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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): AAf �Zd Phone: - - <br /> Owner Address: Z8 y2 Coy J�' o NU W Zip: 6`l8e <br /> Project Address: Scf✓ne. <br /> Govt. Lot: Al W 1/4 of N E 1/4, Section Z i , T k() N-R /mil E ❑or W <br /> Township: County: (,veAf <br /> Project Parcel 1D #: 47-az8—Z-Yo-1�-Z/- d2-oxxJ—a�ioo l <br /> � Designer Information <br /> Designer Name: Kotig To114 k Phone: 716­_- 5& - oZGZ <br /> Designer Address: _G#/A4'1 �k tr ,f e� W� Zip: 5�b�r3 <br /> E-mail: ro7`7 7wladur�xad&0 cool This space reserved for approval stamp. <br /> License Number: �57g5�1 <br /> Remarks: <br /> Signature: Date: <br /> originai signature required on each submitted copy, <br />