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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> In-Ground Soil Absorption for POWTS 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 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> � ( /67; 6.47) hone: r1Z - - ?2/6 <br /> �' �Owner Name(s). CZ,✓I <br /> las / ' 54848 <br /> Owner Address: j Z Old' co, d�, f� , �./� Zip: <br /> Project Address: 3a 9 4 ( rU< del dQ�. c,y L) g3n <br /> Govt. Lot: Z 5 1/4 of JVZ 1/4, Section Z`-// , T 41 N-R E❑or W <br /> Township: ,_,,SS County: pt„P lI <br /> Project Parcel ID #: 4-- 0 D1 -D32-2-y I- IS-2y -5 DS-Oe2 - DZ IMO <br /> Designer Information <br /> Designer Name: Cory Jackson Phone: 715 -791 -4768 <br /> Designer Address: 24884 State Rd. 35 Siren Wi Zip: 54872 <br /> E-mail: cory@jacksonplbg.com This space reserved for approval stamp. <br /> License Number: 824339 <br /> Remarks: <br /> v <br /> Signature: Date: 3- /C r <br /> g On ignature required on each submitted copy. <br />