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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): /V e"",J Phone: - - <br /> Owner Address: 1Z4$ t' (7f Am" <br /> �� Y a� Zip: S`1F0s- <br /> Project Address: lok //° c%er'4N Or <br /> Govt. Lot: 1/4 of 1/4, Section, T #LO N-R P5 E❑or W <br /> Township: -YC d45C),-J County: <br /> Project Parcel ID#: 07-UIZ-2-y�U-�S�L3-5- /5'-5G0-47,qW <br /> Designer Information <br /> Designer Name: Koss ,-Lvk Phone: _ 7' o�a2- <br /> Designer Address: f W/ot AN Zip: 5�yy9'� <br /> E-mail: &1w7 This sTlace reservcd for approval stamp. <br /> License Number: <br /> Remarks: <br /> Signature: G Date: �5— <br /> Original signature required on each submitted copy. <br />