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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: �yf kE �9 J�raaW e�� <br /> Owner's Address: -,23W Sao Z-a rr t}.;,j e, <br /> Site Address; <br /> f <br /> Legal Description: <br /> Town: `J-4 <br /> County: ,d yr/,) f� <br /> S ivisivn/CSM: �// 5- Lot No._-!V Block No. <br /> PIN: D7 D/o2 v? yo /� o%o0o p��aoC1 <br /> Page Index <br /> i <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 /> P5 :Y- ?u.r,A Cr05-5 <br /> P56 P NMP G y,-vie. <br /> Plumber Name: WADE RUFSHOLM Credential No 227691 <br /> Plumber Address: P.O. BOX 513 SIREN WI 554872 <br /> Signature: <br /> Date: _a g -/v�� Phone No.715-349-7286 <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 S13D-10705-P(N.01101),and <br /> SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br />