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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: -z- <br /> Owner's address: /-5-22 co Fe/� <br /> �l^mL� � <br /> Site Address: 6W 1 (fl�J'7wa`, <br /> Legal Description: CG /t� TV <br /> � KnMSLf <br /> Town: <br /> Counn: 6V(NP.d/ <br /> Subdivision Name: _ �/ A lkre j Lot No./ 2 Block No. <br /> Parcel Identification Numbcr. M.0100 7-740 <br /> Page Index <br /> Page I Index and'I'ide <br /> Page 2 Plot Plan (May include septic tank and filter specs) <br /> Pa,-,c 3 Distribution Cell(s)Cross Section <br /> Page 4 Maintenance, Management and Contingency Plans <br /> � J o <br /> Plumber Name: �D!/T4A.(.7Qr /J Credential No. r/51? <br /> Plumber Address: 27220 <br /> Signature: ' / <br /> Dale: /%-PI/ Phone No. 7/S-S66-O,7OZ <br /> Designed Pursuant to ft: <br /> In-ground Soil Absorption Manual for POWfS Version 2.0 SBD-10705-P(N!01/01:R. 10/12) <br /> Paee I of <br />