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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> WITH DOSE CHAMBER <br /> Residential Application <br /> Index and Title Page <br /> rr r <br /> Owner's Name: f}'N /rnm e r'I-r7A"-J <br /> Owner's Address: 31' .57Ve. 574- <br /> c i4^)No.J (f1Jf3 53'00 9 <br /> Site Address: 6 77 /owe , r- <br /> Legal Description: 5 7- 7 / f ie f <br /> Town: SW /S..S <br /> County: BURNETT p", <br /> 46 Subdivision/C M: /I2 ' �S A/verVieu) / t No. Block No. <br /> PIN: 07 0342 a 5// /, 36— S j.5r 3S/ O /m000c) <br /> Page Index <br /> Page 1 Index and Title <br /> Page 2 Plot Plan (may include septic tank and filter specs) <br /> Page 3 Distribution Cell(s) Cross Section <br /> Page 4 Dose Chamber Cross Section (with ST &filter specs) <br /> Page 5 Pump Curve and Specs <br /> Page 6 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No.227691 <br /> Plumber Address: P.O. BOX 514, SIREN, WI 54872 <br /> Telephone: 715-349-7286 <br /> (II Y <br /> Signature: CCC.c«..000"�•C«C/// <br /> Date: g' ohs <br />