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PAGE 1 OF 5 <br /> In-Ground Dosed-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 5 Index & Cover Sheet <br /> Pg 2 of 5 Plot Plan <br /> Pg 3 of 5 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 5 Pump Tank Specifications <br /> Pg 5 of 5 Management Plan <br /> Attachments: Enclosures: <br /> Pump Curve POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): • e 9dVGNS4 Phone: - - <br /> Owner Address: M6-17 eoHw 1-b Lki• Zip: <br /> Project Address: 4orn6 <br /> Govt. Lot: .1/4 of 1/4, Section T yd N-R /' E ❑or W <br /> Township: :1wke"tN County: If�rMel_�_ <br /> Project Parcel ID #: /5-OK-096410 <br /> Designer Information <br /> Designer Name: D,5 /, / Phone: 15- - S'66 - dZoZ <br /> Designer Address: 6�8����%� �k�d/ ���`��b' W' Zip: Sys <br /> E-mail: /05477b11e/r461eno YC/�(O!'. LOdl? This space reserved for approval stamp. <br /> License Number: <br /> Remarks: <br /> Signature: Date: /--�q-Z� <br /> Original signature required on each submitted copy. <br />