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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): 9-Pre," Phone: As/ -ay6 - 7Y7/ <br /> Owner Address: C/SS /sa 54 N i , , Zip: 5-.5 0 3 g <br /> Project Address: ,1 9/_2 Sy.r>74s A &4y rP61 <br /> Govt. Lot: 1/4 of 1/4, Section 3 y , T .J7 N-R / 6 E❑or W <br /> Township: Q ,cJ a,J County: .Qy,^N e.79- <br /> Project Parcel ID #: 0 7 ois' a 39 /6 :3y s /6 SYs o/3ood <br /> Designer Information <br /> Designer Name: /OP_ Bays A 01,n Phone: -3Yy - <br /> Designer Address: ,L�o .5/y 5,i-.e..-J Zip: .S%-$/ 72 <br /> E-mail: This space reserved for approval stamp. <br /> License Number: Z Z 76 2/ <br /> Remarks: <br /> Signature: Date: 9—2 3 <br /> Original signatur required on each submitted copy. <br />