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CONVENTIONAL IN -GROUND POWTS DESIGN <br />Residential Application <br />Index and Title Page <br />Owner's Name: �,9 % �,¢XW e_// <br />Owner's Address: J --a 3 el <br />Site Address: 'O <br />Legal Description: AUL <br />Town: zD.p^j C ".tj <br />County: �� f <br />Subdivision/CSM: Lot No. Block No. "— <br />PIN: 0 7 0l6 % ®/ 00c3 m/ no CD <br />Page Index <br />Page 1 Index and Title <br />Page 2 Plot Plan (may include septic tank and filter specs) <br />Page 3 Distribution Cell(s) Cross Section <br />Page 4 Maintenance, Management and Contingency Plans <br />Plumber Name: WADE RUFSHOLM Credential No. 227691 <br />Plumber Address: P.O. BOX 513 SIREN WI 54872 <br />Signature: <br />Date: 3D -- / Phone No.715-349-7286 <br />Designed Pursuant to the: <br />In -ground Soil Absorption Manual for POWTS Version 2.0 SBD- 10705-P (N.01101), and <br />SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) <br />