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PAGE 1 OF 4 <br /> • <br /> Holding Tank Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, S2D-10855-P (Ni. 03/07; R 01112) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Holding Tank Specifications <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map (if applicable) <br /> Holding Tank Pumping Contract (if applicable) <br /> Holding Tank Agreement (if applicable) <br /> Project Name t Description <br /> Owner Name(s): hti.,t--t �-�'v�,f,r,"7,,.. <br /> Phone: 1/ - - rn- - 8181 <br /> Owner Address: i7I i. 2.1,o4.%' af( 4.L.cie ln,; Zip: S1i8r3 <br /> Project Address: /DZ/V -3-744 / 70 Stif t lA.,) 3 <br /> Govt. Lot: 5-£ 1/4 of 'S£ 1/4, Section ie , T 33 N-R /7 E or W x <br /> Township: 1DQiv i L IS County: 15k,L,.,fit <br /> Project Parcel ID #: 07-oo(o-Z-3c'-!'7--i9-y 6Y-Oda- /Zoo n d <br /> Designer Information <br /> Designer Name: ct.c.,u,t �-(awK;.,.1/4-s Phone: 7/ i - Y9/ _ .5-3 ss <br /> Designer Address: Po . a LA.c,L () ,; Zip: �5 Yff ' <br /> E-mail: J4.C3WE hq t,.,�j;�S 1 t,/t. Q,Yv 4 i 1 . L+(pew, 'Phis space reserved for approval stamp. <br /> License Number: Z L2-87?� �f <br /> Remarks: <br /> () <br /> Signature: a e_ we 4rat,-- -s Date: 9 -/7-L o <br /> ginat signature required on each submitted copy. <br />