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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: Are q Akty G <br /> Owners address: 13Z gro 4/Al <br /> A�� 6st ,r1 X2,37 <br /> Site Address: ZT 5 q q 7101ye a�L <br /> Legal Description: 'T* <br /> Town: ©a k 6fj <br /> County: Co-- <br /> Subdivision Name: Lot No. / Block No. <br /> Parcel identification Number: 67-02y-2-!�O—lj -3�7^5- OS CXrZ- 0330 <br /> Page index <br /> Page 1 index and `1 itle <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: 40i5oe to 114,1,der Credential No, 85�gsy <br /> Plumber-Address: 7 7,220 3Gr!'ji%s01v ^CCT <br /> lvjtkieo&� Wt' <br /> Signature: 47�� <br /> Date: 42ZQ-1/ —l-5- Phone No. 7t ✓ �d6—U Z <br /> Desi.oned Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/0 L-R. 10112) <br /> Page 1 of __ <br />