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r.l <br /> CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> / Index and Title Page <br /> Owner'$ Name: <br /> Owner's Address: <br /> Site Address: r_23 <br /> Legal Description: {J, S S %S' 7_1391O R f V GJ <br /> Town: {J w y <br /> INi I I <br /> County: <br /> Subdivision/CSM: Lot No. Block No. <br /> PIN: 67 D o b o2 .38 i y 15 <br /> Page Index <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 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No 227691 <br /> Plumber Address: P.O. BOX 513, SIREN, WI 54872 <br /> N ��9 <br /> Signature: fit/ <br /> Date: _o / 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 />