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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Desto References: <br /> Version 2.0,SBD-10705-P(N.01101,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 /> Tku - specs PDWTS Application for Review <br /> FiLTEk QCs Soil Evaluation Report& Site Map <br /> &2 FLOkJ sayC5 <br /> Project Name/ Description <br /> Owner Name(s): f pz Itis L. �ItU64iA 11 c L Phone: - - <br /> Owner Address: l'LO7 F-LoLtiNi3E (R• j hiOrniAPY Zip: 51/830 <br /> Project Address: .1 LssE p..YAM Cc uicT <br /> Govt. Lot: -- - 1/4 of - 1/4, Section /3 , T lie N-R 15-E nor W �l <br /> Township: 5W County: Ri TT <br /> Project Parcel ID It: 07- ofL-Z- /p -/5-13.-5 15- Olv5--03/00 0 <br /> Designer Information <br /> Designer Name: /Il N v 10 -f Jkf PRrzT Phone: ?►.S - 4107 - t X75; <br /> Designer Address: 2V-1q1 K,N6 Aam wis Cf, f ,i gtmey, Go' zip: 5y 8. <br /> E-mail: 1'10!/isterclestcin ork+IcoK � This ea� $.., . s+.`=: �t,t� �p <br /> e.. • r <br /> License Number: 18sH-ob 7 ��,.,........: o ihy f <br /> Remarks: 1*if MARY J4 *s <br /> HUPPeRT <br /> D 1858 <br /> t • <br /> E`ER Milt?. .11 <br /> o <br /> ...4" 7� <br /> s �� <br /> Signature: � fd----- Date: 7-is ,zc�l <br /> o>�+l—«►��e�i ei s u*ed cow. �_ <br />