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PROPERTY OWNER (S) _ <br />PROJECT NAME _ <br />PROJECT LOCATION= <br />CONTENTS PAGE <br />1: <br />PAGE <br />2: <br />PAGE <br />3: <br />PAGE <br />4: <br />PAGE <br />5: <br />PAGE <br />6: <br />PAGE <br />7: <br />PAGE <br />8: <br />PAGE <br />9: <br />PAGE <br />10: <br />PAGE <br />11: <br />PAGE <br />12: <br />PAGE <br />13: <br />PAGE <br />14: <br />PAGE <br />15: <br />NAME: Richard Hopkins <br />Hopkins Sand and Gravel <br />27760 State Rd 35 Webster WI 54893 <br />Phone (715) 866-4157 <br />Fax (715) 866-8104 <br />INDEX SHEET �Q] <br />/4a 41 R(21 tq 14 <br />xot w% e <br />.17960 R0661,t <br />Street Address <br />S t/o,'V 16W <br />1/4 1/4 , Section, Town, Range (for POWTS submittals) <br />Municipality <br />Ru f� <br />County <br />if lec <br />CREDENTIAL NUMBER: 225851 <br />COMP.MANUAL USED —Holding Tanks <br />SBD- 10855-P (N. 03/07; R O1/12) <br />Mound <br />SBD- 10691-P (N.01/01; R. 10/12) <br />In -Ground Sys <br />SBD- 10705-P (N.01/01; R. 10/12) <br />Pressure Sys <br />SBD- 10706-P (N.01/01; R. 10/12) <br />SIGNED: <br />DATED: <br />