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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: �/y� L3A+ M, <br /> Owner's Address: r/ Q j o ✓e-c' 4 U� <br /> Site Address: <br /> Legal Description: ti <br /> Town: <br /> County: N /U C-� _ <br /> Subdivision/CIr S'ky� /l� G�eti /,�f/ Lot No. l b Block No. <br /> PIN: d 7 01a o�6c006 <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 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: ICJ <br /> Date: 7-17-15— Phone No.715-349-7286 <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01),and <br /> SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br />