs 4ddress: 6 g/J1Ub"u L k.icf <br /> t� o ?/er W t '3 <br /> Signature: 1 �� <br /> Date: <O '.ZZ Phone No. 7/ -6aa-0. :7Z <br /> Designed Pursuant to the: <br /> In-around Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01;R. 10/12) <br /> Pane I of <br />