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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owners name: aVCNA'd Z:MM tr»►w,.1 <br /> Owner's address: nnZ Y))�7� yp���`�i415 riteN Wily <br /> �/9N47tJfV ��� 77B3+G Site Address: Q �/ <br /> Legal Description: lJCC r 70 N <br /> Town: /JSco,_t_ <br /> County: [7 U r/ycif <br /> Subdivision Name: Lot No. Block No. <br /> Parcel ldentitication Number: <br /> Page Index <br /> Page 1 1ndex 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 /> Plumber Nam �e: 0, ld� gA�t1J <br /> er Credential No. <br /> PlumbemAddress: 2 7;!20 TCrY!"11,5cyy <br /> A,Jp6fer W,' <br /> Signature: <br /> Date: --17 77 Phone No. 715--6W45-0-2vZ <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01_R. 10/12) <br /> Page 1 of_ <br />