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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> _ /-�Index and Title Page <br /> Owner's Name: /jiJ t� / 1 r 1 _"J y� <br /> Owner's Address: / p <br /> Site Address: 'f8 cf3 A.+K -�— Rd <br /> Legal Description: Vie_/ N,�7 NcJ —A) I<-) 51Z -7',j pd <br /> Town: Z f o Ll 7— � <br /> County: <br /> S:i�bdiroision/CSM: 1o7j'jd ZY Lot No. a Block No. <br /> PIN: / 5 16 a 61 ©oe 0l15-00 <br /> Page Index <br /> i <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 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No 227691 <br /> Plumber Address: P.O. BOX 513, SIREN, WI 54872 <br /> Signature: <br /> Date: a O `!5 Phone No.715-349-7286 <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01), and <br /> sswMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br />