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CONVENTIONAL IN -GROUND POWTS DESIGN <br />Residential Application <br />Index and Title page <br />Owner's naive: DW-99- l�,f^4-e, <br />Omer s address: z_ jIlo l %/Omg, /�Gf <br />Site Address:00- <br />l <br />Legal Description: �iz/0 /W f'V / /ey ^j /? %7W <br />Town: G , /'yeohj <br />County: &UTAl <br />Subdivision Name: Lot No. Block No. <br />Parcel Identification Dumber: D? q'�-2-�g' -l7 %'Ll i4!-C&C) - 0 t,5-06 <br />Page tndex <br />Page I 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: fXay 10141.deF Credential No. SSf <br />Plumb ddress: TgMi"5ppry K"A <br />�o-ol per tn1 fry 3 - <br />S ignature: %�4 <br />Date: �- /-/� Phone No. <br />Designed Pursuant to the: <br />In -ground Soil Absorption Manual for P OWTS Version 2.0 SBD-10705-P (N.01I01: R. 10i 12) <br />Page 1 01 _ <br />