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PAGE 1 OF 5 <br /> In-Ground Dosed-Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) <br /> Pg 1 of 5 Index & Cover Sheet <br /> Pg 2 of 5 Plot Plan <br /> Pg 3 of 5 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 5 Pump Tank Specifications <br /> Pg 5 of 5 Management Plan <br /> Attachments: Enclosures: <br /> Pump Curve POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): /20g,(7 /emu /er Phone: <br /> Owner Address: /0 7 y & k/4h r W 7 MA/Zip: S C/ar <br /> Project Address: 7 t 9 504 /,kc ,64 WI4Pen- //Ail <br /> Govt. Lot: f 1/4 of 1/4, Section Rs- , T 7d N-R /S�E orP <br /> Township: �6/er� County: iU2Tt <br /> r <br /> Project Parcel ID #: O7-D/a-d -Y0 VS- p7 f- c-O r `oo1 - o 'foe, <br /> &A/L1f,J <br /> Designer Information <br /> Designer Name: /4v"51 Phone: -7/c - � -5W <br /> Designer Address: hi! Th a 1 kiAzZ _ Zip: cY8.c,� <br /> E-mail: tnldte(Ct/, i; �jji•�,il. Goy <br /> License Number: /0 a5 7 f3 <br /> Remarks: <br /> j-1 <br /> Signature: Date: � �/ cr� <br /> Original signature required on each submitted copy. <br />