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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Holding Tank Version 2.1 (May 2022-2027) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Holding Tank Specifications <br /> Pg 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): ft V in "Tfi,t q4, - ! Phone: - - <br /> Owner Address: 2 3/6- f114, g ✓!:�/ �c) .S e� 05 Zip: ,54&7/ <br /> Project Address: <br /> Govt. Lot: 1/4 of 1/4, Section 2.3 , T y27 N-R /% E n or W <br /> Township: lam' .07` County: e?LeAnel/ <br /> Project Parcel ID#: 07-• 0,;?! ,2-y'r7- —23-/ ci94 7/7 <br /> ''�� ``Designer Information <br /> Designer Name: çLc,'ôtt tU ie eJA Phone: 7' -Gym ?7yy <br /> Designer Address: r Lc�z ii ced • 741 Zip: ,51M'7/ <br /> E-mail: I'his space zeset.ed for approval stamp. <br /> License Number: 22 <br /> Remarks: <br /> Signature: Date: 1l, 2) , Z7 <br /> riginal signa re required on each submitted copy. <br />