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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): /on, ���alL Phone: - - <br /> Owner Address: 3656 UEc/� 7^A4z dgNlgW Zip: '51-0e <br /> Project Address: �Vvf <br /> Govt. Lot: 1/4 of 114, Section , T yO N-R /5" E[:]or W <br /> Township: 74456N County: got". 1`' <br /> Project Parcel ID #: <br /> Djesigner Information <br /> Designer Name: ��, /�/f a,, r Phone: 71froab2- <br /> Designer Address: 9,9 X IV ly lAhl W Zip: 5� Y'/`1 <br /> E-mail: (0l�9011a el'o �qr 60.(bl-1 This space reserved for approval stamp. <br /> License Number: <br /> Remarks: <br /> �1 <br /> Signature: Date: <br /> Original signature required on each submitted copy. <br />