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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> WITH DOSE CHAMBER <br /> Residential Application <br /> Index and TitlePage <br /> Owner's Name: G u! <br /> Owner's Address: yC C.�ice' <br /> Site Address: SJ�� Lulu, e b e <br /> Legal Description: 5/� 7yD.rJ iP/7 e- J <br /> Town: 4"V olo <br /> County: BURNETT <br /> Subdivision/C-SM: �/`! L2SS 1 I4JeS S/o,-e�LotNo. �fo Block No. — <br /> PIN: 07 031/, a Yo /7 i3 1.5— o0 oi�bo0 <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 Dose Chamber Cross Section(with ST & filter specs) <br /> Page 5 Pump Curve and Specs <br /> Page 6 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No.227691 <br /> Plumber Address: P.O. BOX 514, SIREN, WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: c� <br /> Date: <br />