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PAGE 1 OF 4 <br />Holding Tank Plan <br />Index & Cover Sheet <br />Component Manual Design References: <br />Version 2.0, SBD -10855-P (N. 03/07; R 01/12) <br />Pg 1 of 4 Index & Cover Sheet <br />Pg 2 of 4 Plot Plan <br />Pg 3 of 4 Holding Tank Specifications <br />Pg 4 of 4 Management Plan <br />Attachments: <br />Enclosures: <br />POWTS Application for Review <br />Soil Evaluation Report & Site Map (if ap <br />Holding Tank Pumping Contract if appl <br />Holding Tank Agreement if applicabley <br />Project Name / Description <br />Owner Name(s): <br />Owner Address: <br />plicable) <br />cable) <br />Phone:- -��% %0 <br />Project Address: <br />Govt. Lot: IV k/ 1/4 of ;� 1/4, Section 2O, T 40 WRIE F]or W <br />Township: _ ("Q1�_d'e� <br />� ! County: <br />Project Parcel ID #: _0. M" 6 2, � 01y z CSD YQ )700o <br />Designer Information <br />Designer Name: 1 n k f <-<lA�' Phone: 7), -23357 <br />Designer Address: AV 76o , y LQ � � Zip: _� <br />� v <br />E-mail: <br />License Dumber: (16 iO <br />Remarks: <br />Signature: Date: <br />Original tignafure required on each submitted copy. <br />