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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> WITH DOSE CHAMBER <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: TA,5p,t) rhD4A6 e.x) <br /> Owner's Address: 10 Y71 �Z�41 70 <br /> S`1�e A) ZJ.L 6-y9 7a <br /> Site Address: 54/Y1 to <br /> Legal Description: p`I N& -A)u.) j 74e) <br /> Town: /4/0% e✓�S <br /> County: BURNETT <br /> Subdivision/CSM: Lot No. Block No. <br /> PIN: 0 004 ? 3 17 r y2-7 01 odo Q ;2 a S) cJ <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: <br /> Date: /d <br />