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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 /> 51-Te 1 -7,D <br /> Owner Name(s): "'IOR O C l PQ(3FC-,Tl C3 Phone: '� 1 -IS I - % 15 <br /> Owner Address: e C, etX �� �tJ 1� �`1 Zip: <br /> Project Address: <br /> Govt. Lot: _ / 141 1/4 of 5 VV_1/4, Section 3t-) , T al N-R IL E F�or W <br /> Township: MCC obC j County: <br /> Project Parcel ID#: TA X `4 3 5o S <br /> Designer Information <br /> Designer Name: Phone: -715 <br /> Designer Address: bit SSL1`- MA Zip: S`i LL�ci <br /> E-mail: 'CDC ��.�� C 1'f1G i [1�I.(� <br /> Conditionally <br /> License Number: APPROVED <br /> DEPT.OF SAFETY AND PROFESSIONAL <br /> SERVICES <br /> Remarks: DIVISION OF IN TRY SERVICES <br /> Di5 e g*z-3 3 5 5�'`� <br /> SEE CORRESPONDIAE <br /> t� Z Date: 23 _ <br /> Signature: `� Da � <br /> ri f 10nature required on each submitted copy. <br />