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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: Dn Hkale <br /> Owner's address: <br /> CLLscvotit-h) w � syo/I <br /> Site Address: <br /> Legal Description: fyn0-t 4drd- VEj/- 4fj - S/8 -138-NRIt(to <br /> Town: L20ld.)E <br /> County: QvRiVE bra <br /> Subdivision Name: y� Lot No. Block No. <br /> Parcel Identification Number: 60F- <br /> Pagelndex <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 +$ ➢dainf na*Management and Contingency Plans <br /> PIP <br /> , q <br /> Plumber Name: 1;_A Y Em r"Ir 1Z i c-H Credential No.-J9 90 Q O 6 <br /> Plumber Address: PD A'.3 X 9 8 <br /> 1L��'6 0 W <br /> Signature: ,r <br /> Date: = 3 -%D Phone No.63/3 535'-99,7 7 <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01) <br /> Page I of 1 <br />