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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: Ave KIniA'h� <br /> Owner's address: /YIP/ MAAJCV/ I .i % -5o' <br /> "W fre%'Ai i iv 5/-71/5- <br /> Site Address: Zerg1 3kyl,yr/2o/ <br /> Legal Description: 4e"e. 2 Z-04 4' si e`DW <br /> Town: 7/C14 ,&) <br /> County: dieter- <br /> Subdivision <br /> iettSubdivision Name: fFi/!r f 4t artu i'fa I.1oVy Lot No. / Block No. <br /> Parcel Identification Number: 7-O/Z 2-Ory-/rj-22-c /5-704--028 <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 /> Plumber Name: 4.74 /0/14A-der Credential No. (95/?51"/ <br /> Plumbe ddress: 65o A4711-iv t.k.W61 <br /> Signature: /407 <br /> Date: 5-17-2U Phone No. 76-1-6-5 - <br /> Designed <br /> -S5 -Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-l0705-P(N.OI/OI:R. l Oi 12) <br /> Page 1 of <br />