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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: /�eg-q G 7t6kcV <br /> Owner's address: #6 f j Xl MI A& LN /V <br /> Site Address: Mag 0he,-er& ) <br /> Legal Description: epCGI4 T'fO '4jW \fl-0f2 <br /> Town: nsco f•- <br /> County: <br /> Subdivision Name: Lot No. Block No. <br /> Parcel Identification Number: <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: a T�24� Credential No. <br /> Plumber Address: Ti2=O JQ/11ir."a <br /> WeL,A- WL' 4tRg3 <br /> Signature: /gg%" <br /> Date: s��/2— Phone No. 1!✓c�8 �'17� <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01) <br /> Page 1 of_ <br />