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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Holding Tank Version 2.1 (May 2022-2027) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> P 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 applicable) <br /> Holding Tank Agreement if applicable) <br /> Project Name / Description <br /> Owner Name(s): a e.44— 4t�A-Ue,r Phone: <br /> Owner Address: o?3a y6 Ke r r y Jr/, �Intie lip: 5^S o 7 t� <br /> Project Address: calf'-3 ,W e'o ?0, 004e <br /> oort. dot: 1/4 of 1/4, Section, TAN-R /6 E or W <br /> Township: m e.e.10 d ,J County: <br /> Project Parcel ID #: p 7 oo l, o/3 o o o <br /> Designer Information <br /> Designer Name: IA1" /gu m Phone: 7/5 - <br /> Designer Address: )92&4 614 2LI71S Llnrl Rd. Zip: .5421� <br /> E-mail: / IK.917, 1� Z-.. <br /> + ��01'lf @f70tfY)CL! CDm is space res=leci for <br /> License Number: <br /> Remarks: <br /> t Signature: a: Date: <br /> Original signature requi on each submitted copy. <br />