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`(r0)NVEPJ J-110NAL aN-GROUND POWTS DESIGN <br /> `/'VR H DOSE CHAMBER <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: C Grn l f C 54,+- L _ L L C- <br /> Owner's Address: s�� �37 4LVe '0,tJ45 <br /> _'7,4 c y ,�,iJ 6 So 7 9 <br /> —� p <br /> Site Address: 2 7/ 9 145u sti a e Rol <br /> Legal Description: A( Y) — r)C .S.;2 D 7-YOAJ,? t <br /> Town: S G o <br /> County: BURN ETT <br /> Subdivision/CSM: Lot No. — Block No. <br /> PIN: 07 Oa g a? y - 20 ) oa coo o/Hood <br /> Page Index <br /> Page I 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. BON 514, SIREN, WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: <br /> 1101, <br /> Date: F <br />