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PAGE 1 OF 5 <br />In -Ground Dosed -Gravity Plan <br />Index & Cover Sheet <br />Component Manual Design References: <br />Version 2.0, SBD -10705-P (N.01/01, R. 10/12) <br />Pg 1 of 5 Index & Cover Sheet <br />Pg 2 of 5 Plot Plan <br />Pg 3 of 5 Dispersal Area Cross -Section & Plan View <br />Pg 4 of 5 Pump Tank Specifications <br />Pg 5 of 5 Management Plan <br />Attachments: <br />Enclosures: <br />Pump Curve <br />POWTS Application for Review <br />Pump Specs <br />Soil Evaluation Report & Site Map <br />Filter Specs <br />Tank Specs <br />Infiltrator Specs <br />Project Name / Description <br />Owner Name(s): If Lam_ Phone: - - <br />Owner Address: zL., t-frKE J.0 n) F-D <br />Project Address: SHAby 66Ev' ROAD <br />Govt. Lot: NA-- — 114 of 1/4, Section 0� , T_20 N -R /7 E ❑or W <br />Township: i11^1 I County:T7- <br />ProjectParcel ID#: 07-0349 Z -410--17-z5-5 )S -6W FI�iDr7G1 <br />Designer Information <br />Designer Name: Mary Jo Huppert Phone: 715 -426 -1775 <br />Designer Address: 28497 King Arthur's Court, Danbury, WI Zip: 54830 <br />E-mail: hollisterdesign@outlook.com_110o`zAy._�,,,�, <br />License Number: 1859-007 <br />Remarks: <br />�` � • HUP �RT••i•:� <br />D 1959 ! <br />RIVER FALt.St.: <br />.IG <br />/ s�/'/0/NItitflt111Ph��NO <br />Signature: Date: - 1 <br />nginat sign;tun;req6Ad on each submitted copy. <br />