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Pg 1 of 4 <br />Pg 2 of 4 <br />Pg3of4 <br />Pg4of4 <br />Attachments: <br />PAGE 1 OF 4 <br />In -Ground 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 />Index & Cover Sheet <br />Plot Plan <br />Dispersal Area Cross -Section & Plan View <br />Management Plan <br />POWTS Application for Review <br />Soil Evaluation Report & Site Map <br />Project Name / Description <br />Owner Name(s): _ _ ������ Qe T�-rSai� p Phone: - - <br />Owner Address: a � I �5 � Q,l 5, �v� Gc,ZL Zip: _511�01 <br />Project Address: <br />Govt. Lot: 1/4 of 1/4, Section T �N-R 1�E FI or WO <br />Township: u;;_/f County:. <br />Project Parcel ID #: <br />Designer Information <br />Designer Name: Phone: 7%- <br />Designer Address: L�% Zip: 7% <br />E-mail: <br />License Number: <br />Remarks: <br />I his space reserved for approval stamp. <br />Signature: ��.—� G Date: 7, 0, <br />Original signature required on each submitted copy. <br />