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• <br /> CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Applicatior. <br /> Index and Title page <br /> Owner's name: eeu 4kkeS <br /> Owner's address: Alfog 72 <br /> away SIF W36 <br /> Site Address: Cq�j/7 Jay Al <br /> Ij <br /> Legal Description: eC IB a!w!i Z/^I /e/5.1,i <br /> l <br /> Town: <br /> County: D ufNe <br /> Subdivision Name: igg lake h(Gj Lot No. ?PO Block No. <br /> parcel Identification Number: O7-O?Z-Z-y/i 4-5✓ �J-ay5-O Q <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: x,4 /Q!t4Ader Credential No. g5/9411 <br /> Plumbe ddress: 686/ /9t)47f''N L k.Wd <br /> ' <br /> Signature: <br /> Date: 7-Z 3--Z ' Phone No. 76--566—0.24:7Z <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 1 of _ <br />