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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): (5 le- F l bcr,� Phone: - - <br /> Owner Address: ;2%�(B S �c21` Ra � � kG (� Zip: 548 7/ <br /> Project Address: <br /> Gout. Lot: 1/4 of _1/4, Section-3L—, T 3ppJ_N-R__Ly/ E 0 or W <br /> Township: J _44 County: bu 1,�1"e f <br /> Project Parcel ID#: 07 -003 -2- 7,6 -L-,,:y- O/oCO <br /> Designer Information <br /> Designer Name: Phone: 715- - ( - 01 �- <br /> Designer Address: W 93&-& l� �i>�a:�� Sl e%��{ 6 zip: -5�,471 <br /> E-mail: I;i sr-ac,:res ;; d for approval stamp. <br /> License Number: 2.2000J <br /> Remarks: <br /> Signature: Date: 2- <br /> b Z <br /> Original signature required on each submitted copy. <br />