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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, SSD -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 />/►Nca+cR�N� e )� <br />POWTS Application for Review <br />-f <br />Soil Evaluation Report & Site Map (if ap <br />Holding Tank Pumping Contract if appii <br />Holding Tank Agreement if applicable) <br />Project Name / Description <br />Owner Name(s): -R0.55 1D. SE1'E11yi Phone: - - <br />Owner Address: zc 333 VAn10E sT. N tL, EkK pwoje, tiU1 Zip: 553-310 <br />Project Address: <br />Govt Lot: 3 <br />E- <br />plicable) <br />cable) <br />1 /4 of - 1 /4, Section 3.�s , T N l N -R 16 E U or W <br />Township: -S tti. k s ---' County: 13 uU''U r-- <br />Project Parcel 1D#: 07- 032,- 2-41-1b -- 33-5 65- Ob3-0 Lzloa <br />TAY SP : 3L-i'i'4 <br />Designer Information <br />Designer Name: AA&W ` I D -E}uwa<r Phone: -7tS-- L42b - 177,S <br />Designer Address: Wig'-i4'f Kimp �c.TtWg C-1. EAnq Zip: <br />E-mail' b Smt�61!rgQ nail , Co W This space <br />License Number: 1,19sq-007 <br />Remarks: <br />Signature: Date: <br />stere mqbr4 bh each %&mftd copy. <br />stamp. <br />