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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 /> Owner Name(s): GARY J. & LORI L. VERHASSELT Phone: -Owner Address: P.O. BOX 636, OSCEOLA, WI Zip: 54020 <br /> Project Address: 6018 LAKE 26 ROAD <br /> Govt. Lot: NA SE 01/4 of SW Q 1/4, Section 19 T 41 N-R 15 E or W �✓ <br /> Township: SWISS County: BURNETT <br /> Project Parcel ID#: 07-032-2-41-15-19-3 04-000-014000 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: 715 _ 426 _ 1775 <br /> Designer Address: 25720 FIREFLY LANE, WEBSTER, WI Zip: 54893 <br /> E-mail: hollisterdesign@outlook.com <br /> License Number: <br /> 1859 - 007 <br /> Remarks: <br /> abandon old tank per SPS 383.33 Wis. Adm. Code = <br /> *i 4"+ '�s�4, $, <br /> f/7 <br /> r , �,. `rr <br /> Signature: "1/ l(,' - Date: 05' ..03V/623 <br /> Onngina_gnature required ohitach submitted copy. <br />