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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): els r„, rg/„e„A Crov sIC Phone: (/Z - 2 3d- 6/cla <br /> Owner Address: g30q yAt v/eIvc S Zip: 55/20 <br /> Project Address: Z59/ 641)(A1 Creek 7d <br /> Govt. Lot: 1/4 of 1/4, Section ? , T 3`! N-R /4 E_or W <br /> Township: /v'k County: SurNc/t" <br /> Project Parcel ID #: 47-olY-2-39-/1/-af-Z 02- -0/l6ao <br /> Designer Information <br /> // <br /> Designer Name: /a�(an,64, Phone: 7/5" - 4-66 - Oab2- <br /> Designer Address: 68garkil lathe L Zip: 51t'fi r : <br /> E-mail: (40 0/ia,j4 yacrp•rots/ This space reserved for approval stamp. <br /> License Number: ,'5951-/ <br /> Remarks: <br /> Signature: / Date: /Z-7 Z?j- <br /> on final signature required on each submitted copy. <br />