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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: <br /> Owner's Address: �36y'ys t6iq-/e. 1✓E S / <br /> l i J <br /> Site Address: <br /> Legal Description: pC—/,taw -S c<a S 3 6 z //,,) <br /> Town: <br /> County: ,(> ey rry e-- f" <br /> Sidi isre CSM: _ / !D �� Lot No. 3 Block No. <br /> PIN: 07 o3., a �Zl & 3 d 3 a --2 %?oac5 <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: uz, <br /> Date: _ - 5 /S 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(0 1/8 1) <br />