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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Holding Tank Version 2.1 (May 2022-2027) <br /> Pg I of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> g 3 of 4 Holding Tank Specifications <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map (if applicable) <br /> Holding Tank Pumping Contract (if applicable) <br /> Holding Tank Agreement (if applicable) <br /> Project Name / Description <br /> Owner Name(s): Ed 540yof Phone: lo% -763 - /'/.Z g <br /> Owner Address: 4v oY 5/.S' W e‘ /er Zip: 6-v89 <br /> Project Address: 7/3 S 0 4-er ST d `t'r/ <br /> amt.Lot: /D 1/4 of 1/4, Section o2 , T 3? N-R /6 E❑or W <br /> Township: /vl-��nR 0,0 County: Li i''1)e <br /> Project Parcel ID#: 0 7 018' _z 37 /b oA s 7.5- 736 017ao 0 <br /> Designer Information <br /> ;Designer Name: l jack /a/k '70/m Phone: 7/5 14p - g ?92 <br /> Designer Address: )9O iy 71.E L nri /2 . Zip: 54 7,A <br /> 1 Kafi, tnl z <br /> E-mail: el. (,�(? affir @h1J7<rr)�I CDm his space reserved for approval G =,. <br /> '',,a e€nse Number: o 7Co9/ <br /> tu r3: 0441" Date: � 7 <br /> Original signature required on each submitted copy. <br />