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i <br /> CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: 6� <br /> I <br /> Owner's Address: �5_,q33 <br /> Site Address: 3 �( � �5,4*r e— L- ,eLi, <br /> Legal Description: <br /> Town: <br /> County: ,�j y�f0 <br /> Subdivision/C' `/��'` _SY Lot No, as Block No. Z <br /> PIN: oos� 9n50 0-Vol-9 <br /> Page Index <br /> Pe 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 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No. 227691 <br /> Plumber Address: P.O. BOX 513 SIREN WI 54872 <br /> Signature: <br /> Date: �9�� Phone No.715-349-7286 <br /> Designed Pursuant to the: <br /> In-gr and Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01), and <br /> SSW4PI Publ�&tion 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br />