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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version-2.e,-SB0-t08 - , <br /> 2• 1 <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 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 appiicable) <br /> Holding Tank Agreement if applicable) <br /> Project Name / Description <br /> Owner Name(s): t_r<L �' f ba-r� JO/`^5��C Phone: <br /> Owner Address: y/Z CCLrd,.n�l Cd c.,t' f 4,5a n'�� /XI S(/ Zip: SS CS Va <br /> Project Address: 2 /9<�o 1302css po°�a <br /> Govt. Lot: 1/4 of 1/4, Section 2 , T 3 7 N-R 18 E❑or W <br /> Township: %T�Ae- L-,t_ke- County: <br /> Project Parcel ID#: 01 -06 y - 2 - 3-] - l - 12 -S 0 5 - M 2 - 15 mO <br /> Designer Information <br /> Designer Name: Phone: 117/-S 53 <br /> Designer Address:.,5� �z � 'f S� ��L- 4�� Zip;,���3 <br /> E-mail: <br /> License Number: <br /> Remarks: <br /> Signature: Date: <br /> Original signature required on each submitted copy. <br />