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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> component Marva 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 /> -PM.< sacs POWTS Application for Review <br /> P►z--rge SPFC� Soil Evaluation Report& Site Map <br /> 0 WC-i LI si)Ec.� <br /> Project Name/ Description <br /> D D)Af Phone: 30 f -241 - t <br /> Owner Name(s):�p N-htD E• 4-PAMELA- E: �� � 057T <br /> Owner Address: 267y�0 CCe too.,DON 8u,'Q lia- Zip: s'/ '3D <br /> Project Address: Cog)FF LANE <br /> Govt. Lot: -- 1/4 of - 1/4, Section 21-1 , T "11 N-R Ib ED or W,® <br /> Township: S k.,01-S County: .54 R N ---T7- <br /> Project Parcel ID lk 07-2)3Z- Z-4/ IL. -24-s i5-z' /o—0► 300 O <br /> Designer Information <br /> Designer Name: Ail Alz,v -..1a -1-4u.eet T <br /> Phone: �1.5 -4tal - 075- <br /> Designer <br /> 7,1Designer Address: 2V-141 1 KM/e Mr2THurZs C+., OMISIAley, WI zip: 518 <br /> E-mail: It 01(t sferclest jn or,.+l boK- dO&% This S. ; �� ;::.,."...t <br /> License Number: I gsq-00 7 x bi f <br /> z,v Jo -1if-4JO <br /> $UPPCRT . §. <br /> ©1859 <br /> eR F '' I <br /> ;�°�a att:al S`� <br /> 4aft <br /> Signature: filal( 1 i 1 G( 'f NI Date: 641-13-z)20 <br /> required on -.. <f . — copy, <br />