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PAGE 3 OF 4 <br /> Holding f, a k Plan <br /> index & Cover Sheet <br /> Component Manual Design References: <br /> Holding Tank Version 2.1 (May 2022-2027) <br /> F Of d, 3ndex & Cover Sheet <br /> ,z,r Plot Pan <br /> P �; of Holding Tank Specifications <br /> ='c ,. c2';° 4 Manage,,ient Plan <br /> A r a©ih larn is 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 /> Prfojj c. flame / Description <br /> w,fiynes' hisme(sr: •))+ .6 0 .",4h -6e r5/er- Fh it e: Es/ --:777. - ..-a if <br /> Owner Address: 3eve A ,/�,z,,oe y ht £ 9Ani ,7rv'• Zip: 3 5 j <br /> Project Address: 02y-'/6 $ce-vi` .Ziy ke <br /> G old% Lot: _ 1/4 of 1/4, Section 3V , T 39 N-R /6 E❑or W g <br /> "Townshp: 1� c>‹.).,.) County: . 'crr•oe, " <br /> rojee Parcce M #: d 7 rya .z 3Y IC 3S S /6 .;9S 0 I yooe <br /> Designer Information <br /> '''esigner Nat rae: Or 1- /0072_1/2 '4'Y) PhY•;ne: 7/5 p - Q 9g <br /> esigner Address: ✓O hoy 6/4 ,,?4/70 /in /Kin l,�lZ .� <br /> Zip: ��'7 <br /> /� / <br /> a-rn �: 0(Z�(ii4✓f @/7U7i1-?Cl�. C0{'A� This space reserved for ;,.,,_. <br /> L ceensc Number: r 7(//`9/"/ <br /> S n-lure: áL — ,/'` — Date: c ' 3 —.2 <br /> Original signature re fired on each submitted copy. <br />