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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): -D�?NG '56X m,d4�t Phone: - - <br /> Owner Address: 713 6 t"fit �a�m�>c,��N l#iV �S02 Zip: 5,5�1Zq <br /> Project Address: S %►'PR�w� �h�a�� �� <br /> Govt. Lot: 1/4 of 1/4, Section_, T `r() N-R_ E❑or W <br /> Township: ,4C�ha�J County: 14 <br /> Project Parcel ID #: 07--oIZ-2-lia-l5'-12-s 15-750-/vyaoo <br /> Designer Information <br /> Designer Name: 4, % dank Phone: 71tr - 6'5,� -aaa4 <br /> Designer Address: `AAe AN Zip: 5' gel <br /> E-mail' (o, �Aq^4�41 0 ale This sl-tace reserved for approval stamp. <br /> License Number: <br /> Remarks: <br /> Signature: Date: <br /> Original signature required on each submitted copy. <br />