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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manua!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): �65# �e(540 Phone: - - <br /> Owner Address: #43 7— /;Iro�14,c, 44o 0,-J Zip: <br /> Project Address: 276oz e,' g4 --ay- <br /> 1D25o�3 <br /> Govt. Lot: 1/4 of 1/4, Section 25- , T -�/O N-R /7 E D or W 7 <br /> Township: U►-J,bn) County: /Jvrivell <br /> Project Parcel ID #: 07-�36-2-H(�-17�25-5- OS-�y-OlZj <br /> Lvk <br /> Designer Information <br /> Designer Name: 4, /, Phone: 7' <br /> Designer Address: 6��lyf N1AAf ��1 Zip: 51YA/'� <br /> E-mail: (oA17�011 a if This space reserved for approval stamp. <br /> License Number: 85/95y <br /> Remarks: <br /> Signature: , Date: <br /> Original signature required on each submitted copy. <br />