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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: jo4n1 F,bt.o <br /> Owner's address: 6574'5 6 i ih5 Rol <br /> A 4Art/ IA' 620,6 <br /> Site Address: 23601 Ouratze <br /> Legal Description: 'f 46es Two 38,j ,Cl7' <br /> Town: AA/INC/5 <br /> County: &owe" <br /> Subdivision Name: Lot No. / Block No. <br /> Parcel Identification Number: 67- 6-24B--/j 18-3j of-Ow-61/Zoo <br /> Page Index <br /> Page 1 Index and Title <br /> Page 2 Plot Plan (May include septic tank and filter soecs <br /> Page 3 Distribution Cell(s) Cross Section <br /> Page 4 Maintenance, Management and Contingency Plans <br /> Plumber Name: If, /01 j/ <br /> gAdfr Credential No. S5/?'5 <br /> Plumbe 4ddress: 5g/ 5y---iV ?k.t&f <br /> vier <br /> Signature: 7;t 1-7 <br /> Date: 17'2/ZZ. Phone No. 7/ c66—U.7-C7Z. <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 />