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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10705-P (N.01/01, R. 10/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Z R �c Soil Evaluation_Report & Site Map <br /> Sao P?c'S <br /> ----- <br /> • ,r -- <br /> Project Name / Description <br /> Owner Name(s): Za9 Phone: - Z/3- 393e <br /> Owner Address: ,'x)3 Afctmvi ", /''�/ x �c Zip: S Q <br /> Project Address: <br /> Govt. Lot: i' 1/4 of 1/4, Section I% T—DA R E -]or W <br /> Township: 7 County: <br /> Project Parcel ID #: .- CAS w/- o/oGe) <br /> Designer Information <br /> Designer Name: /� / Phone: <br /> Designer Address: ► l ! Zip: <br /> E-mail: �,X41 �31� G GQ3/C `j This space reserved l()r approval stamp. <br /> License Number: <br /> Remarks: <br /> oe <br /> ,r <br /> Signature: "` Date: <br /> Origin ignatur required on each submitted copy. <br />