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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner'-s name: <br /> id <br /> Owner's address: 3670 V65Aad 9 <br /> C°('mqN 7`O(,J AJ /17N -- S 16 <br /> Site Address: 3 a07y5j $Aq 41J Or <br /> Legal Description: �& Z 7 TW N 7/-,1/57W <br /> `Down: LJ-S`, <br /> Count)-: u f K� <br /> Subdivision Name: .,at No. Blocko._ _ <br /> Parcel Identification Number: 07 C)3,7-0 7&�, 1 "47W— PVPCIP <br /> Page Index <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 /> Plunger Name: /0 t�4��r Credential No. <br /> Plumbe#-Address: 2 7,720 TgM,'SQhf Ar <br /> vita-0/ef W ti <br /> Signature: 4 <br /> Date: l '�/71 Phone'No. <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N_0IM1:R. I0 12) <br /> Page { of <br />