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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> WITH DOSE CHAMBER <br /> Residential Application <br /> Index andTitle Page <br /> Owner's Name: JJ e /l/C 4r4G <br /> Owner's Address: /1?0'46 !� <br /> Site Address: S Ale-1- /C <br /> Legal Description: S 7 Tyd 0I0 <br /> Town: O,4 k 1A,4,td <br /> County: BURNETT <br /> f <br /> Subdivision/C�-?d- R d e. Lot No. Block No. <br /> PIN: 07 Do?O 2 'Y'-O 46 07 -7 /S D/Sod 6 <br /> Page Index <br /> Page 1 Index and Title <br /> Page 2 Plot Plan(may include septic tank and filter specs) <br /> Page 3 Distribution Cell(s) Cross Section <br /> Page 4 Dose Chamber Cross Section (with ST &filter specs) <br /> Page 5 Pump Curve and Specs <br /> Page 6 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No.227691 <br /> Plumber Address: P.O. BOX 514, SIREN, WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: <br /> Date: / y <br />