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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: / � ,//?h'-a e.r <br /> Owner's Address: <br /> 1:&e! i7 A'klA�- A7: —D _3"5? <br /> Site Address: S o n / .7 Baa,,,�P ✓.4 ©y,� �J <br /> Legal Description: <br /> z <br /> Town: SGu is S <br /> County: ,� yi� u e✓ . <br /> p rk <br /> Subdivision/6$3af �f��j RJB nJ'S du !/�ecJ �ot No.�Block No. <br /> PIN: 0 -7 03..;2- .�Z Y114 <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 Wl 54872 <br /> Signature: <br /> Date: 7"'�y/� Phone No.715-349-7286 <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SSD-10705-P(N.0110 1), and <br /> SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br />