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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: ktkyAte 7i AjAe4yri <br /> Owner's address: 1 Z8O CUrTI 5 <br /> 1/- <br /> 64iliv 6-#60-2_ <br /> Site Address: y7 75- //70/./4 <br /> Legal Description: yee 9 TwN dt IC..�✓ <br /> Town: lGGk <br /> County: Arive)-1— <br /> Subdivision Name: Lot No. Block No. <br /> parcel Identification Number: 07O/2Z '/5-OZ2 &Z'l ' o/foto <br /> Page iadex <br /> Page I 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: /0/f4AdQ& Credential No. r/'J�1 t511 <br /> ��f1.N z .Wd <br /> Ilumb�ddress: 658/ <br /> . tom/e ' W 6'/ 3 <br /> Signature: <br /> Date: ( / �G-i/ Phone No. 7 S6G" O�Z <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01; R. 10/12) <br /> Page i of <br />