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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10705-P (N.01/01, R. 10/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name I Description <br /> Owner Name(s): Kelm e ! )) Ru5 / Phone: - - <br /> Owner Address: 2-9 (00 7 g-pc/ 'v�;x /-- rkt7,Zip: .SRO <br /> Project Address: & 3 Abner Lgh,P Sfieah-e_.r 5 /9'O <br /> Govt. Lot: I /t/iv 1/4 of sr 1/4, Section 1 , T 3 9 N-R ILI E or W I X I <br /> Township: r v5 k County: ��i�he - <br /> Project Parcel ID #: 0 VI C/ 0 3 5-D 100 <br /> P4'c' <br /> _ Designer Information <br /> Designer Name: EtiCk5efrl Phone: 95-2- - t I0U <br /> Designer Address: L29(/ /707i c &i 4/75- Zip: S YO z LI <br /> E-mail: a ?3 2.7 2-)e.e7ivcy (. If e 7 This space reserved for approval stamp. <br /> License Number: I?9.3)-d ? <br /> Remarks: <br /> Signature: Date: 9 24 -�2-- <br /> Original signature required on each submitted copy. <br />