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• <br /> CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: 44,, /VDt_ <br /> Owner's address: V./ CSR.('($ (' (.-e c G.'l <br /> G�cc(ve/ /t/n! 653/5 <br /> Site Address 8730 61 ./- <br /> Legal Description: ' CG 3t 7L jis y/N /e/7, <br /> Town: 4(.4)/'‘.7? <br /> County: Arita" <br /> Subdivision Name: Lot No. Block No. <br /> Parcel Identification Number: 07-o3Z-141-i 7- 36-y of-mo -aka) <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 /> � fJ <br /> Plumber Name: �0 iR QI Credential No. 8579541 <br /> Plumbe ddress: 65/,/1iXif'ti 1-k-.WU <br /> ' r\j-ei ?/ec W‘ ) <br /> Signature: <br /> Date: 7 "?-20 Phone No. Udo,, <br /> Designed Pursuant to the: <br /> in-ground Soil Absorption Manual farPOWTS Version 2.0 SBD-10705-P(N.01/01;R. 10/12) <br /> Page I of <br />