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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): MATTHEW E.&MAUREEN M.THOMPSON Phone: 612 - 802 -7642 <br /> Owner Address: 9578 COTTONTAIL DRIVE, ST. BONIFACIUS,MN Zip: 55375 <br /> Project Address: 5462 BUSHEY ROAD <br /> Govt. Lot: 1 _1/4 of Q 1/4, Section 19 T 40 N-R 15 E F-1 or W Fv <br /> Township: JACKSON County: BURNETT <br /> Project ParcellD#: TAX ID: 34199 D1-p12 -2- �{b -Is-19 S-CAS - u121D0 <br /> Designer Information <br /> Designer Name: MARY JO HUPPERT Phone: 715 _ 426 - 1775 <br /> Designer Address: 25720 FIREFLY LANE, WEBSTER, WI Zip: 54893 <br /> E-mail: hollisterdesigna@outlook.com <br /> License Number: 1859-007 , � '` ' k ' <br /> Remarks: <br /> 'aa�'aE i � .a 1.}y • <br /> $e� Sill <br /> dll <br /> + �\NN <br /> J , tip= '- <br /> r ` <br /> Signature: � l � 1�° Date: 01-1 51224 <br /> OriginaljWfiature required on tan suornined com, <br />