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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): Le )4 "od Phone: - - <br /> OwnerAddress: q� Z Wood I Zip: 367l0 <br /> Project Address: y900 eel <br /> Govt. Lot: / �1/4 of 1/4, Section , T 38 N-RE7or W 0 <br /> Township: k 141)"e#e- County: 017Urm, t" <br /> Project Parcel ID #: e?�ly- -3g -dt.-S OS�b0�-c3/3a�o <br /> / Designer Information <br /> Designer Name: 4, /��1a,� Phone: ylfr - 6'36 - aaaz <br /> Designer Address: 68911362�_yy 1AAe 41 Zip: 51�yel <br /> E-mail: (0�0/1 a go,-@ �la%cry.ebW7 'phis si>ace reserved for approval stamp. <br /> License Number: 95/954/ <br /> Remarks: <br /> Signature: Date: <br /> Original signature required on each submitted copy. <br />