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CONVENTIONAL IN -GROUND POWTS DESIGN <br />With DOSE CHAMBER <br />Residential Application <br />Index and Title page <br />Owner's name: <br />Owner's address: Z6Z� Cp./QIX. <br />Site Address: <br />Legal Description: yeclq r(AW 3%j jelgw <br />Town: weyt /�iarg�llq�/ <br />County: d0iA(e#_ <br />Subdivision Name: Lot No. Block No. <br />Parcel Identification Number: 6-Y' 40 ` ONIX) <br />Plumber Name: <br />Plumber Address: <br />Signature: <br />Date: <br />Page Index <br />Page l <br />Index and Title <br />Page 2-4 <br />Soil Evaluation Report with Plot Plan <br />Page 5 <br />Plot Plan for POWTS <br />Page 6 <br />Soil Absorption Cells Cross -Section and Plan View <br />Page 7 <br />Dose Chamber Cross -Section (with Septic Tank Specs) <br />Page 8 <br />Pump Curve and Specifications <br />Page 9 <br />Effluent Filter Specifications and Service Interval <br />Page 10 <br />POWTS Management Plan <br />,4-:, <br />Ip! 1�C1 el Credential No. 4y. 1 1,6,-q <br />Z TZZ o j q j, er4 Kc! <br />Plione'No. 716-- !6�- 62102- <br />Designed Pursuant to the: <br />In -ground Soil Absorption Manual for POWTS Version 2.0 SBD -10705-P (N.01/01; R. 10/12). and <br />Pressure Distribution Component Manual Version 2.0; SBD -10706-P (N.01/01; R. 10/12) <br />