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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owners name: ,0�AJr y1e,, tIPtck5on1 <br /> Owner s address: M5— w2 /AV lVW <br /> Site Address: /ZG762/ I7 7 7, k'. ted 'J <br /> Legal Description: 7/� % � 5&-,7q 7-70 0//-7 <br /> W (SU 44fiWlVd) <br /> Town: V N"Orsi <br /> County: dar'd9 <br /> Subdivision Nante: Lot No. Block No. <br /> Parcel Identification Number ' <br /> 07-o31,-Z-Yo-/7-Zf-3 GY-oro-oliaao <br /> Page Index <br /> Page I 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 Maintenance, Management and Contingency Plans <br /> -F0 <br /> /I <br /> PlumI <br /> Plumber Name: _ rj� Fol/4jf,- Credential No.�S/qsy <br /> Plumber Address: 77.7 0 <br /> lt.lefobfe✓' W; Sy&�'3 <br /> Signature: <br /> Date: rJ �/ / -/ / PhoneNo. 7/T-56G-U?Oz <br /> Designed Puauant to the: <br /> In-ground Soil Absorption Manual Ibr POW i S Vcrsion 2.0 SBD-10705-P(N.01/01_It. t0/12) <br /> Page I of <br />