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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: ik'e4 j AveAk tf <br /> Owner's address: Z Zg 3y �j/i'Ui21+G Watkh4 <br /> / <br /> 6iteto t/i, 0)7L <br /> Site Address: <br /> Legal Description: 4ee 2? Aho S4 ,e s'7W <br /> Town: <br /> Uounty: <br /> Subdivision Name: Lot No. Block No. <br /> Parcel ldentitication Number: 7-Oqg-Z-3_17-29- ' 01- -011100 <br /> Pa,e 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 /> t Plumber Name: I�ty AO 1/G er Credential No. 55/9 ".-i <br /> Plumbs address: t4 &U lit `.? Al 2-k-.. d <br /> L.jdn/er ca.) 6'tb'3 <br /> Signature: <br /> /a�27 <br /> Date: Z-7"ZZ Phone No. 7 =S6 -0.7oZ <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 /> Page I of <br />