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i <br /> CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: 19—r y G/-v(nSo, j <br /> i <br /> Owner's Address: <br /> 4Yle.- V Ile �/.L). <br /> Site Address: <br /> v <br /> Legal Description: A--� G,L, j 14, T40A) /cf 641 <br /> Town: <br /> County: �4f <br /> Subdivision/69M- J-/,rA)5CO/11 L/t k�_ _!�:;X&ILrot No. 36 Block No. ' <br /> PIN: <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: _l5— 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.01/01), and <br /> SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br />