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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): Gorap/e.71e. Props-r7`;e,, 41--(-- Phone: d/2 -282. - 9477 <br /> Owner Address: a/9Y 6 f/,iysfA-Fr4Ue tArowyr Toil M/I1 Zip: S-'2 V <br /> Project Address: , .7/94. 7 5130 LA K2 fjc.c e55 <br /> Pc( Govt. Lot: / 1/4 of 1/4, Section /2- , T 37 N-R /3 E n or W <br /> Township: 7-04-d e_. LA-ke County: z?"/-,0 <br /> Project Parcel ID #: 07 035,1_237 >g /.2_ o 9 0 0/ 0,2.6®a o <br /> (,),,,,,,i____ Designer Information <br /> Designer Name: ( , ---/--d",_ Phone: - ,35 _ 7-220 <br /> Designer Address: "eorr- Sig' s /j"e.J -� Zip: 5-9g 7 2 <br /> E-mail: This space reserved for approval stamp. <br /> License Number: Z.2 76,/ <br /> Remarks: <br /> Signature: <br /> ��a� . .' Date: "/C- 2 3 <br /> Original signa e required on each submitted copy. <br />