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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 I Description <br /> Owner Name(s): ,ISZ.1-ivve�irneA, too d/C Phone: 6/Z - 236- 6/90 <br /> Owner Address: 4'309' 4v / ut 5 Zip: 551/ZO <br /> Project Address: Z 'p/ ,c /yN Creek-eel <br /> Govt. Lot: 114 of 1/4, Section `7 , T 1 N-R /4' E❑or W <br /> Township: / ) A- _ County: duriveAr <br /> Project Parcel 1D #: o7-421/-2-,41-/4'-oq-Z Dz- GeV-a//6ao <br /> Designer Information <br /> Designer Name: 4 T f/Q Phone: 7/5- $36 - Qz . <br /> Designer Address: 6BI/ AI A4 4' Zip: 5100, <br /> E-mail: r flaAdrf ya47cr9.ib,l This space reserved for approval stamp. <br /> License Number: B5 ?/ <br /> Remarks: <br /> Signature: � Date: - 7 Z <br /> g tnal signature �� Z fg required an each submitted copy. <br />