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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 P®WTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): Wem tX Afrb- Phone: - - <br /> Owner Address: /873/ U�x W Zip: 511630 <br /> Project Address: 1?730 t�roL <br /> Govt. Lot: 1/4 of 1/4, Section 13 T_)?_0_N-R_ V E ❑or W Q <br /> Township: Ntck5 0n1 County: <br /> Project Parcel ID #: OT 001-61Z6-6G <br /> -� ,JDesigner Information <br /> Designer Name: eoti�To��C QP/ Phone: 716- - 5Z - oZGZ <br /> Designer Address: 60 f er W i Zip: 5kb�r3 <br /> E-mail: rf)'s 101144AY This space reserved for approval stamp. <br /> License Number: d57g5�'l <br /> Remarks: <br /> Signature: / Date: <br /> Original signature required on each submitted copy. <br />