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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 /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): A/► Dyey /2D Phone: 336- 414/6- !I// <br /> Owner Address: 89`47/ 06 56-a.) lam• (,J4-E$Tr7Z Zip: 5../05).3 <br /> Project Address: SI$9 61-SCrL) I, 9. /7 <br /> Govt. Lot: 1/4 of 1/4, Section 7 , T 39 N-R /9 E or W <br /> Township: (D/IXICKft) County: iS(,{e <br /> Project Parcel ID #: (51`)-66-Z 3 -/17-//-3 A'-6E-1)--o/a.2) <br /> .Information <br /> Designer Name: C'viLy dei QA) Phone: '7 - 0?,'- 1106 <br /> Designer Address: Cj3chi g,d'ei2Wk /2(,,�, 1)67:6/?/Z Zip: 893 <br /> E-mail: (WY gTh(1604) 0.136. C4/1/1 <br /> License Number: gzy <br /> Remarks: <br /> Signature: Date: / 1./?O <br /> ginal ignature required on each submitted copy. <br />