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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):Somr+ ��STQ,2' n Phone: Ga -Xd- WF S- <br /> Owner Address: Jags7CT" Etaga 5� �EZip: <br /> Project Address: 121� <br /> P <br /> Govt. Lot: rC?' OF *.f Ir1/4 of '](; - 1/4, Sectiorw � T 1 �N-R_E or W <br /> Township: Count <br /> Project Parcel ID #: c4Z-- 3 -41 1 - 1 -I yc I 'C1CJ f?Ja� G <br /> Designer Information <br /> Designer Name: Phone: <br /> Designer Address: �IAVA VA 06-H RP Zip: <br /> E-mail: 41en `/46 Z= This space reserved for approval stamp. <br /> License Number: ;Z 2/s'i <br /> Remarks: <br /> Signature: Date: 06 l:� z <br /> Original signature required on each submitted copy. <br />