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Pg 1 of 4 <br />Pg 2 of 4 <br />Pg 3 of 4 <br />Pg4of4 <br />PAGE 1 OF 4 <br />In -Ground Gravity Dian <br />Index & Cover Sheet <br />Component Manual Design References: <br />Version 2.0, SBD -10705-P (N.01/01, R. 10/12) <br />Index & Cover Sheet <br />Plot Pian <br />Dispersal Area Cross -Section & Plan View <br />Management Plan <br />Attachments: Enclosures: <br />Tank spec POWTS Application for Review <br />Filter Spec Soil Evaluation Report & Site Map <br />Project 1 la:e !Description <br />3 Bedroom Septic <br />Owner Name(s): Jon & Luke Schmitz <br />Owner Address: 23796 County rd H Shell Lake W! <br />Phone: 715 -468 <br />Zip: 54871 <br />Project Address: 27954 County Rd FF Webster WI <br />Govt. Lot: 1 1/4 of 1/4, Section 26 T40 N -R 17 <br />Township: Union County: Burnett <br />Project Parcel ID #: 07-036-2-40-17-26-5 05-001-012000 <br />Designer Information <br />Designer Name: Luke Schmitz <br />Designer Address: PO Box 160 Shell Lake WI <br />E-mail: digupnorth@gmaii.com <br />License Number: 884121 <br />Remarks: <br />-2434 <br />E ❑ or W ✓❑ <br />Phone: 715 -468 -2434 <br />Zip: 54871 <br />I his space reser vea ior approval stamp. <br />Signature: Date- Date: 5-26-17 <br />Original signature required on each submitted copy. <br />