Laserfiche WebLink
CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Re ddenlial Application <br /> ///n[/•//�� <br /> Index and Title page <br /> Owner's name: <br /> Owner's address: 1720 3 y3 yq t�,'/j��re /i/,r <br /> Site Address: _`/N09! C`X7f�r'n/ PT/o _. <br /> Legal Description: lj)eG y 73 A5— CShJ V/ zvs <br /> Town: Lle171yf_ <br /> County: /7U NBT/ <br /> Subdivision Name: ayLot No. 5 Block No. <br /> Parcel Identification Number: 0/e12Zo9/ZCoO <br /> Page Index <br /> Page l 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 /> [rsf_.L,, //urkfaws <br /> Plumber Name: Credential Credential No. <br /> 77i4 O '1 7 fJ <br /> Plumber Address: _� V9/✓L��-C/ <br /> t,Je S/er W,' }04 3 <br /> Signature: <br /> Date: LQ'Z9Phone <br /> Deigned Putwant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01) <br /> 'Page 1 of— <br />