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PAGE 1 C.'F4 <br /> 'LH:jOng Tank Plan <br /> `over Sheet <br /> Component Manual Design References: <br /> hloiodling Tank Version 2.1 (May 2022-2027) <br /> of 4 index & Cover Sheet <br /> Pu 2 of 4 Plot Plan <br /> ;fir;; , •df 4 Holding Tank Specifications <br /> c ; 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 / Description <br /> Owner Name(s): " 'e`e 9,tUe / phone:713 - 370 - .5333 <br /> Owner Address: a5/66'1/ ii ei'S,jy i4 UC3 Al IA) S ✓ %gm) Zip: 5 50VO <br /> Pr*ct Address: C?V #4/0.50/t)5 P/ ,fe,/ <br /> armor` Lot: ! 7 N,4ti5 o l S off,,0 L 1/4, Section 34/ , T 3 S N-R / S E❑or W <br /> Township: Gil oI /Piver County: ,Ueir'iv�7174- <br /> P Poject Parcel ID#: O 7 a 3 / .3Y /5 76 002 l ode) <br /> Designer Information <br /> Designer Name: a tI2c10 gu d4'Y) Phone: 7/5 - Y.,? r'a. <br /> 'Designer Address:/93 Boy 54 cq /Z 3 //1,4I Zop: 54k 7 <br /> ten, 1�1Z <br /> E-rn is WOrtaf irehU7Lmc2// CDm This space re,ei_-.erg. <br /> Jcense Number: v27(, / <br /> Remarks: <br /> Shia u e f Date: <br /> Original sign ure required on each submitted copy. <br />