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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): WCAJI& 61VJ4C Phone: - - <br /> Owner Address: pD&)e o5 5Lbwo. til, Zip: 5�/8o I <br /> Project Address: Z901 6rmfAa, A3-me_ <br /> Govt. Lot: "1/4 of 1/4, Section , T l/D N-R /S E❑or W E <br /> Township: face County: <br /> Project Parcel ID #: 07-012-Z-Yo-i5%13-5- /5-ZVF- 0,�7600 <br /> II Designer Information <br /> Designer Name: 9, /i§g_J_r_ Phone: y/fr - 6-36 - Oa02- <br /> Designer Address: 68,6/ Z�,/N 1AAe WW Zip: 511 A/_'2 <br /> E-mail: r0'i9oll a,��0 �/G'/cE9.rol-I This space reserved for approval stamp. <br /> License Number: <br /> Remarks: <br /> Signature: Date: <br /> Original signature required on each submitted copy. <br />